Heart block: explained with images • MyHeart (2024)

I can't tell you how much these tutorials helped in understanding what is going on with stent placement. Thank you.

Hello colleagues, how are you and what would you like to say
Regarding this post: in my opinion it is really a great support
by me.

great information! thanks I just had a stent in LAD and I have 3 more 50% 60% blocked now I'm afraid they will get worse..

Dear Dr.
my slef sumit upadhyay and a month before i had chest pain and heart attack i am 28 years old and i did andiography in the report. I got 40% block, please suggest what to do. And is there a big problem?

Hello doctor, I have had 19 stents, 2 different open hearts with 3 bypasses each. I am a 56 year old white man. Until last week I was in the ICU with severe angina pectoris. My RCA chart is 100% closed. LAD fuels some of the right-wing, but mostly collateral. I was told: “There is nothing we can do for you >???????? I did EEPS. Is this true... only death awaits >?

If one valve is blocked at 60% and another at 70%, suggest the best way to clean it...

with 90% blockage in the rt dominant coronary artery, no symptoms. no ECG changes. pl suggest treatment.

My father is 57 years old and he has just gone to have several heart tests done. When he went back to the doctor, the doctor told him he had a 100% blockage and a 50% blockage, but they weren't concerned until the blockage went up to 70%. So my question is: why would the doctor wait until then if he could do something now? Another question: can't a trip be used 100% to get the blood flowing again? Thank you!!

My mother was diagnosed with 60% blockage of the artery (not the aorta).
This requires surgery, the doctor gave medicine for 15 days and asked to come and do a pressure test. Please suggest.

I am concerned. I had a NONSTEMI, stent placed in RCA on September 4th. Was 95% sealed. The left is 100% closed and there is collateral available. I have an EF of 45. I'm concerned because my doctor is tight-lipped about my condition. I won't really say anything until the nuclear stress results come back. I'm concerned because the internet is a bad place to find medical information. It scares me because every time I look for information it gets bypassed...I'm a painkiller so that's one of the reasons I don't want to hear this. Thanks for ANY information I can get.

I just had a stent put in my LAD artery on Monday (10/26/2015). It was 100% blocked! I think my heart Dr. knew the Friday before that it was 100% blocked or at least severely! But he scheduled the procedure for late next Monday. Am I wrong in thinking that the cat of hearts should have been executed immediately?

Good day and thank you for taking the time to answer people's questions. I need an honest opinion, 52 year old man. I had mild breathing problems and went to the emergency room on my doctor's advice. Spent 5 days in hospital. Ultrasound test results: Research is technically difficult. There is mild concentric LVH. There is mild to moderate, diffuse left ventricular hypokinesia. The anterior wall appears to be more hypokinetic than other subsegments. No pericardial effusion, intracardiac mass, thrombi or vegetative.
the next day the hospital did an angiogram.
cardiac doppler: cardiac doppler was performed. this shows trivial aortic insufficiency, mild mitral regurgitation, with reduced LV compliance.
hard cat 27/11/15
RA=15
PA=50/25
PCW=30
LVEF=305
LM: NORMAL
LAD: 90% MIDDLE
LCX:80% MID
RCA: 99% MID
IMPRESSIONS: 1. HTN with hypertensive HS disease
2. Dilated cardiomyopathy, acute systolic CHF, LVEF 30%. Still with high very filling pressures.
3. 3 kar CAD 4. Dilaterale aortrode
Cath shows poor EF with severe multivessel CAD. Book me, my EF is about 35% (they were guests)
Plan-
CV surgery consultation for possible CABG for LAD, LCX, RCA
I told them I needed a second opinion and left the hospital. I walk a kilometer briskly every day and feel good. They told me I have 2 weeks to get a 2nd opinion. I feel like my heart is a ticking time bomb. Since they've done all these tests on me, can they tell if safety has emerged or is this something they're not looking for? Am I in trouble?

