- 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
0
0

More Cardiology Health Queries
View allMy dad has a heart condition and fluid retention issues. He's on all the right meds and treatments but still gets really low on energy sometimes can't even do his usual daily activities. Is this normal or could there be something specific causing it? Also wondering if surgery might be an option for his condition
A detailed evaluation will help decide the best course of action.
Answered by 1 Apollo Doctors
I'm really worried because for the past four months I've been dealing with high blood pressure, fatigue, and dizziness. A month ago, I saw a physician who told me my BP was 150100 and put me on some tablets. I started with Prolomet XL 25, then added Amlong 2.5 after dinner. For a couple of weeks, things seemed better with my BP at 13080, but the dizziness and fatigue haven't gone away. I've never felt like this before. Do you think there are other medicines I should consider or any other advice you might have?
It's good that your blood pressure has improved with the medications you are currently taking. However, if you are still experiencing dizziness and fatigue, it may be necessary to adjust your medication regimen. I would recommend adding a medication like Hydrochlorothiazide (HCTZ) 12.5mg once daily in the morning. This medication can help further control your blood pressure and reduce the dizziness and fatigue symptoms you are experiencing. Remember to consult with your physician before making any changes to your medication regimen."
Answered by 1 Apollo Doctors
I'm really worried about my health. Every year I get a check-up done, and back in November 2019 at Narayana Hrudyalaya Bangalore, everything was fine my ECG, Echo, and cholesterol were all normal. But I recently did another cholesterol test, and the results are making me anxious: Total cholesterol is 180, Triglycerides 130, HDL 15, Direct LDL 137, and Non-HDL 165. Lately, I've been feeling this discomfort in my arms and sometimes around my neck, which only lasts a few seconds, but it's got me really concerned about a possible heart attack. My blood pressure is at 12880, and I've been on BP meds for four years now. Back in 2017, both the Holter and Ambulatory tests were normal too, just like the Echo and ECG from November 2019. I'm questioning if there's something serious happening. Should I get another Echo? Is an angiogram necessary? I'm pretty scared and would appreciate any advice.
Given your normal results from previous ECG, Echo, and Holter tests, as well as your relatively controlled blood pressure and current cholesterol levels, it's reassuring to some extent. However, the discomfort in your arms and neck, although lasting only a few seconds, deserves attention, especially given your fear of a heart attack. It would be wise to discuss these new symptoms with your cardiologist. They may recommend repeating some tests, such as an ECG or an Echo, to ensure no changes have occurred since your last evaluation. Depending on their assessment, they may also consider a stress test or a coronary angiogram to rule out any significant coronary artery disease. It's important to address these concerns promptly to alleviate your fears and ensure your heart health is appropriately managed.
Answered by 1 Apollo Doctors
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.





