70 percent heart blockage treatment

2021/05/21

He scheduled another cath but it is about a month away. 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. AGATSTON SCORE: Total coronary artery calcium score is 121, He wants to treat it with medicine, no stint was out in. To have 40%. In addition to this, I am also taking the following medicines for the last one month (that is, after my master health check): It showed 100% blockage in the right artery and about 40% & 50% in two of the left arteries. sir iam student . Recently, he had an angiogram and we have come to know he has one 90 to 95 % block on right side and an another 80 % block on left. With great relief to me, your detailed reply agreed with his analysis of my situation, namely that my condition is stable due to the effectiveness of my by-passes and robust collaterals proximate to the right CA occlusion. Or she has to go through surgery , Sir please reply asap , I will be very thankful to u. I have elevated cholesterol for many years but never had any symptoms of CAD, like chest pain, shortness of breath or other known symptoms. angioplasty that was done in November 2014 showed totally occluded 100% blocked RCA and I was referred to another hospital due to current hospital not able to perform complex PCA. He is still in CCU. Your cardiologist has determined the blockages to be significant but not critical so the chance of a heart attack isnt a concern for him/her. is there any treatment for this condition? Dr said me Angiography nd he take angiography and he asked me 2 blocking in heart arteries Even people with occluded LAD can do well. His RCA was stented to relieve from the heart attack & advised to wait for at-least 2 weeks prior to consulting for alternatives for blockages in Circumflex & LAD. Im not obese, 50 years old woman. 6.

Or is there any foods to reverse naturally. opacification in distal LAD. I had a heart attack just over a month ago. We have planned for surgery. According to his family doctor, there were no signs to suggest this. thank you Sir First I was told. RCA dominant vessel giving off large PLC . she is Type 2 diabetic. That can still progress over time, and its why patients at risk of coronary artery disease should still pay close attention to minimizing the risk factors for this despite no visual heart blockage and an apparently normal angiogram. Day before yesterday my mother had undergone Ct coronary angiogram test. Hello Dr. Mustafa,

My husband had a heart cath two weeks ago and was told he had a 100% blockage in the LAD. The angio was normal but it showed a myocardial bridge in mid LAD causing a 30% systolic narrowing. The info in your article was very useful, but to be honest with you, now I am very worried about risk of a major heart attack. I need your kind advice. EF decreased to 21 percent. There they said to go for ECHO in which they did screening and said that Angiography needs to be done. Does anyone can say the % of ateri blocked without doing the engiograme ? Hi. Hello, ONLY OPEN HEART IS THE WAY, NO OTHER WAY? No adverse reactions to the contrast were encountered. distal right coronary 90% diffuse disease He has done ECG in medical camp. What is the evidence you had a heart attack? Gated SPECT: LVEF at rest is 41%. distributed as left main (LM) coronary artery 0, left anterior can i have your whats up nomber so ill sent you the angio vedios? We emergencly went hospital One is bypass if the lesion is really not amenable to a stent approach, or the other is a CTO approach whereby a CTO specialist would have an attempt to open up the LAD using ore dedicated techniques. The debate regarding treatment of stable angina is raging and hopefully trials in the next few years will help settle the issue although as things stand no one side can say they are right with certainty. I have been told I have triple vessel disease with diffuse moderate disease in mid LAD, severe distal LCx and OM2 disease and moderate disease in small proximal RCA. She had acute myocardial infarction was thrombolysed immediately atherosclerosis artery coronary heart right blocked blood blockage arteries complications supply consequences disease angina obstruction arterial causing insufficient results pain Did he have any form of stress testing or viability testing? Please advised as soon as it is possible. Respectfully. Visualized sections of thoracic aorta appear normal. Trying to send images.

Thanks Debi Lee So, when you do a bypass with a count less than blocks, are you not ignoring some blocks say one bypass for the LAD with 3 diagonals? but we are unable to find out what percentage of block he has Dont forget, it is often the mild heart blockage that can become unstable and burst, leading to a heart attack. Hi,how does statin help in treating blockages in heart.I was prescribed fibator .I am obese .do I need to undergo angiogram to rule out blockages or stress test is enough.am heavy smoker trying to quit.does smoking causes plaque to build up in arteries.my age is 32.waiting for ur kind reply.thanks In advance, My relative 70yrs old male, had bypass surgery 12yrs old had a heart last week with 3 blockage valves.

