Aa
What does this report mean. I don't understand it.
I am 59 years old.
I am very fit for may age.
I eat a healthy diet
I recently had a angiogram and the finding were as follows:
LMS:Mild osatial disease
LAD:Proximal long segment with mild to moderate diffuse disease with further mild disease
Circumflex:Mild diffuse disease severe bifurication disease extending into large OM2
RCA:Proxima occluded,distal segment seen fills retrogradely from LCA
LV:not injected.
What does this report mean. I don't understand it.
I am very fit for may age.
I eat a healthy diet
I recently had a angiogram and the finding were as follows:
LMS:Mild osatial disease
LAD:Proximal long segment with mild to moderate diffuse disease with further mild disease
Circumflex:Mild diffuse disease severe bifurication disease extending into large OM2
RCA:Proxima occluded,distal segment seen fills retrogradely from LCA
LV:not injected.
What does this report mean. I don't understand it.
It's excellent that you are health-conscious when it comes to diet, but sometimes the advice that one hears is a bit too simplistic. Ginger, garlic and chili peppers can be superfoods, yes, but ONLY IF THEY AGREE WITH YOU. They can have inflammatory effects, for some people. Experiencing an episode like you did after eating a large amount of chili powder and raw garlic would make me question whether these were good foods to be eating a lot of. There are individual differences in the types of foods that are actually health-promoting. You'll want to seek out foods that are counter-inflammatory for you personally, rather than inflammatory. Good luck.
warfarin is much more powerful and you would only use that in certain situations. Also with warfarin you have to have regular blood tests to check your clotting factor which is important. Even a diet change can influence the effects of this medication. Unless absolutely necessary, a Cardiologist wouldn't put you onto this medication. As for Garlic and Ginger, I have no idea how they chemically work on platelets, but there are different chemical signals with trigger them to clot. Clopidogrel inhibits one group, Aspirin the other, but they are only given in small doses so you can still heal, only much slower. When is it you see your cardiologist next to discuss options?
I have been informed that Garlic and Ginger are as powerful as Aspirin and Clapideqrel. How does Clapideqrel compare with Warfrin.?
With your history of clotting (DVT) then I think they are wise to prescribe you with both aspirin and clopidogrel. These are both anticoagulants but work in different ways on the platelets. They usually prescribe just 75mg of each daily which isn't a dramatic amount considering they give you 600mg of clopidogrel before an Angiogram. I had a very similar situation to yours a couple of months ago and the Angiogram revealed no new blockages. Their explanation was that I likely formed a clot which dispersed in time, or a piece of plaque broke free, lodged in the artery and then luckily broke up. That's when I went back on my meds having not taken any for a year. I know I keep on about stress, but I was always a laid back type of guy who never took things seriously. I was always laughing and joking and looking at the lighter side of life. It wasn't until I saw a specialist that I realised just how stressed out I was. When sitting in a chair for example, my shoulders were not relaxed, they were raised. I didn't know this encourages the body to produce more adrenaline than normal. When she told me to relax my shoulders, I realised just how raised they were. They there were other issues, like my jaw being tight when closed. I had been like this all my life so didn't realise it. My teeth were tightly clenched when I closed my mouth and I believed they were just relaxed. We went through a whole list of things and I was taught how to really make sure I was relaxed most of the time. It took a lot of mental effort though. I too was very fit, I attended martial arts training 6 days a week and worked in the building trade. I could fill 3 six yard skips with mud easily in a day and feel nothing. Something is key to your heart disease and it is important to find it. I did read that there are two new theories which have been raised through research. One is to do with bacteria. We all carry many types of bacteria in our gut to help digest our food, and there seems to be one in particular that is in abundance with heart disease victims, and virtually non existent in clear patients. This bacteria produces a toxic byproduct which does get into the blood stream and causes arteries to be damaged. It didn't take long at all in mice. This bacteria is relied on to digest meat and in vegetarians it is virtually non-existent. Another realisation is the effects of processed sugar. Our Liver doesn't quite know what do to with processed sugar, so it puts it into a very small high density lipoprotein which can be used for energy. However, if we don't burn off sufficient numbers, they become very sticky and get trapped in artery ruptures. It's quite a complex process, but we all get artery ruptures in the lining and these are quickly repaired. However, if objects such as those small lipids get jammed in there, then the immune system is triggered to bring in the white cells. These are injected with fat by LDL to become Macrophages and they eat the trapped lipids. What should happen next is the HDL should be triggered to remove the fat from the macrophages, but somehow the sugar damages the signal. The Macrophages die, full of fat, which is released into the artery wall. Nothing in the body will ever clean that up now. We then start to form a calcified lid over the rupture, to prevent the fats escaping. Obviously blood is mostly water, and fat will not dissolve in water. So if the fat does escape, it will remain a sticky mass and end up anywhere.
