ischemic heart disease

[hamza2000]

I am 50 years old general surgeon. My annual ETT on 14 july 10 revealed ST SAG IN LEADS II,III, AVF,V4-6 IN stage 4.CT angiography done on 16 July revealed LMS: calcific vessel. Normal. LAD: calcific vessel,moderate stenosis in mid course. minor osteal disease at the orgin of D1 & D2. LCx;Mon-dominant. minor irregularity proximally , critical disease in  mid segmet. 1st OM has moderate disease in its proximal segment. RCA;Dominant. spotty calcification. diffuse minor disease proximal to mid segment. PDA has moderete/ subcritical osteal disease.
my cholesterol is normal

[kenkeith]

There could be restenosis of the previous stents, new lesions, etc.

[hamza2000]

Thank u for ur suggestion. My coronary angiography alongwith angioplasty and stenting to circumflex branch of left coronary was done on 23 july. What are the precautions now?

[kenkeith]

LMS indicates stenosis (narrowing due to occlusion) of the left main vessel.
Minor osteal** lesion disease and locations noted.
Various degrees of lesions noted in locations cited.

**"Excluding primary atherosclerosis, conditions implicated in this lesion include congenital abnormalities, homozygous familial hypercholesterolemia, fibromuscular dysplasia, iatrogenic stenosis from cannulation trauma when administering antegrade cardioplegia or during coronary angiography, and mediastinal radiation."

Your treating doctor would have to make a differential diagnosis.  Primary atheroclerosis is the usual underlying cause for an occlusion and apparently that has been ruled out.

Hope this provides an insight and perspective to your vascular system.  Thanks for sharing.