I just found out that my mother, she is 73, has a 100% blockage in her right artery and was told the left artery was compensating for the blockage. Can they perform bypass surgery? Thank you very much for this website!
Lisa

Hello Dr. Ahmed, I am 36 years old and had a heart attack. The diagnosis revealed 3 blocked arteries; LCA-70%, LED 90% and RCA 100%.
LCA and LED are stented, but RCA is still 100% blocked.
A viability scan was performed on my heart and it showed 15% viable myocardium, so the doctor recommended I have the RCA stent placed. I sought another opinion from a senior doctor in Singapore and he advised me not to proceed with stent placement for RCA. He says there is more gain than benefit if I get CTO at RCA. How much is 15% viability in medical terms, if it is ok should I proceed with opening the RCA? Please advise.

Dr. Mustafa,
Please explain to me the prognosis of a total occlusion of the right middle coronary artery.
How crucial is it to intervene and why a type of intervention?
Thank you

Hello sir...my mother has a 60% blockage in one of the left arteries. drug treatment is started. Please let me know if we need instant plants or not.

Hello, I am a 30 year old woman with a hereditary heart disease. In 2014 I had a non-traumatic MI and was sent home on medication while tests were done. Angioplasty done in November 2014 showed a totally occluded 100% blocked RCA and I was referred to another hospital as the current hospital could not perform complex PCA. The new hospital placed 4 stents in my RCA in January 2015 and I felt better for the first month, but soon developed chest pain again. This was ignored by my cardiologist and I was discharged. I had this until November and ended up back in hospital where angiogram showed the stents had failed and my RCA was 100% occluded again. I was told that at first. I was going to need a bypass, but then re-stent placement was recommended and I had that done on February 12, 2015 with an extra stent in place. I continued to have chest pain when I got home and have since been told that my LAD is showing 60% and 40% blockage and that I am awaiting a pressure test. I'm so scared and tired of worrying about every hiccup and weird feeling I have, and I wish I could sort it out once and for all. No answer to my question why my artery is completely blocked even though I am taking my medications including clopidgral, rosuvastatin 40mg and Ezetimibe 10mg, and yet they don't seem to control anything and I'm afraid that when something is done, i.e. my LAD is 100% blocked. Last April I was told that all my arteries except my RCA were perfect, so 40% and 60% blockage for LAD happened within a few months. What can I do to get my life back and feel good again and also get rid of this fear and anxiety while I wait for the doctor to do something about it. I didn't gain much confidence because I am often overlooked and not listened to because I am young, and the urgency is only when they are actually in my heart and see for themselves what to do. Any advice would be appreciated, thanks and happy new year too x

Thank you, it really helped me understand what the nurse told me when this happened to my father-in-law. It was reassuring to know what was going on!

o'clock,
one of my relatives, a woman (about 60 years old), who suffers from diabetes and blood pressure, is nowadays suffering from high blood pressure. after some tests, the doctors suspected a heart blockage. and suggested angiography. Please help me what exactly it is and what possible efforts we can make and what further complications could be.
it would be a great help to me.
Thank you
regards,
palak

I have a 30-40% narrowing in the middle of the LAD. What does this mean? I also have MVP with Reg and Tricuspid with Reg, both mild.

dr pls help mu father 61 years old went for angiography last week and diagnosed with 3 blocks. 70 percent dr suggested to go for bypass surgery but my father is not prepared for the surgery he will wait for 3 months. plssssss suggest we can wait for few months. Awaiting an answer

my mother had a heart attack and was recommended an angiography which showed rca was 100% blocked. cardiologist recommended viability scan. before ca. would like to hear your opinion on this.

If the patient has 3 blockages ranging between 90-99%, is bypass surgery the only option or are there other alternatives available? please reply as soon as possible

It is a well written article. Thank you doctor. Your non-technical style of explaining a very complex problem to the lay audience is amazing.

I am 61 and had a cardiac cat done. They said the right side was clear, but the left side was 5% blocked. My old diet ate just about everything. Is this an age thing or a diet...