You can't go by the LVEF, this is not affected unless enough damage occurs to the heart muscle. My LVEF is 70% and you wouldn't believe it if you saw the state of my arteries. I had a triple cabg in 2009 which lasted just 3 months and I've had 10 stents in total, many of which have blocked again. I have opened up natural bypass vessels which feed my left artery, and the left circumflex provides this. This is my lifeline and the Cardiologists continually fight to keep this vessel clear. So far, so good. Sad but true, there is nothing which will rid the disease already existing. All we can do is try and prevent it getting worse. I see your Doctor hasn't prescribed a beta blocker which prevents the heart over working. Maybe that will be the next step if symptoms kick in. Keep asking questions my friend, the more you know, the easier your journey will be.
You can't go by the LVEF, this is not affected unless enough damage occurs to the heart muscle. My LVEF is 70% and you wouldn't believe it if you saw the state of my arteries. I had a triple cabg in 2009 which lasted just 3 months and I've had 10 stents in total, many of which have blocked again. I have opened up natural bypass vessels which feed my left artery, and the left circumflex provides this. This is my lifeline and the Cardiologists continually fight to keep this vessel clear. So far, so good. Sad but true, there is nothing which will rid the disease already existing. All we can do is try and prevent it getting worse. I see your Doctor hasn't prescribed a beta blocker which prevents the heart over working. Maybe that will be the next step if symptoms kick in. Keep asking questions my friend, the more you know, the easier your journey will be.
Hi ed43
I have never had high blood pressure.For the last 5 years I have monitored my blood pressure 3 to 4 times a week and it is always been around 118/74 occasionally it has been 130/75 but this is usually after I have eaten.
I am a teacher but the school I work at is very good. The pupils are well-behaved.I mostly teach Year 12-13( 16-18 years) .So I don't really have a stressful life.One thing I didn't mention was in Jan 2009 I had a DVT in the leg.This was not expected for somebody as mobile as me.
Three weeks before I had that DVT I was having breathing problems.I was eating a lot of Broccoli (It has a lot of Vitamin K a clot master).I don't know whether that caused it.At the same time I was not in training.I reported to my Doctor but said it was just a virus.Two weeks later I collapsed walking up the stairs.They rushed me to hospital and said I had a DVT.I was put on warfrin for 6 months.I was told to adjust my Diet and eat more of the super foods such as garlic,Ginger, Chilli etc. Since 2009 I have been feeling great.
However, on Sunday 6 April. I had large dinner with lots of chilli power and raw garlic. Two hours later I felt a burning sensation in my chest.I quickly measured my blood pressure which registered normal.My Heart rate was normal (49-55) for me as I do a lot of physical fitness.I then went to the swimming pool and did over 30 lengths.I did not feel any worst than I have done on previous swims.The burning sensation was still there (about 4 on a scale of 1 to 10)so I thought I should check it out so I drove to my local hospital.They gave me Caviscon and took a blood sample.After taking Casiscon the burning sensation weent away.Half an hour later they said that my Troponin levels in my blood were abnormally high and said we think you had a heart attack.They then suggest I take a series of test including an aniogram.While I was in hospital I felt great.I don't feel I have had a heart attack.The fact that I did 30 lengths in the pools after the burning sensation.I could have done another 30 lengths.I am now out of hospital and I went for a swim( against the hospital advice) and again swam 40 lengths of the pools and felt great.
Please tell me what you think.You are very knowledgeable on this topic.
Thank you.
I have never had high blood pressure.For the last 5 years I have monitored my blood pressure 3 to 4 times a week and it is always been around 118/74 occasionally it has been 130/75 but this is usually after I have eaten.
I am a teacher but the school I work at is very good. The pupils are well-behaved.I mostly teach Year 12-13( 16-18 years) .So I don't really have a stressful life.One thing I didn't mention was in Jan 2009 I had a DVT in the leg.This was not expected for somebody as mobile as me.
