i am 50 y 5m old male.I had a typical chest pain recently.I had Tryglycerides 454,cholestal 230.Treadmill test positive.ECG and Echo normal.Undergone CT Coronary Angiogram as recommended by Cardiologist..As per report Coronary Calcium Score total 322.LMCA 64,LAD 234,LCX 24,indicates moderate risk for atherosclerotic CAD.
LMCA: short vessel,mild stenosis(20-30%) with thin calcified plaque.
LDA:type iii vessel,discrete 30-40% at the ostioproximal segment with eccentric dense calcified plaque.Mid,distal segments are normal in calibre. D1,D2:normal in calibre,no plaques.LCX:Dominant.normal in calibre with thin trace of calcium in the proximal segment.OM1,OM2,OM3: normal in calibre,no plaques.RCA:non dominant,small vessel,normal in calibre,no plaques.PLVB&PDA:normal in calibre,no plaques..
Doctor advised usage of medicines clavix as 75,Fibator-EZ,Gissicor,Korandil 5.with diet control and walking 4.5 -5.0km in one hour.
I request your expert opinion. whether any surgery required at this stage or curable through medicines.