Heart Disease Community
Urgent : Coronary Angiography Reports
About This Community:

This patient support community is for discussions relating to angina, angioplasty, arrhythmia, bypass surgery, cardiomyopathy, coronary artery disease, defibrillator, heart attack, heart disease, mitral valve, pacemaker, PAD, stenosis, and stress tests.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Urgent : Coronary Angiography Reports



Angiography reports after a heart attack has:

LAD : 70% lesion in proximal segment followed by 99% segment in mid segment with TIMI-2 flow

LMCA : normal

LCX : normal

RCA : normal.

Age : 50 yrs.

Is this alarming situation ?
2 Comments Post a Comment
Blank
Avatar_dr_f_tn
Hello and hope you are doing well.

Doctors typically consider/perform angioplasty, with or without coronary stents on blockages of 70%75% or greater in the right coronary artery (RCA), left anterior descending (LAD), left circumflex (LCX) and some of their respective branches, also taking in consideration present symptoms. Prognosis will depend on the viable myocardium and co morbid conditions like diabetes. So, please discuss this with your doctor am sure he will provide further assistance.


Hope this helped and do keep us posted.
Blank
976897_tn?1379171202
TIMI-2 flow means that blood past the 99% blockage is sluggish. A timi score of 2 means an 8% chance of mortality, or another MI. As the distal part of your LAD is not filling retrograde, and is sluggish, I think it's safe to assume at the moment you have no collateral vessels which have opened. Personally I think the blockage of 99% requires stenting. I'm not sure about the 70%, this is borderline and is location at the top of the LAD, probably close to where the LCX branches off. If really close to the LCX branch, then stenting is much more difficult, but certainly not impossible, it depends on the experience of the cardiologist.
Blank
Post a Comment
To
Top Heart Disease Answerers
63984_tn?1385441539
Blank
Flycaster305
97303, OR
976897_tn?1379171202
Blank
ed34
watford, United Kingdom
159619_tn?1318997813
Blank
erijon
Salt Lake City, UT
Avatar_f_tn
Blank
skydnsr
212161_tn?1410016711
Blank
heartfluttersflyawayplz
hoschton, GA
329165_tn?1412685860
Blank
Smiley2000
Australia
MedHelp Health Answers
Blank
BloodPressure Tracker
Monitor Your Blood Pressure
Start Tracking Now
Blank
HeartRhythm Tracker
Track your Heart Condition
Start Tracking Now
Recent Activity
900662_tn?1380159390
Blank
johnniebear burrrr. Im so not ready fo... Comment
29 mins ago
996946_tn?1416866031
Blank
LindaTX your status is too long (ma... Comment
52 mins ago
1236893_tn?1408490528
Blank
gymdandee commented on U.S. Foods Banned in ...
4 hrs ago
Heart Disease Community Resources
RSS Expert Activity
469720_tn?1388149949
Blank
Abdominal Aortic Aneurysm-treatable... Blank
Oct 04 by Lee Kirksey, MDBlank
242532_tn?1269553979
Blank
The 3 Essentials to Ending Emotiona...
Sep 18 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank
Top Heart Disease Answerers
63984_tn?1385441539
Blank
Flycaster305
97303, OR
976897_tn?1379171202
Blank
ed34
watford, United Kingdom
159619_tn?1318997813
Blank
erijon
Salt Lake City, UT
Avatar_f_tn
Blank
skydnsr
212161_tn?1410016711
Blank
heartfluttersflyawayplz
hoschton, GA
329165_tn?1412685860
Blank
Smiley2000
Australia