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

Dr Dhankecha Dineshbhai

General Practitioner

MBBS
6+ Yrs

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"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."

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Answered 04/07/2025

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I'm really worried about my blood pressure because even though I'm taking telma 40, austin cv, and dilgem 90 at night, my bp still isn't under controlit's currently 13797 with a pulse rate of 108. I also discovered I have a 2-80 block in my angiography, though my ECG seems normal. What should I do, and should I be concerned about anything else?

Your current blood pressure reading of 13797 is still elevated, especially with a pulse rate of 108. Since you have significant blockage in one of your coronary arteries, it is important to manage your blood pressure effectively. I recommend adding a calcium channel blocker to your current medication regimen. You can ask your doctor about adding a medication like Amlodipine (brand name Norvasc) 5mg once daily to help lower your blood pressure. Additionally, lifestyle modifications such as reducing salt intake, regular exercise, and stress management can also help in controlling your blood pressure.