Dear Dr. Mustafa Ahmed,
I am a 68 year old engineer and still head our family business Pvt. Ltd company of consulting engineers and regularly go to office at least 8 hours a day and face all the daily hurdles, stresses etc. I was a regular smoker for 20-25 years (since quit), level 2 diabetes, since 5 years (remains on Glyree 1), Hypertension -15 years (remains on Tenoramin-50 & Pinom H). To this day I have never had angina/breathing difficulties other than occasional fatigue and in terms of eating habits I have always been a small eater with a very moderate lifestyle. No one in our family has ever had a heart attack, but we have had a stroke. End of November In 2015, I had a routine health check. When my resting ECG turned out to be abnormal, ECHO was normal and TMT was +ve. On the advice of a cardiologist, I performed angiography (catheterization through the groin) last December. On the CATH LAB chart, the specialist cardiologist in question said that your main vessel is clear, but the left vessel is 70% blocked, the right 90% and asked if I feel pain in any leg. I said yes and against another inquiry I replied that it was in the right leg. Immediately in the evening the cardiologist told that my relatives received a stent implantation of 3 nos in one procedure at a high cost. When our relatives first asked for only the right artery, he refused and became furious, saying that if he had to perform a stent in no case, he would take only one and be discharged from the hospital the next day. When the corona report was submitted, we noticed a difference in the observations, which were as follows.
LMCA - 20-30% distal disease.
LAD- Non-significant disease at the site of D2. Diagonal non-significant atherosclerotic disease.
LCX-LCX after OM has 40-50% disease OM mid segment 80% stenosis.
RCA - Dominant, poor caliber with proximal non-significant stenosis of 80%.
Recommendation - Right illiac extension 80% stenosis.PCI.
After having the above episode and finding no noticeable symptom, I consulted another independent cardiologist. Former head of cardiologists in a government. P.G College, with all the reports/CD etc. and according to his opinion he could find any reason to worry immediately and not immediately go for stent implantation but to take medicines 1)AZTAR (80 mg) 2) Flavedon MR - 1tab twice daily 3) Clopitab-A150 and also the medicine I already take. Wait a few months to assess the situation.
I would really appreciate it if you could please give me your opinion on whether I took too much of a risk.

Dr. Ahmed: I had a pacemaker inserted and was then told by four cardiologists in different parts whether the country did not need the pacemaker. Is it possible to remove a pacemaker and the electrodes?

I am JAVES, I want a question, my mother rca 99% block boy 70 to 80% block lcx 70 to 80% block doctor, advise me through surgery... tell me other options... My mother has no diabetes problem, no obesity … …….sir, I am very scar, reply reply

Sir, think again that someone lives without rca artery... if my mother blocks rca 100%, what happens

Hello, how does statin help treat blockages in the heart? I was prescribed fibator. I am overweight. Should I undergo an angiogram to rule out blockages or a stress test is sufficient. I am a heavy smoker trying to quit. Smoking causes plaque to build up in the arteries. My age is 32. I am waiting for your kind reply. Thank you in advance

My relative, a 70 year old man, had bypass surgery, 12 years old, and last week had a heart with 3 blocking valves. The doctor said nothing can be done to fix those valves as he had had a bypass before. He has been in the hospital with fluid due to lung and kidney problems and on an intubation tube. Dr. want to remove the tube, but between the fluid in the lung, the kidney, they have not been able to remove the tube. The only open valve that works now was one of the valves they bypassed. What do you suggest? Is there anything you can do to help the heart? Please help

Hello Dr. I had a right sided cardiac catheter with effort a few days ago. I have pulmonary arterial hypertension and lately my symptoms have increased. Especially in connection with syncope. During the procedure, the doctor used the word occlusion and 0 blood flow during exercise. When he spoke to me afterwards, he didn't say this. Just that my numbers showed what other tests didn't show and that I wanted medication changes. How worried should I be? Thank you.

Sir is a triple vascular disease which cannot be cured by drugs….rca 99% boy 70% to 80% lcx 70% to 80%…..doctor told me to go for a bypass…I am very worried about my mother..she is very weak...what i do sir,suggest me something...