Three weeks before I had that DVT I was having breathing problems.I was eating a lot of Broccoli (It has a lot of Vitamin K a clot master).I don't know whether that caused it.At the same time I was not in training.I reported to my Doctor but said it was just a virus.Two weeks later I collapsed walking up the stairs.They rushed me to hospital and said I had a DVT.I was put on warfrin for 6 months.I was told to adjust my Diet and eat more of the super foods such as garlic,Ginger, Chilli etc. Since 2009 I have been feeling great.
However, on Sunday 6 April. I had large dinner with lots of chilli power and raw garlic. Two hours later I felt a burning sensation in my chest.I quickly measured my blood pressure which registered normal.My Heart rate was normal (49-55) for me as I do a lot of physical fitness.I then went to the swimming pool and did over 30 lengths.I did not feel any worst than I have done on previous swims.The burning sensation was still there (about 4 on a scale of 1 to 10)so I thought I should check it out so I drove to my local hospital.They gave me Caviscon and took a blood sample.After taking Casiscon the burning sensation weent away.Half an hour later they said that my Troponin levels in my blood were abnormally high and said we think you had a heart attack.They then suggest I take a series of test including an aniogram.While I was in hospital I felt great.I don't feel I have had a heart attack.The fact that I did 30 lengths in the pools after the burning sensation.I could have done another 30 lengths.I am now out of hospital and I went for a swim( against the hospital advice) and again swam 40 lengths of the pools and felt great.
Please tell me what you think.You are very knowledgeable on this topic.
Thank you.
I don't go with the genetics theory. Well, kind of. I believe we ALL have the ability to form heart disease so I guess that this is a part of our genetic code. What brings about the disease is a catalyst if you like. What changed my mind is how Chimps were found to have no disease in their natural habitat and well built zoo compounds. Chimps placed in compounds which were inadequate became stressed and they formed the disease. It is interesting that your Cardiologist suggests taking Ramipril, an ace inhibitor to lower blood pressure. High blood pressure is another contributor. Statins also slow the disease progression because they reduce the inflammatory response in arteries, another aid in the disease spreading. Side effects from the medications listed are rare and all will benefit you. It looks as though you are being looked after by your cardiologist, he is giving you aggressive medication support. I have taken the meds you list for years with no side effects and they are the most commonly prescribed ones. Taking those meds is important, and should not be seen as something to fear and you should not feel negative about them. I came off such meds for a year and ended up having another heart attack, so I certainly trust them.
Could it be Genetics.The Cardiologist have suggested I take medicine(drugs eg statins,Asprin,Rampril,Clapidaquel) probably for the rest of my life.I am a fit fanatic. I swim everyday(up to 30 lengths in the pool quite fast).I eat a very healthy diet.
My ECG showed ist degree heart block( but my cardiologist that is normal for an physical fit person) and a chest x-ray and abnormal ultrasound scan were unremarkable.An echocardiogram showed an LVEF of >55%
Can you suggest alternative to taking drugs.I often suffer from side effects.
My ECG showed ist degree heart block( but my cardiologist that is normal for an physical fit person) and a chest x-ray and abnormal ultrasound scan were unremarkable.An echocardiogram showed an LVEF of >55%
Can you suggest alternative to taking drugs.I often suffer from side effects.
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Let's run through your report so you understand it and then you will be able to ask your Cardiologist questions.
The left side of your heart starts with the LMS, the left main stem, which then breaks into two new major arteries, the left circumflex (goes to rear/left) and the LAD, left anterior descending (goes to front left).
Your LMS has mild disease, so nothing to be concerned about yet.
Your LAD has some moderate disease near the top, and this needs discussion for the reasons I will come to soon.
The left circumflex travels down and has 2 branches coming from it. The obtuse marginal 1, and obtuse marginal 2. Where the om2 branches off, there is severe disease. So this too needs addressing.
Now the right artery. Completely blocked at the top. This vessel being blocked would have put you in very serious trouble, but you are lucky. In your case, nature has opened some tiny vessels at the bottom of this vessel, called collaterals. They are natures natural bypasses. They bridge across from your LAD into the bottom of the right artery. Retrograde means the blood is flowing up the right artery, instead of down as you would expect. Not to worry, this makes no difference, as long as blood is getting there. Now back to the LAD that I said I would return to. This vessel has moderate disease near the top, but this vessel is supplying your right artery too and is a lifeline. It this blocks too much, then both the left and right sides of the heart will be affected. So, I think they will need to consider taking action on this or at least keeping a close eye on it. I hope you can see the kinds of questions you need to ask your cardiologist. I think it would be very wise to establish what is wrong with your lifestyle though, something is hitting your health hard now. I am guessing stress but maybe it's something else.