Heart disease

[Jay1303]

My ct coronary angiogram report is as follow  Left main coronary artery Normal.
Left anterior descending artery:Type 3 3.5 mm sized artery with eccentric mixed wall plaque in proximal LAD,with no evidence of significant stenosis.
Diagonals:D1-small sized normal artery. Ramus: 1.5 mm sized normal artery
Circumflex artery:2.5 mm sized non dominant artery with diffuse artheromatous disease for length of 37 mm with multifocal blocks and patchy contrast opacification
Right coronary artery: dominant 3.6 mm sized artery with focal significant (>70%) stenosis, distal to 1st RV branch;secondary to concentric mixed wall plaque, which extens for length of 7 mm. Rest of RCA is normal.
PDA/plv branches:normal. Kindly suggest should I go for angioplasty .I don't have blood pressure and diabetes

[Jay1303]

My calcium score was 52

[ed34]

The angio report doesn't say anything except the condition of the coronary arteries. It doesn't give details about heart dimensions, and valves and it doesn't say the efficiency of your heart.
What symptoms do you have?

[Jay1303]

What are the other options technically idont know the heart position buy I have given details of my angio report

[ed34]

Medication alone will be insufficient. It take HUGE lifestyle changes to stop heart disease. You have to eat a very healthy diet, exercise regularly, not smoke, stay stress free (not easy in societies of today). I often wonder if the lifestyle changes make medication necessary if you can achieve them. I've not seen a study done on this, but it would be very interesting. Personally, I think a good healthy lifestyle would not require medication unless your heart has already become too bad.

[Jay1303]

Thanks for your reply, but what do you think it will increase in future or blockage will can be controlled through medicine thanks

[ed34]

Have they offered angioplasty? I think the RCA is ok for stenting, but the left cirumflex is less than Ideal and I think you will have more long term issues. The vessel is only 2.5mm wide and has disease over a 37mm long section. So to cover the disease, they would have to stent over 4cm and this will need 2 stents overlapping each other. Perhaps as the RCA is dominant, it will open collaterals across to the left side if stented for better flow/pressure. I would seriously discuss the Left Circumflex with your Cardiologist because I believe within just a few months it will start to block again.