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CT coronary angiogram report

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.
thanks& regards,
emmeske
3 Responses
976897 tn?1379167602
You have an early warning here for something you can bring under control. The disease you have will not be cured, but you certainly have a high chance of stopping it getting any worse. Artery disease is all about inflammation of the artery, this is how it begins, then the immune system makes it worse. So you need to stop inflammation of the coronary arteries, that's the key. A lot of research has gone into this and once an artery is damaged, it inflames, then receptors call for repairs. This is when lipids carrying cholesterol get trapped in the damaged vessel. Damage is usually caused by stress of the vessel, high blood pressure or lots of emotional stress. Good diet can assist with the faster repair of the artery before too much gets trapped in the fissure. A good diet can also reduce oxidation which is another factor. Oxidation damages the signalling apparatus on the various mechanisms at work, such as removing fats. You need to not smoke, exercise regularly, eat healthily, avoid emotional stress as much as possible and ensure that your blood pressure is normal, which may involve medication. Processed sugars also play a large part, the Liver turns them into very small lipids which are incredibly sticky.
The damage you have so far is not really bad. When people see 30-40% blockage on a report they immediately think "OMG THAT'S HUGE" but in artery terms it isn't. Arteries have a huge reserve, they are bigger than they need to be and can lose around 50% before some people notice anything. Surgery is a long way off yet and if you get rid of your risk factors, you may never need it. The heart also has the ability to open its own bypasses, we are born with that ability. These collateral vessels have been seen in newborns, and are there just in case you need them one day. If the 40% blockage becomes 90%, you may find collaterals open up and give a feed into that vessel below the blockage. This means you would not know the blockage is 90% and would not require any intervention. Nature is a cool thing when it works.
Avatar universal
I am 77 years old and had a CT-scan done two years ago. The score for my LAD alone was 782 - compared to 322 in your case for the whole shebang. I am on 5mg Lisinopril for my blood pressure and other than that haven't done a darn thing, I do walk, however. There was, however, a couple of years ago a widely publicised case of a TV reporter here in the States whose Calcium Score was only 213 who died of a heart attack.
Avatar universal
Thank u very much for ur valuable comments and sharing the information.
regards,
emmeske
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