Proposed PLAN! This is why there is no large urgency as it has not developed overnight and i assume you are clinically very stable.

Have Diabetes Mellitus, Hypertension Additionally, my parents live in a remote area and the hospital he is currently in is sending him home which is 4 hours away. i have not begun the medication yet. My father is 69 year old, complains of chest pain while walking and at times at home. It is a vague response that is not to be used as direct medical advice and in no way should replace the opinion of a medical provider. He does not have $18k to pay up front.

My father age 65 was suffering from atrial flutter. Please are you willing to look at my before picture, and give me your opinion? He went thru angiogram & 99% blockage on RCA was found above the stent area, the stent is working fine & 99% blockage in LCX. Thank you for the illustrations!

Found that 2 arteries were blocked! He already has stents from a few years ago and now 3 blockages again. Im taking blood pressure medicine and Lipitor and a baby aspirin every day. My father got stent in his heart in right artery at Escort Heart Institute but this artery still 100% blockage they are saying that because of heart attack there are some part had dead in Artery still ECG not coming normal what should i Do. PA=50/25 Good Afternoon, blockage heart severe artery coronary explained disease Do you have further details of what happened? Obtuse marginal arteries are normal in course and calibre. I was kinda worried, so I showed my general practitioner. My age is 61 and Till last year ( Feb 2014) medical checkup, I got OK as i COULD COMPLETE TREADMILL TEST PROPERLY.

Im glad it helped. Sir my Father (74) diagnosed with 70% block in the OSTIAL LAD artery. Disclaimer: The comment response is opinion and in no way affiliated with my employer. No, he is non-diabetic. The 40% blockage in itself doesnt signify you will have a heart attack, rather it demonstrated the presence of a disease process. I guess I just want to know what are the chances that she will come back? Sitemap. Mixed plaque with calcification seen in the proximal LAD causing significant stenosis of approximately 90% with reasonably good flow distally. Triglycerides(mg/dL)-250 N they will do blockage test after 2 days.

I am not overweight and have no sympthons at all. In stable patients, medical therapy is a widely accepted option. I have started doing exercise and yoga since last 8 months, diet modification, lost around 5 kgs weight cut down smoking to only one per day and very occasional drink maybe once or twice a month. Its a difficult situation in that most cardiologists would be hesitant to leave you on medicines alone without catheterization given a positive stress test on the treadmill EKG even though the clinical portion of the test was ok. How positive was the stress test? Doctor please suggest what is the best option for the above report. LADA: Type 3 and proximal LAD has 70% stenosis DI has osteoproximal 70% stenosis. Is bypass surgery needed Sorry you are having such a difficult time, with this the recovery may be long, so try be patient although i know its difficult and ask the team there for more in depth explanations with regard to the above. 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. I cant upload the drwing with info they gave me. I would need a bypass but then re stenting was recommended and I had that done 2/12/15 with an extra stent inserted.

I was just diagnosed through catherization with 99% and 95% blockages on two main arteries and 350% on a third, given a strong family history of atherosclerosis (father died at 45, Im 57). Hypokinesia in RCA territory In many cases of stable disease it is reasonable for medicines to be tried to see if symptoms can be controlled. The correct approach to coronary disease and intervention as things stand is to only felt lesions felt to be critical, i.e every blockage of 70% doesnt need stenting. Proximal to distal RCA diffusely dieseased (non- graftable). within visualized portions of the mediastinum and bilateral hilar Opening up a chronic 100% blockage is not a first line treatment, is a complex procedure, and generally medicines are tried first. Is that significant? Please advise. Said No walk only wheelchair..(rest for weeks), Than Said it was some kind of heart attack or heart function failure, Im just very confused about what the outcome will be. Small D1 and D3 appear normal. This needs to be done by someone who has access to her history and studies. Around 3 yrs ago I had chest pain, immediately went to hospital. That is getting in to a little more detail. It wasnt a heart ct but a abdomen ct, and it said moderate aortic plaque.

