It depends on a number of factors such as the area supplied, the dominance of the vessel, evidence of compromised blood supply, the extent to which the body has built its own biases called collaterals, the heart function, symptoms present, the anatomy, and also the state of the other vessels supplying the heart with blood. I was told it was fine and would not cause a problem. In some cases medical therapy is advised for example frail patients, poor targets for bypass, symptoms etc. for chest pain and SOB. A lot of factors are included in the decision including how stable the patient is and how stable the blockage is. What is the long term prognosis likely to be from the current event? I just had a stent put into one of my coronary arteries two weeks ago but have another 70 percent blockage that needs to be taken care. Are these blockages safe to proceed with the knee replacement? He is in his mid 40s, they are suggesting stents, would open heart surgery not be a better option? In January I went back to hospital with the same symptoms they did the same thing all test came back normal but they admitted me so they could do another heart cath to find one of the scents was 98% blocked they fixed it and changed my medication. Recently my father done a angiography its result as below He is still in CCU. 2022 MyHeart. He has done ECG in medical camp. Without going into huge details here ( which I would like to ) I will keep it short. Im fit and healthy and exercise regularly. Thank you sir. Thank you again. Thank you for this very informative post. Trying to send images. If the RCA is truly non dominant it may be appropriate not to graft this. Please confirm me its right or not suggest me. I appreciate your effort and simplicity! I am certainly getting enough sleep, about 10 hours a night. my weight is about the same I do running twice a week on a saturday and sunday 30 minutes non-stop and a lot of walking during the week. Hypokinesia in RCA territory Thanks a concerned friend. dear dr This is the complete report given by doctor. If the RCA is also to be treated then minimally invasive is not likely an option unless a hybrid approach is taken. Your email address will not be published. My LAD had three diagonals. Im glad it helped. Was told in April last year that all my arteries other than my RCA were perfect so the 40% and 60% blockage to LAD has happened within months. atherosclerotic plaque throughout the remaining coronary arterial LCX: Dominant vessel, no flow limiting lesion LCX : Large Vessel, has mild disease. Pls. Some times resting heart rate is 45. We are bit concerned with the following: an open bypass is clearly a riskier surgery than a stent. Right coronary artery (RCA): Thanks doctor Mustufa for such a nice information, I want to ask that is it possible that even though patient has 90% heart blockage but he does not feel any sweating, fatigue, BP fluctuation, tiredness and even pain. * Coronary calcium score of 538, indicates high risk for atherosclerotic I exercise 6 days per week, 4 days arobic and 2 days weight. Medical therapy may be a good option. Thanks for a fantastic service of answering questions! Put me on pantoprazole. 3. Betaloc 12.5 mg The diagram above shows an artery with some blockages that are in the 20-40% range. mild degenerative changes throughout the visualized portions of Very difficult to answer without seeing the case and films and knowing the whole picture but i understand why you are worried. Please follow our Twitter at @MustafaAhmedMD, my father have small heart block and doctor said that it will be solve by eating medicine .Is that right please tell. I brought up these issues to my doctor. I was told that i would bleed to death by the break up, And I would die. Please. (General not walks, bike-car) Hi Dr, I am only 48, but have family history of heart issues (maternal grandfather died of first heart attack at age 49, aunt died at 56). I am Raju just 27 age due to smoking 3 years I recently diagnosed with single vessel coronary artery desease having 70% proximal LAD blockage. When we took the opinion of other doctors, they told 95% it is not possible to open 100% blocks. X-ray shows no collection of any fluid. He saw his doctor there yesterday and had some tests that revealed that he had an 81% blockage in one of the coronary arteries and recommended he have Good Afternoon, Approximately, 4 blocks were found and were removed successfully. And is there any big probleum. 3. Recently during routine health check, TMT was aborted at 4 minutes because of chest pain. I have the before and after picture and seriously wonder why I was told 70 percent blockage and got a Stent. Following is a detailed description of my case: 1. In addition to the ischemia and viability it would depend on the presence of heart failure, heart muscle dysfunction and importantly symptoms. Eptus 25mg Immediately in the evening the cardiologist advised my family members was advised for 3-nos of stent implantation in a single procedure at hefty cost .When Our family members requested for only for Right Artery initially ,he denied & became furious and said ,if he has to perform Stent under no circumstances he will go in for only one and directed for Release from the Hospital on the very next day.When the Coronary Report was handed over we noted a difference in observations which were as under. She is 76 yrs old& is being treated with plavix & asprin thats it. Is it common for new blockage to appear within 3 months? Blockage development is multifactorial in nature. Please suggest. Hes diabetic and hypertension as well for almost 10 years. Storvas 80mg (LAD 203, LCX 285, RCA 40, OM1 3, OM2 7). Hi sir, Left circumflex artery (LCX): * mid Right Coronory artery 90% ( had stent placed) I had bypassx5 I now have 3of the 5 arteries with blockage Dr says they cant do bypass again because grafts dont like to take the 2nd time gonna try to treat with meds is it not common to have bypass twice I would like to have bypass again is it just out of the question to try again? Normal,bifurcating vessel. Lizolid 600 1tab On Tuesday, he went into cardiac arrest. I hope this is the only one its been a very stressful year for me dont need any more. I have elevated cholesterol for many years but never had any symptoms of CAD, like chest pain, shortness of breath or other known symptoms. Please reply sir many patients waiting Ur reply. He also has systemic hypertension My