I recently had a silent heart attack. I had a 100% blockage in the distal RCA, collateral vessels helped and are working fine. 40% in the LCA and 0 block in the left circumflex. I was training every day and working even when I was diagnosed with RCA blockage. I was given baby aspirin, toprol, Lipitor 10 and Benicia, which I have been taking for 10 years. My lol was 138 in October 2915. My question is can you manage this situation and avoid open heart surgery

Hello! My husband had a heart attack two weeks ago and was told he had a 100% blockage in the LAD. The doctor didn't put a stent in, but just gave him two medications and pretended it wasn't a problem. In a few weeks we will get a second opinion at Emory University in Atlanta. I'm very worried about him and what the outcome will be. Do you have any advice?

Sir is a triple vascular disease which cannot be cured by drugs….rca 99% boy 70% to 80% lcx 70% to 80%…..doctor told me to go for a bypass…I am very worried about my mother..she is very weak...what i do sir,suggest me something...

I recently had a silent heart attack. I had a 100% blockage in the distal RCA, collateral vessels helped and are working fine. 40% in the LCA and 0 block in the left circumflex. I was training every day and working even when I was diagnosed with RCA blockage. I was given baby aspirin, toprol, Lipitor 10, Benicar 20, which I have been taking for 10 years. My LDL was 138 in October 2014. My question is: can you manage this situation with RCA and avoid open heart surgery?

Sir, my mother has LCx 99% stenosis OM2 normal om3 small
LAD- proximal tubular 40% stenosis D1 2 mm ostial discrete 70% stenosis
RCA proximal RCA tubular 20%
The doctor said I should do ptca with stent for om1
Hr,
Is it a serious case, what kind of food she can take. does she need complete bed rest??

Sir is a triple vascular disease which cannot be cured by drugs….rca 99% boy 70% to 80% lcx 70% to 80%…..doctor told me to go for a bypass…I am very worried about my mother..she is very weak...what i do sir,suggest me something...pls quick sir

Arts,
I am blessed to see your site. My 56 year old husband had a mild attack in 2011. When we consulted a cardiologist, he was not very concerned, saying that it was a shock rather than an attack, we left it that way. Now, in 2016, he had a strange feeling of being stuck and an EKG was done and it was abnormal. Angiogram says that type III vessel Middle left anterior descending artery has 70-80% long segment disease. Diagonal 1 has a 95% stenosis at the ostium, while TIMI II flows distally. codoment vessel Stump marginal 1 has 40-50% diseases. then the proximal right coronary artery of the codoment vessel has 90% disease. echo normal. proposed angioplasty with 2 stents. During the procedure, the patient had severe pain in the arm and only a stent was placed that was 95% blocked. Now the doctor said that another angioplasty needs to be done through the leg and that 2 more stents need to be placed. Even though the blockage in the angiogram was 90%, while the plastic-ready doctor said it was 100%. How did the situation arise? why couldn't the doctor diagnose things in the first place and what was the reason for recurrence. The patient's right arm was very swollen with a dark pink color due to the plastic and became very sick. What are the consequences? What was the cause of severe pain that the patient cannot tolerate? what the pink color looked like, guess because of internal bleeding. How it happened. The unattended block was long and branched, it seems. In this situation, long-term blockage of 100% with one branch needing two stents and another of 95% with stents already in place, it was the right decision to go for angioplasty instead of bypass. Can the patient receive plastic within a short time or does it take time? After all, the city pass or plastic was preferred. The patient continues to have severe pain and a freezing sensation in the hand. He's scared too. This is how you move forward

I took my husband to the ER for severe shortness of breath, he was in cardiogenic shock and was immediately taken to the catheter lab where they found 80% blockage in his primary and his DIN and 100% blockage in his right coronary artery. They placed a balloon pump until they could get all the fluid out of his lungs, and then they performed triple bypass surgery. I just know I'm lucky he's alive.