Doctors dis angiogram and said he has 95% blockage and will operate after his sugar and bp will b lowered was this necessary to wait for days? Does flying home sound at least pretty safe. Places in my arteries. * Eccentric mixed plaques in D1 causing mild stenosis. LAD blocked 80-90%, Patient age is 67 years and do not want to go for surgery. Pls. OM1 : Normal in calibre. As a result of checking through the net and meeting techniques that was not productive, I released my life was done. If you can provide your email id can forward the complete reports to you, Dear Dr. Mustafa Ahmad, My Cousin just had a heart attack the Dr put 2 stints in her heart stating she had 2 blockage then the next day she was rushed back in for surgery because they found another blockage My question is why when they went and saw 2 blockage they didnt see the 3rd blockage? Deete Chano, He has severe artery disease, with major blockages in several arteries. artery carotid disease blockage realy helped me understand so many things. Thank u for ur patience. second marginal branch 60% plaque Cathy look shows 2 vessels 80% they keep saying BACK of the LOWER part of his The degree of blockage is not likely to cause symptoms or a major problem as it is less than the 70% range. now, lost 6 kgs in one month due to the diet(76.7 kgs to 71.6 kgs) Detected a 3.9 agatston score on the LAD. Circumflex is thin branch and is normal in course. Now question arises, if CT angiography is not accurate, then why this test is done widely in our country and what is the use of our hard earned money to be spent in this test. ECO was normal. Medical therapy may be a good option. Does my condition require bypass surgery or can be treated with medicines. D2 : SMALL VESSEL NORMAL Recently during routine health check, TMT was aborted at 4 minutes because of chest pain. sugar 85 pp, 115 post, I am 52 year old woman, I have a family history of heart problems mother died sudden heart attack, my sister had 3 stents at 45, I have been suffering from chest pain and left arm pain, had calcium score of 17 and also stress test and ct contrary angiogram minor cononary disease. Kindly suggest me, that any risk factor is high or how to proceed further. Are you having a procedure of the right coronary artery or the left? Please give me your opinion? I was not experiencing any unusual discomfort and was surprised at the time when the test was ended since I was not anywhere near the level of exertion as I was during the previous test, four years prior. My husband has always been very active in sports, not over weight and never smoked. Thank you ever so much for all your work and info. If he has the development of collateral circulation, he may do just fine. In many cases of stable lesions, medicines may be fine. Hopefully you had a good outcome regardless. now, have completely given up milk and products, havent been smoking for 10 years, dont drink Total Choesterol 110, Trig 68, HDL 40, LDL 75, Echo-cardiogram (EF 75%) and Stress TMT both came normal. (OM obtuse marginal) they said the artery has died?? with moderate LVH and EF of 60%. Dr said there is around 70% blockage in his two arteries is it necessary for him to undergo angioplasty or it can b recovered by medication nd following a proper diet.. The Dr. placed a stent in nephews OM coronary and managed to break off the tip of an .014 wire on the stent and the piece remains in that artery. But I think I will not survive in that . It is medical neglence case or not.. CT CAG Report for my uncle and age of 59 years, 2) D2 showing short segment circumferential calcific plaque causing severe degree narrowing. My father is on medication with 80 % blockage from 2012 and is doing fine. Reported On : 09 Mar 2018 03:32 PM Im almost 48 years now. A stress test may be beneficial to answer the significance of the lesion. A simple answer pleaseonce all arteries r blocked how long can u keep breathing n is there pain?? Thanks paul. The decision in such cases where there is debate about surgery vs. stenting depends on a heart team approach. Firstly if you are getting unstable angina then you need urgent medical evaluation. Some study shows smoking cessation reversible heart desease naturally is it true? Anything is possible, although unlikely, if you are worried, please see a dr for a consultation. My mother was diagnosed with 60% block in the artery ( not in the main artery). Homocysteine- 29.6, Lipid profile: PDA : No plaque formation No Stenosis. What is the treatment for this? The doctors gave him some medication and told him that theres no necessary surgery at this moment, it would be check again after 3 months. LCX non dominant and proximal segment has 70% stenosis . patient is suffering from diabetes as well . TIMI flow of 3 means the flow was good. When I do CTOs i schedule them as outpatient, they are in general not unstable patients for that reason mentioned above. 3. Medical management id an excellent option for moderate disease. I think review of your prior films would show they were likely abnormal before. It would be difficult to comment on such a complex case without seeing the films and knowing the details. And how much time does he have before this 80% blockage exceeds to more dangerous level. Thank you so much for this brilliantly written article. Obviously, doctor says this is normal. LAD : Osital 25% 10. I have heard that there is new technology regarding opening of calcified arteries and placement of stents and wanted to know more about it from another standpoint, rather than a sales video. Dear muhammad, same me here 100 % heart block , how does it help for treatment? Dr have suggested for a 2 stent angioplasty. Ask your Dr if this is considered complex disease which would not be severed well by stenting, in which case bypass may well be the preferred options and would give you an improved outcome over stents as far as current evidence goes. overall estimated ejection fraction 55%. An angiogram yesterday confirmed that the right artery is blocked and inoperable, the circumflex is blocked and inoperable and the LAD is calcified but doing enough to keep the blood pumping. He is 50 yrs old. With modern day treatment of heart disease there is no reason you cant live an essentially entirely normal life. He had been diagnosed with a blockage of 98% in his artery. having 90%block in rt dominant coronory artery,no symptoms.no ecg changes.pl suggest treatment. hi Doc, what was the rest of the heart report? my slef sumit upadhyay and one month before i got chest pain and heart attack my age is 28 and i done andiography in report i got 40% blockage please suggest what to do. Brother had a stroke at 52. Drs chose to perform stenting the RCA as natural bypass are developed on the left side of the heart around the circumflex & LAD. What do you suggest? I had 100% blockage in the RCA distal, collateral vessels did help and are functioning fine. All other arteries were clear. By the way he has given me 5 pills to take regularly. The surgeon He also has Diabetes, High blood pressure, Hepatitis B and Asthama. Recently I was diagnosed with a 70% blockage throuhg a TC scan on the Mid LAD, Also I have a postive stress test my cardiologist told me that I need a catheterization but I refuse because the risk. Is it stening not required. what was the cause for severe pain that the patient cannot tolerate? Left Main Stem : 8. DONE MY PTCA. If the CTO is to be fixed you need to ensure you have a good indications. I suspect your arteries werent entirely normal prior as they are unlikely to have been so quick to develop an abnormality. my father is 67 years old and in 2004 he did a by pass for 2 vessels now he had a problem one of his vessel is 99% block and the doctors said that stent can not be used because that vessel is bended with 360 degrees and the stent can not be moved in the vessel also his doctor tried it through angioplasty but his answers was No . Sir is tripple vessele disease not curable for medicine.rca 99% lad 70% to 80% lcx 70% to 80%..doctor told me go for bypass Im very worry for my mother..she is very weakwhat I do sir suggest me somethingpls rply fast sirpls reply sir, Sir is tripple vessele disease not curable for medicine.rca 99% lad 70% to 80% lcx 70% to 80%..doctor told me go for bypass Im very worry for my mother..she is very weakwhat I do sir suggest me something.pls rply fast sir.pls reply sir. That I cant do. They said they couldnt put a stent in. 3 cardiologists have said its absolutely normal and the chest pain is coz of GERD. 1. Feeling vulnerable and weepy after stents normal?