question is for a normal person, at the age of say 62, will there be zero blockage ( below 40%) , or with passage of time age, the blockage can be occurring. Hello dr. A very noble deed well executed. Have Diabetes Mellitus, Hypertension what is the heart function? Except the doctor said he has an artery running through a muscle but did not explain just said all ok It depends on many factors and the films would need to be reviewed. Angiogram report shows TYPE 2 proximal LAD has 60% to 70% thrombus containing lesion shall I go for medicines or angioplasty? hi Sir your comments are really helpful I am also in an critical condition that my fathers eco report says heart is working only 25% so doctors denies to do angeography and also advise to not to operate he has recently sfferd with a major attack, unable to take decisions. SVG > OM3 graft. Dear Dr Mustafa Ahmed Sir, In such a setting where there is 100% occlusion of the LAD and 90% rica surgery may well be the best option if advised and he is felt to be a candidate. LAD: Proximal Aneurysmally dilated with mid 100% occluded I have athermotous and my doctor said this is reversible. i mean is it possible that its mentioned as 30% in my case whereas in actual it might be 70% coz of the MB ? I get very weak and break out in clammy sweat with the least exertion. Our sons are seeing all of this and are worried sick Thank you. is there anything can be done to help the heart? Can a change in diet and medication help him live with this condition for an extended period of time? I have no history of heart trouble. I am scheduled for stenting at Barnes Jewish Hospital on the 7th of August. Hi Doctor, Is the LV down in only one area or the whole chamber in generaL. Is there anything I can do?? nothing to be scared of. how i manage our heart problem . Gamma GT- 79 Dr wants remove the tube but between the fluid in the lung, kidney, they havent been able to remove the tube. We dont wants go with surgery. Please suggest me for long life Its feel like a walking bomb. LMCA : 80% at distal part. Medicines are key, however without defining the anatomy there will always be an element of the unknown which is why the cardiologist wants to cath. If unstable i.e ongoing unstable symptoms etc then the answer is something likely needs doing, that can be determined by the treating cardiologist. now he is perfectly all right taking his medicine and doing exercise. My grandpa is a 84 ages old man, he was been checked out he has coronary artery blockage, and shown on the colored ultrasound his coronary artery over 70% block out. Should we kept him there? His Blood pump is 55. I want to discuss my fathers heart disease. My father had and heart attack 15 days back he was found to have TVD on angography EF 25-30% There were so many indicated and they ranged from 80% to The surgeon SVG > D1 graft. That was the reason to visit Doctor. Im not sure why he is waking up clutching his test or why his heart rate is low, it seems like further investigation may be required, although its very reassuring that his prior testing was ok. My father is 54 years old..he had angioplasty on RCA and LAD three year ago on 2015.. Hello Doctor, Respectfully. Typically people go through the right groin. Can I know you email ID ? The left main artery and even the LAD artery are so important that critical blockages in these arteries are known as the Widow Maker! Patient-My Father, age-61, weight-58.5kg which is 1kg less than last record, height- 5ft 4 inch, not at all diabetic, every single blood report like creatinine to Hb all are normal, current B.P.- 120/80 (usually +/-10). Discuss the case with the treating physician. sonography,echo test, After test Dr sent to other heart hospital Basic tests such as an EKG and physical exam should certainly be done. What did you did then? and also has 100% blockade on Left Circumflex Artery. My boyfriend who is 41 was just told that he has 2 heart blockages. Depends on many factors and the anatomy. I am also a T2 Diabetic. Echo, ecg, ett, ct angiography are totally normal. My dad had LAD 95% had surgery in 2010 now again in 2018 he fainted and doctor recomended pacemaker so he is currently having pacemaker. I had an angiogram/heart cath in April, 2019 and my cardiologist said I have 80-90% blockage in the left circumflex. As i am writing this on behalf of deceased person.. Just 10 days back.. I work with physically handicaped young adults at a day activity center and would like to implement some kind of excercise program for and with them as I noticed they all seem to have high resting pulses and will use your images to help explain the heart muscle. Your non-technical style of explaining a highly complex issue to layman audience is fantastic. That has got me concerned that my heart muscle is not getting enough blood!! opacification in distal LAD. They had to remove fluid from his lungs 3 times during his 4 day hospital stay and was sent home with a life vest with defibrillator and several heart meds. If there is a blockage on the right side of the heart is it any serious please explain or to take medicines. You should be checked out by a medical practitioner and not take a chance. Eccentric calcific plaques noted in proximal segment causing mild stenosis. What was the initial advice you were given? Doctor suggested for Stunt, but we wanted to take 2nd Opinion to go for any Medicine instead of Stunt. I had a renal transplant over a decade a go and a TIA 3 years ago. Im not obese, 50 years old woman. There was viability scan done on my heart and it shows 15% viable myocardium so doctor advised me to get RCA stented. I would really appreciate if you reply to my question since it will definitely help many of them worried about their heart. why couldnt doctor diagnoise things in the first instance and what was the cause for repeatation. Its difficult to get a good picture of whats going on with the details provided and the details would need to be a lot more specific for me to be able to provide an insightful comment. Does he have symptoms? Very helpful forum. I was informed that I had no damage to the heart muscle from the heart attack, is that uncommon? This is very helpful. I respect everyones opinion, but as a medical professional that is well versed in research i will make recommendations on sound evidence. Age: 82; Caucasin male. i read about spasm in heart tiny vessels and it make chest pain like angina , is this true ?