My father had a heart cath last year and they found a 30% blockage in what my
mother called a "minor" vessal. At the time of his cath he had high bloodpressure
. This year he had a cath and they didn't find anything and his blood pressure
is normal and has been normal for a few months without medication. My question
Could a blockage take care of itself without causing a stroke? I thought I read once
that your body could work another route to bypass the blockage. My mom is convinced that
they (the Dr.'s) were wrong the first time. Thank you for your time./
Firstly, a blockage in the coronary heart vessel will lead to a heart attack,
not a stroke (this is when there is a blockage in the vessels feeding blood to the brain.)
Now that the terminology is clear, it is unlikely that a 30%blockage in one of
the coronaries or anywhere in the body went completely away, it is more likely that
the "unimportant" coronary artery disease that was seen on the first cath was overcalled.
Any coronary artery blockage less than 70% is considered insignificant, and the
only thing to do for the patient with one or more such insignificant blockages is
to treat medically (aggressively manage risk factors-like treat high blood pressure,
diabetes, and high cholesterol if they exist; as well smoking cessation should be greatly
recommended as should the commencement of a daily aerobic exercise program.)
Any person with insignificant blockages has "mild coronary artery disease",
and is usually prescribed medical therapy as described above, as well he/she is usually
followed with yearly stress tests (if the stress test is abnormal or if the patient describes
new symptoms, then another cath is performed.)
This is what you need to know, are the coronary arteries clean or is there some mild disease?
Also note that many cath cardiologists will disagree on lesions less than 50%, one might
call it 30%,another might say 10%, and in a side branch or small vessel this is a really hard call
for the human eye to make. Ultimately it doesn't matter if it is 10 or 20% as I stated above.
I hope you find this information useful. Information provided in the heart forum is for general medical informational purposes only. Only your physician can provide specific diagnosis and therapies.
Please feel free to write back with additional questions.
If you would like to make an appointment at the Cleveland Clinic Heart Center, please call 1-800-CCF-CARE or inquire online by using the Heart Center website at www.ccf.org/heartcenter. The Heart Center website contains a directory of the cardiology staff that can be used to select the physician best suited to address your problem.
Copyright 1994-2018MedHelp.All rights reserved. MedHelp is a division of Vitals Consumer Services, LLC.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.