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What Does My Coronary Angiogram Report Indicate?

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Posted on Fri, 2 Jan 2015
Question: Hi My Query to Dr XXXXXXX heijebu.Good morning Sir.I am Rajanarasimha.I had coronary angiogram today.It revealed LAD stenosis of 90% in the proximal region.The doctors here that i need PTCA..my doubt is do i really need to have stenting?will medicines alone not cure my condition.Awaiting your valuable response sir.thnk you
doctor
Answered by Dr. Suresh Heijebu (45 minutes later)
Brief Answer:
PTCA is mandate in your case.

Detailed Answer:
Hi Rajanarasimha Garu,

I understand your query and concern.

Sir its extremely important that you undergo PTCA stenting at the earliest since LAD is the main vessel supplying the heart muscle.

In your case the proximal portion is involved which implies that the beginning portion of the vessel is involved which is a definite indicator that stent has to be placed to eliminate the obstruction and restore the blood flow.

Moreover any obstruction exceeding 70% is a definite indication of stent placement.

Your doctors have advised you the right choice of treatment management.

Its extremely important that PTCA is undertaken by you at the earliest since you have a history of hypertension which has a propensity to worsen the stenosis.

Post your further queries if any.

Thank you.
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
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Answered by
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Dr. Suresh Heijebu

Psychiatrist

Practicing since :2010

Answered : 3646 Questions

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What Does My Coronary Angiogram Report Indicate?

Brief Answer: PTCA is mandate in your case. Detailed Answer: Hi Rajanarasimha Garu, I understand your query and concern. Sir its extremely important that you undergo PTCA stenting at the earliest since LAD is the main vessel supplying the heart muscle. In your case the proximal portion is involved which implies that the beginning portion of the vessel is involved which is a definite indicator that stent has to be placed to eliminate the obstruction and restore the blood flow. Moreover any obstruction exceeding 70% is a definite indication of stent placement. Your doctors have advised you the right choice of treatment management. Its extremely important that PTCA is undertaken by you at the earliest since you have a history of hypertension which has a propensity to worsen the stenosis. Post your further queries if any. Thank you.