80 % BLOCKAGE IN LAD

[Om2403]

I am 45 Years old , recently had MI. After Angeography 80 % & 60 % blockage found in MID LAD. Doctor suggested for Angeoplastry.
But I hv no physical problem such as angina , fatigue and headack etc. I do not want to go for angeoplastry. pls suggest. what will be the better option for me.
My BP, Suger and collastral level is normal.

Pls suggest what are the risk factor, if i do not go for angeoplastry.

[Benjamin123]

I also would suggest you to go ahead with angioplasty, as LAD is not the area where we have to experiment..

[ed34]

Basically because anything above a 70% blockage is seen as dangerous. This is because it is more likely to errupt and cause a life threatening clot.

[Om2403]

Hi Ed,

I have not gone through any stent.My doctor says that i got tretment at earliar stage.The clot is dissolved and the blood flow is through in that artry .I am taking Betaloc,clopivas,nitrocontin,atorva,pantop,revotril plus.
I only had a mild chest pain during attack.After that I had no physical problem.Echo report shows lvpf in mode is 68%.
I am confused,if I am not having any physical problem,than why should I go for plasty?Please suggest.

[ed34]

There is something that you could request first, a nuclear perfusion scan. This will see if your heart tissue is well oxygenated on the left side and could indicate development of collateral vessels which act as natural bypass vessels. If you have developed these then it may explain why you have no angina symptoms.
Now, there are a couple of things that I am confused about. You say you had MI, yet you have no angina. Does this mean they inserted a stent somewhere? or you are finding that medication has helped?
In some people, an MI attack causes collateral vessels to quickly open and start to function. Maybe this is what has happened with you but a scan is required to be sure. Have you been put on any medication such as nitrates or beta blockers because these will help matters. However, stopping the medication will cause the symptoms to return. If you have no collateral development, I would (taking your age into account) have intervention in the form of angioplasty. The left artery is not something to take lightly, if it blocks and you have no collaterals, it is usually good bye.