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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The Following Angiogram Report Suggest?

Hello Sir: My Father complained of severe back pain and throat pain and we took him to a doctor. His ECG is normal and then doctor did a Angiogram. Below is the report. LAD: Type 3, Proximal Tight Stenosis, Mid and Distal LAD Normal. LMCA: Normal: LCX: Dominant Normal OMS: Normal RCA: Non-Dominant Mild Disease Doctor Advice: PTCA - Stent to LAD Question: This report doesn t say how much is the block and also not sure how serious this disease iis? Can this be treated by medicine?
Fri, 2 Aug 2019
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General Surgeon,  's  Response
Hi,

LAD mean left anterior descending branch of the coronary artery that supplied a major part of the left side of heart.
Although the percentage is not given the report shows about grade 3. This indicates perfusion is present.
But as far as the possibility of medical management or whether to keep in a stent is sure to be done after discussing with your treating Doctor.
You can have the second opinion of another Cardiologist or Cardiac surgeon to know more about the problems and anyway the medical treatment has to be continued.
Also important is to avoid stress and anxiety in the patient as it helps better outcome.
Medical treatment of associated medical problems like diabetes, hypertension, thyroid problem should be treated well.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T Chandrakant, General Surgeon
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What Does The Following Angiogram Report Suggest?

Hi, LAD mean left anterior descending branch of the coronary artery that supplied a major part of the left side of heart. Although the percentage is not given the report shows about grade 3. This indicates perfusion is present. But as far as the possibility of medical management or whether to keep in a stent is sure to be done after discussing with your treating Doctor. You can have the second opinion of another Cardiologist or Cardiac surgeon to know more about the problems and anyway the medical treatment has to be continued. Also important is to avoid stress and anxiety in the patient as it helps better outcome. Medical treatment of associated medical problems like diabetes, hypertension, thyroid problem should be treated well. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T Chandrakant, General Surgeon