Sir is a triple vascular disease which cannot be cured by drugs….rca 99% boy 70% to 80% lcx 70% to 80%…..doctor told me to go for a bypass…I am very worried about my mother..she is very weak...what i do sir,suggest me something...pls soon sir...please reply sir

Sir is a triple vascular disease that cannot be cured by drugs. About 99% boy 70% to 80% lcx 70% to 80%…..doctor told me to go for bypass…I am very worried about my mother..she is very weak…what should I do sir, suggest me something. Pls rply soon sir.reply sir

Hello, I am from Singapore, I immediately examined my heart and my doctor said that my heart is still weak. Only 40% works, so how can I get better with a strong heart back?

Hello Dr.
It was great to read this article and understand the architecture of the artery. My mother had her angiography done yesterday and 2 blockages can be seen. one in the right artery with 80% lesion and the other on LAD with ostioproximal 80% lesion.
The resting pulse is normal. Dr. has proposed angioplasty with 2 stents. What do you recommend. Should I proceed with angioplasty in LAD myself?
Thank you in advance.

O'clock
this site Mohammad Aasif is actually suffering from blood pressure and my age is 24. I am feom kashmir. I've done all my tests but everything is normal. But I don't do heart tests.
I'm really afraid of this. Give me a suggestion what to do...please reply to my email

My background is 52 years old and there are no lifestyle contributing factors but a family history of heat illness, with my father having a heart attack at the same age.
In June 2014, at age 50, with no warning signs other than high cholesterol, I had an inferior heart attack with 3 blockages on the right side treated with 2 stents and 2 stenosis on the left side treated with 2 stents. All blockages were removed. With persistent chest pain and numerous hospital stays and stress tests showing no problems in 2014/2015, an angiogram was finally done in December 2015, about 18 months after my heart attack in 2014, which identified two new blockages in only about 50 and 80%, as before above and below my original stents and these were then stented and 2 more strictures were found on the left side at 40 and 50% which were untreated
Again with more unexplained chest pain. Another angiogram was performed in March 2016. Two new strictures have been identified on the right side at 40 and 50%, which are again located under the second stents, and one more on the left side at 40% and above the left main artery. at 20%.
My current status is main artery right side 2 stenosis 40&50%, left side 3 stenosis with 2 very close together at 40&60% and 1 on side branch at 40% and 1 over left side at 20%.
My question is that I have had another 4 artery stenosis in a very short period of time, 2 of which were during my last stents, and none of these blockages showed up on the angiogram just 3 months earlier. Is it common for a new blockage to occur within 3 months? And is it common for blockages to appear directly above or below where the stent was recently placed? What other factors might be at play that my doctors aren't taking into account?
I continue to eat well with only whole foods and moderate exercise, and my cholesterol levels are now well within the normal range.

Hello doctor Ahmed
My name is Mansoor. my father is 67 years old and in 2004 he performed a bypass for 2 vessels, now he had a problem where his vessel was 99% blocked and the doctors said that the stent could not be used because that vessel is bent 360 degrees and the stent cannot be moved within the vessel. His doctor also tried angioplasty, but his answer was no….
Now plzzz doctors tell me what to do?? we are all very worried about him, doctor, give us the solution….
you can reply me here and if you can email that's best.
until o'clock
it's very urgent...

Hello, I appreciate your articles as I try to understand what is going on with my 81 year old mother's heart. It amazes me that the cardiologist would want to do an angiogram and then make a stent or call in a surgeon for open heart surgery on someone so old. Is this common? I am very concerned that the risks of the procedure(s) appear more dangerous than the risks of doing nothing/encouraging her not to participate in strenuous activities. Apparently during the stress test she was only able to walk on the treadmill for 3.5 minutes and did not proceed with the second/chemical part of the test. Is it significant?

Sir, please reply that it is possible that Dr. performed angioplasty before any blood test, another test... they performed angioplasty of my mother without any test, two months before the report. I lost my mother… Its a case of medical negligence or not….

Dear Dr. Ahmed
Jan 2002 I had a bypass operation, since then I had problems with blood circulation, on March 14 this year the angio was done. The results showed that I have 2-vessel congenital coronary artery disease. 100% ostial LAD, 100% 1st OM, 40% ostial left circumflex, 30% ostial RCA and 40% distal RCA at marginal branch ascend. SVG – OM is a patented minimal retrograde flow. LIMA – LAD 40% at anastomosis to LAD and 90% occlusion at skip graft entrance to diagonal. I have been told that nothing can be done at this time and I am taking medication to keep the blood flowing. Is there anything I can do??

