A few weeks ago, my brother underwent a stroke and did the cardiac stress test later which was good. But, as he still had a pain in his chest, he underwent an angiogram too.
Following is the report of the angiogram.
LMCA : Normal
LAD : Diffuse disease throughout, 40% proximally, 70% lesion just before D1, 99% lesion distally
LCX : Large Dominant minor plaque distally, OM1/OM2-small mild disease, OM3-Large, minor plaque
RCA : Non-dominant, small vessel, 99% lesion distally
Conclusion : Double vessel disease
Recommendation : For optimal medical treatment in view of diffuse LAD disease
Along with the report we met a few doctors and following are the statements made by each doctor.
1. Neither stenting nor bypass can be done, but at a high risk of another stroke and live is in danger. He also said undergoing a bypass would be useless as well.
2. Stenting can be done(3 stents), but cannot guarantee the success
3. Undergo a bypass
4. Try to control through medicine and strict diet for a year, do an angiogram again and check the progress and decide
5. Since cardiac stress test was alright, can be controlled through medicine and strict diet
As the statements are contradicting, I am helpless about the best option for him. Hence, I greatly appreciate if anyone can be kind enough to share their experiences, advices with me to save his life.
Please also note that, he was smoking until he got the stroke, but now he has completely got away from it.
Angiogram report can be found at following links.