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
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.