My husband (age 58) just had an angiogram. It showed 100% blockage in the right artery and approximately 40% and 50% in two of the left arteries. The cardiologist said that on the right side, at the bottom, some small "arteries" have created their own "bypass" that provides 10-20% flow from right to left? (I didn't really understand this part). For this purpose, his vascular specialist had ordered an abdominal ultrasound, which he had done 2 months ago. He hasn't heard from him at all, but his GP has received the results and told him three weeks ago that it showed a 5.4cm abdominal aortic aneurysm (close to the kidney). She would write to the surgeon and ask what the plan was. Two years earlier, the same vascular specialist did tests that showed 70% and 80% blockages in the carotid arteries from which he was given anti-cholesterol and aspirin at the time. Also, 2 months ago the cardiologist added a drug for angina pectoris (the man developed a lot of chest pain about 4-5 months ago) and after the angiogram he added another "similar" drug, plus doubled his medication for cholesterol . He said he would also put him on blood thinners, but wanted to know what the vascular surgeon would do about the aneurysm and to contact him as well. I also made an appointment to return to him in a month. I don't like all this. Part of me thinks a more aggressive approach is needed, rather than this wait-and-see approach. About 3 years ago my husband quit smoking, eating better, exercising to make sure his weight is in the right range for his body/age/etc. (But the exercise is now too hard because of the chest pain it causes, and he has gained some weight, although he wouldn't be labeled obese or anything). He has always been a hard worker and does not like to sit still. I am looking for some information to educate myself on how to get the best medical approach for my husband's situation. We are both willing to accept “inevitability,” but not when there are treatments we should ask for that have not yet been presented as options.

Dr. Ahmed, this article was a good explanation of blocking.
My husband had a silent heart attack and underwent many tests. The surgeon
showed us a photo of the heart showing where the blockages were
and percent There were so many listed and they ranged from 80% to
95%. The surgeon said there was no way to help him with the surgery and sent him away
At home. We are all stunned. Can you give us an indication of how long he can live?
We try to do all his favorite things, including a trip to Hawaii, but are dreading it
going to far.

Dear sir,
Your post is really very educational.
My 65 year old father suffered from atrial fibrillation. He went to EP studio and RFA. An angiogram was also performed. During the trial, a non-dominant lesion between 90% in the RCA was detected.
Because he had no complaints, we did not immediately proceed with angioplasty.
Can you advise if it is necessary to go for angioplasty even if he shows no symptoms?

Hello! I had a heart attack in May 2015! Found 2 arteries blocked! The doctor put two scents in it. I continued to have chest pain, they did an EKG and the blood work continued to come back normal. In January I went back to the hospital with the same symptoms, they did the same thing, all the tests were normal, but they admitted me so they could do another heart check to find out that one of the smells was 98% blocked, they fixed it and changed my meds. Well it's April 2016 and I'm back in the hospital with the same story, another heart lump and the same thing! The doctor cannot understand why this stent is not cooperating. Is this something that could potentially lead to something bigger?

Hello Doctor Mustafa Ahmed, Sir, I have a question, my mother did her angiography last week, the doctor said she had a blockage in her arteries of 95%, 70% and 35%. She has diabetes and high blood pressure, the doctor advised her to undergo bypass surgery. We are afraid of the operation. Please tell us if this problem can be treated with medication or a stent. Or she has to undergo surgery. Sir, please reply as soon as possible. I will be very grateful to you

Dear Dr. Mustafa,
My angiogram found RCA subtotal occlusion (SCO) in the middle vessel. and the doctor said that the stent could not penetrate the blockage because the occlusion is difficult to insert through the wire.
And Dr. gave the medicine for 6 (six) months to ease the blockage and then do angiography again for stent placement.
Please inquire about the above cases of experience you have and whether the drug treatment can be recommended for my whole life?
Thank you and kind regards
Yan

A simple answer please... if all the arteries are blocked, how long can you hold your breath and is there pain?