Husband treating slightly elevated chloresterol & blood pressure slight too but being treated. Few mixed plaques seen in the proximal RCA cauasing mild to moderate irregular rarrowing (around 45-55% diameter narrowing). This was ignored by my cardiologist and I was dismissed. LCX 0 I happend to read your articles and advise on difficult topic of heart related disease which is so lucidly written. Sir, The blockage itself is not likely to regress significantly, however depending on the location, the nature of testing, and patient clinical stability, even in the case of 90% lesions medicine can sometimes be used effectively. Can I know you email ID ? The need for treatment is determined by many factors symptoms, heart function, and risk as determined by testing and history. Thank you. The one on the right is known as the right coronary. As i am writing this on behalf of deceased person.. Just 10 days back.. I need some information my mother have diabetic patient and high B.P problem some days she asking me my left side is highly pain There is nothing reported there to stent. No PE/clot/veg. First heart attack on 49rh birthday .having angio 5 days bf my 55 birthday/heartattackiversary. how the pink colour appeared guess due to internal bleeding. Im scared of it. This entails the things you already seem to be doing and will act to be the best way we have of stabilizing the disease and improving your long term outcome. We are exploring options for the 100% blocked Circumflex & LAD and have consultation in the next 2 weeks. No sign of Angina, no chest pain, no shortage of breathe, no fatigue. The picture above shows what we call angiographically normal coronary arteries. I was a regular smoker for 20-25 yrs(since stopped),Diabetes level 2,since5-years (continuing to be on Glyree 1) ,Hypertension -15years (continuing to be on Tenoramin-50 & Pinom H ).Till to day I did never had any angina /shortness in breathing except occasional tiredness and in regard to food habit I am always a small eater with very moderate life style.

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