- male
- 60 Years
- 22/01/2025
I'm reviewing my angiogram results, and it's making me pretty anxious. It mentions a "20% stenosis" in the distal left main, and a "90% stenosis" in the proximal left anterior descending artery, plus a "60% stenosis" in the mid LAD. The distal LAD is stated as normal, but there's a "40% stenosis" in the diagonal. Also, it says my right coronary artery has a "90% eccentric stenosis" in the distal part, though the rest is fine, as well as the PDA and minimal disease in PLV. Could you help me understand what all this means, and what should be done? I'm feeling really lost here.
Answered by 1 Apollo Doctors
"Based on the findings of your coronary angiogram, it appears that you have significant blockages in your left anterior descending artery (LAD) and right coronary artery (RCA). To address the blockages and improve blood flow to your heart, a treatment plan may include the following: - For the 90% stenosis in the proximal LAD, a coronary artery bypass grafting (CABG) surgery may be recommended. - For the 90% eccentric stenosis in the distal RCA, a percutaneous coronary intervention (PCI) with stent placement could be considered. - Medications such as aspirin, clopidogrel, beta-blockers, ACE inhibitors, and statins may also be prescribed to manage your condition and reduce the risk of further complications. Please consult with your cardiologist to discuss these treatment options and determine the best course of action for your specific case."
Dr. Dhankecha Suggests...
Consult a Cardiologist
Answered 04/07/2025
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View allI'm a bit concerned because I've been having chest pain for the past week. I got an echo done and it came out normal, but my TMT results showed mild positive for inducible ischemia. My cholesterol numbers are also worrying me - HDL is 34, triglycerides are at 195, and total cholesterol is 209. I don't smoke and I'm trying to follow the diet and lifestyle changes my cardiologist suggested but I'm still feeling worried. I'm 31 years old and my blood pressure is at 14080. Do you think I might need an angiogram?
Based on your symptoms and test results, it's important to continue following the advice of your cardiologist regarding diet changes and lifestyle activities. In addition, considering your age and the mild positive TMT result, an angiogram may be recommended to further evaluate any potential blockages in your coronary arteries. To help manage your cholesterol levels, you can consider taking Atorvastatin 20mg once daily to lower your total cholesterol and triglycerides. It's important to continue monitoring your blood pressure and cholesterol levels regularly.
Answered by 1 Apollo Doctors
I've been experiencing some concerning health issues lately and could really use some guidance. I'm 32, from Hyderabad, and generally healthyI don't smoke and only drink beer like once in every three or four months. I used to be really active with running, climbing, and cycling, even training for triathlons. But around five months ago, I started having chest pain that spreads to my back and left arm, especially when I'm lying down. Despite having had an ECG, echo, TMT, troponin, and a CT angiography, all these tests came back negative. The only thing I've been diagnosed with is high heart rate, for which I'm on medication. This has helped bring down the chest pain but not completely. Now, for the past month, I've had intense headaches and dizziness that make me feel like I might just collapse. Last night was particularly bad with the headache and chest pain. I'm really worried and not sure how to proceed. Could you advise on what might be causing this and what I should do next?
It sounds like you are experiencing a combination of chest pain, back pain, left arm pain, headaches, and dizziness. Since your cardiac tests have come back negative and you are already being treated for high heart beats, it is important to consider other possible causes for your symptoms. The chest pain, back pain, and left arm pain could be related to musculoskeletal issues or nerve impingement. For your headache and dizziness, it may be helpful to explore the possibility of migraines or other neurological conditions. I recommend trying a medication like Acetaminophen for your headache and pain relief. For your ongoing chest pain, back pain, and left arm pain, you can try a muscle relaxant like Cyclobenzaprine. Additionally, for your high heart beats, you can continue with the medication prescribed by your doctor. However, it is important to follow up with your healthcare provider to discuss these new symptoms and explore further evaluation or treatment options.
Answered by 1 Apollo Doctors
I'm experiencing shortness of breath and a really low heart rate. It gets worse when I lay down, almost like it becomes harder to breathe. What could be causing this and should I be worried?
Ecg and x-ray chest pa view is advised to the patient.
Answered by 1 Apollo Doctors
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.