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What Does My Coronary Angiography Report Indicate?
Question: WORKING WOMAN - DRIVES CAR - AGE 54 - LONG DIABETIC AND FAMILY HISTORY OF TVD
LMCA Normal
LAD Type III vessel, proximal, normal, long segment diffuse disease from mid to distal vessel with 90% maximum stenosis
Diagonal D1 large, proximal 70% ecentric lesion
LCX Non Dominant system, proxmimal 80-90% ecentric tubular lesion extending into OM1, distal small vessel, normal
OMs OM1: Large, normal
RCA Dominant system, proximal, mid and distal normal PDA - ostial 70% lesion PLVB normal
LV Angio No done(Good Biventricular Systolic function by 2Decho) XXXXXXX DIAGNOSIS #CAD - TVD
# GOOD BIVENTRICULAR SYSTOLIC FUNCTION XXXXXXX ADVICE REVASCULARSIZATION ( TO DISCUSS)
LMCA Normal
LAD Type III vessel, proximal, normal, long segment diffuse disease from mid to distal vessel with 90% maximum stenosis
Diagonal D1 large, proximal 70% ecentric lesion
LCX Non Dominant system, proxmimal 80-90% ecentric tubular lesion extending into OM1, distal small vessel, normal
OMs OM1: Large, normal
RCA Dominant system, proximal, mid and distal normal PDA - ostial 70% lesion PLVB normal
LV Angio No done(Good Biventricular Systolic function by 2Decho) XXXXXXX DIAGNOSIS #CAD - TVD
# GOOD BIVENTRICULAR SYSTOLIC FUNCTION XXXXXXX ADVICE REVASCULARSIZATION ( TO DISCUSS)
Brief Answer:
The intervention would depend on the severity of your symptoms
Detailed Answer:
Thanks for asking on HealthcareMagic.
I have checked your angiogram report. There are a few things to consider. There are multiple blockages varying between 70-90% in multiple blood vessels that supply the heart. Hence the heart is unable to get adequate oxygen and if the demand for cardiac output increases, you might get chest pain. If you are getting frequent episodes of chest pain (angina), you would need immediate intervention, else you can wait. The treatment is angioplasty for upto two blocked vessels. Beyond it, coronary bypass surgery is advisable. In your case, my preference would be for a coronary bypass but the process has its own hazards and you should discuss about the pros and cons with your cardiologist. Based on his inputs you will have to decide between waiting, angioplasty and bypass surgery.
Since you have good biventricular function and if you are not having frequent episodes of chest pain, my suggestion would be to wait. In the meantime you will have to walk briskly regularly in the morning so that you can physiologically train your heart to handle more and more load.
Hope that helps.
Regards
The intervention would depend on the severity of your symptoms
Detailed Answer:
Thanks for asking on HealthcareMagic.
I have checked your angiogram report. There are a few things to consider. There are multiple blockages varying between 70-90% in multiple blood vessels that supply the heart. Hence the heart is unable to get adequate oxygen and if the demand for cardiac output increases, you might get chest pain. If you are getting frequent episodes of chest pain (angina), you would need immediate intervention, else you can wait. The treatment is angioplasty for upto two blocked vessels. Beyond it, coronary bypass surgery is advisable. In your case, my preference would be for a coronary bypass but the process has its own hazards and you should discuss about the pros and cons with your cardiologist. Based on his inputs you will have to decide between waiting, angioplasty and bypass surgery.
Since you have good biventricular function and if you are not having frequent episodes of chest pain, my suggestion would be to wait. In the meantime you will have to walk briskly regularly in the morning so that you can physiologically train your heart to handle more and more load.
Hope that helps.
Regards
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
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