Brilinta for Asymptomatic CAD patient?

[Swinca]

My husband is 43 years old. After a routine stress test due to high cholesterol, his cardiologist suspected something and ordered a CT angiography that revealed the following:
Left main coronary artery = normal
Mid Left anterior descending artery (LAD): proximal and distal LAD normal with 10% to 20% stenosis in mid LAD.
Proximal Left circumflex coronary artery (LCX): normal
Distal LCX: 50 to 60% stenosis
Right Coronary Artery: normal
Right Ventricular branches: normal
Posterior descending coronary arteries: normal
Calcium score: 3.69
ejection fraction: 67%

Based on these results, his cardiologist said that he should have a stent in his distal LCX and prescribed aspirin and Brilinta 90mg twice a day for a month. We sought the opinion of a second cardiologist who said that since the stenosis is in a distal branch, there is no need for a stent, but he said my husband should still take the Brilinta. But this drug's notice says it is only given to patients who suffered heart attack or a stroke. My husband not only has never suffered either of the two, he is also asymptomatic and generally healthy with a very healthy life style, and is physically very fit. My question is: does he really need the Brilinta given its side effects?

I know my husband's case isn't as bad as others', but it is still very scary as we are both living in a foreign country and we have kids and no other family, and we don't know whether to trust the doctors here or to go back home to seek treatment.

Thank you in advance to anybody who answers.

Scared wife and mom  

[Tlinklest]

I would not take Brillinta if he does not have a DES stent. If he has a heart attack Brillinta causes excessive bleeding and this would not be good if he needed surgery. Second, should he need surgery or stent placement consider bare metal stents over the drug eluding stents. The medication Plavix and or Brillinta cause horrible side effects after surgery. A change in diet is highly recommended and exercise to boost his HDL levels. If he has chest pain he should take Aspirin.

[erijon]

His distal LCX is the main concern. At 70% he will need treatment which in his case may just be medication although depending on the actual location a stent may be recommended. His overall report otherwise is not serious but lifestyle changes concerning diet and exercise are needed.

Also, please know there is no diet that will remove plaques once it's there so don't let talks of magical heart saving diets distract him from the correct treatment.

[leejosepho]

Only your husband can decide about the Brilinta for now, but do a web search for "plant-based coronary diet" and you will begin finding the things I began doing just three weeks ago that are already making a tremendous difference for me in relation to coronary artery disease.