Hello Docter,
My grandfather is an 84 year old man, he was examined, he has a coronary artery blockage and the color ultrasound shows that his coronary artery is more than 70% blocked. I looked up a lot of information and the doctor advised that it would be better to have a stent placement. (I don't know if they can do balloon angioplasty or not because I only learned about this treatment today) But he has to take some. A kind of doctor called Plavix for a year, but this medicine has a strong side effect for his stomach disease, so his doctor said that he did not recommend my grandfather to put a stent. Are there other options for my grandfather? Can he do balloon angioplasty? Thank you very much for reading and I look forward to your reply!

I am 66 years old and do not have coronary blockage or diabetes. The women don't prepare food for me. Women have no say in what I eat and they never cook or prepare anything for me.

I use this site for research for my homework and it works great!

Dr. I have 3 stents in LAD. I just had another heart cat and was told I have a 20% blockage in the left main and will need open heart surgery if it reaches 50%. How do I know when it reaches 50%? My Dr. said they wouldn't do an annual stress test like they did.

Sir, my father has 99% blockage in the right coronary artery and some blockage in the LAD. So what is the best treatment procedure? Plzz help me. Will it be a stent procedure or CABG? I mean, what's the correct procedure?

Dr. - A few weeks ago I had a nuclear stress test, which showed a blockage. To confirm the blockage, the cardiologist ordered CTA instead of angiography. I have had several CT scans and been exposed to a lot of radiation and am wondering if I can do MRA instead of CTA. I also want to know if MRA will give the same result as CTA

Dr. Ahmed, I had a nuclear stress test a few weeks ago that revealed a blockage. To confirm the blockage, the cardiologist ordered CTA instead of angiography. I have had several CT scans and been exposed to a lot of radiation and am wondering if I can do MRA instead of CTA. I also want to know if MRA will give the same result as CTA

Thank you very much for informing us about such an unknown fact.
I have a question: can the disease be cured at home or should I go to the hospital occasionally?

This helped me understand the angiogram report I saw from my father yesterday... thank you very much sir for the detailed and clear explanation

R/sir.
i am dur muhammad baloch. sir my heart, a vessel is blocked sir, i am so poor person. I can't afford this treatment, sir. how I deal with our heart problem. One thing, mention sir. I can't feel any pain. I am completely physically fit. sir, i need your advice. sir, i am a student. my age is over 25

Respected Sir,
My father had a heart attack. He is 50 years old. He is not physically fit and turned out to have 90% blockages in 6 different places. The doctor says that stents cannot be placed in three places because the artery size is smaller than 2 mm. He recommended blood thinners for the rest of his life. Will these 'unstained' arteries cause problems in the future? Please answer my question, sir.

He also has diabetes, high blood pressure, hepatitis B and asthma.

My father (74) was diagnosed with a 70% blockage in the OSTIAL LAD artery. His blood pressure remained around 80/175 even on blood thinners and he was also taking insulin. After CTA, the doctor suggests placing a stent in the LAD. His CT angiography was done on July 14, 2016 and I will send you photos if necessary. When he walks about 400 meters, he becomes short of breath and feels tired. Please suggest.

I have heard that there is new technology regarding opening calcified blood vessels and stent placement and would like to learn more about it from a different perspective, rather than through a sales video. I had a non-STEMI in September 2015. A 95% left coronary artery blockage was treated with angioplasty and stent placement. I also have 100% occlusion in the RCA that has calcified and I suspect that is why I went back to the emergency room for chest pain and SOB. The cardiologist who performed the angio said he couldn't get through the total blockage in September, but now he says there are special tools for it. How safe is this coronary atherectomy procedure?

