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

Consult Now

"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

Find a Cardiologist

Answered 04/07/2025

More Cardiology Health Queries

View all

I'm wondering how long one Amlong 5mg tablet works to lower blood pressure. My BP levels are still low even after five days, and I'm not someone who's normally dealing with blood pressure issues. Is this normal, or should I be concerned?

one day, continue same medications for BP.

Answered by 1 Apollo Doctors

I'm a bit concerned because my ECG showed something called IRBBB, but my 2D echo results came out normal. Does this mean everything's okay with my heart, or should I be worried about any issues? Is it safe for me to continue going to the gym and doing exercises? Would appreciate your insight on whether there's anything to be concerned about.

IRBBB (Incomplete Right Bundle Branch Block) is a condition where the electrical impulses in the heart are delayed or blocked in the right bundle branch. In your case, since your 2D echo is normal, it indicates that the structure and function of your heart are normal despite the IRBBB on ECG. You can continue with your gym and exercise routine. However, it is always recommended to start with moderate intensity and gradually increase it while monitoring your symptoms. If you experience any chest pain, palpitations, dizziness, or shortness of breath during exercise, stop immediately and consult a healthcare professional. No specific medication is required for IRBBB if there are no other underlying heart conditions.

Answered by 1 Apollo Doctors