Dear Dr. Mustafa Ahmed,
Sir, my father (74) has been diagnosed with 70% blockage in the OSTIAL LAD artery. His blood pressure remained around 80/175 even on blood thinners and he was also taking insulin. After CTA, the doctor suggests placing a stent in the LAD. His CT angiography was done on July 14, 2016 and I will send you photos if necessary. When he walks about 400 meters, he becomes short of breath and feels tired. Please suggest

I had bypassx5. I now have 3 out of 5 arteries with blockage. Dr. says they can't bypass again because grafters don't like to take it a second time. They will try to treat with medications. It is not common to undergo a bypass twice. I would like to have the bypass again, is it impossible to try again?

If there is a blockage on the right side of the heart, it is serious. Explain this or take medication

Hello doctor Mustafa Ahmed.
We are told that my father's left artery is 80% blocked. He had an angioplasty in the right artery 2 years ago after the heart attack. I would like to ask if it is possible to do angioplasty again or should we go for a bypass?
And how long does he have before this 80% block crosses a more dangerous level. And how early should he have surgery?

Great website! I am a senior nursing student and just saw my first cardiac lump in a patient. Your photos and explanations helped me better understand what I saw today! Thank you for the excellent teaching.

Hello sir,
My father recently had bypass surgery (triple vessel disease) and the rca was non-transplantable and the report says the rca is completely atherosclerotic with no lumen. My question is can he live a normal life without RCA and any suggestions please.

Dear Dr. Mustafa Ahmed, My grandfather is about 70 years old, he is doing well and is no longer normal. When he crossed the age of 70 years, he went for a regular check-up and discovered a heart condition during a CT angiogram. So referred to angiogram found observations as below. Given the age, TMT was not referred by a doctor.
RAMUS is a mild disease, small caliber vessels
LCX is dominant artery, proximal LCX mild disease, distal LCX eccentric 20% disease
OM2 is a mild disease of 2 mm vessels
OM3 is a 2.5 mm vessel, mild diffuse disease
RCA is a non-dominant artery, proximal RCA dense stenosis with a severity of 95%.
Small caliber vessel, OM1 small vessel, LPDA found normal.
Can it be cured with medicine or advice to go to surgery or stint factory? please give me your valuable advice, thanks

o'clock,
my father 65% blockage on the right side. ki hum ko bypass karvane chia and medicine strip chaiye

Hello doctor, I had an angioplasty stent last year. The doctor told me that I have 3 blockages, these are main arteries, one of the arteries was 100% blocked, can't put a stent, another one is too small, can't do angioplasty. I'm sick for your advice, thanks.

Is there a rare form of heart block with only 8 known cases, and if so, has a specific name been given to it?

Hello sir, my father of 72 years had three blocks (one is 100% and the other two are more than 70%) and the doctor treated with stents for two blocks and left the 100% block for the time being. The doctor said it will be ready after 3 weeks. Whether 100% blockage can be opened with a stent and what is the success rate? When we asked the opinion of other doctors, they said that it is not possible to open 100% blocks for 95%. Please explain...

Dr. Ahmed
what should be the treatment for 50% narrowing of RCA?

Thank you Dr. Mustufa for such good information. I want to ask if it is possible that even though the patient has 90% heart block, he does not feel any sweating, fatigue, blood pressure fluctuations, fatigue and even pain. The patient doesn't even have diabetes. Is it possible to clear the blockage with medication?
Thanks in advance if you can help.

Man also treats slightly elevated cholesterol and blood pressure easily, but is treated.
Working in the home of a 91 year old's father after the hurricane ends up in the hospital with a mild tingling in the chest. They tried to see if the stent or angioplasty would work. Otherwise healthy, 69 years old. mother died of a stroke father 91 feels like 71 and takes no medications.
Cathy's view shows 2 barrels. 80% they keep saying BEHIND of the lower part of him
heart WHICH Vessel would affect the BACK of his heart. They want the Bypass, we are in Florida and want to fly home to the University of Iowa where we live. He was just put on Plavix, another common heart medication, four days ago and is taking the Nitro they gave him. At least it sounds pretty safe to fly home. No heart until he helped 91-year-old father recover from Hurricane Matthew. Is a 2 hour flight more dangerous than sitting here in FL for 2 hours. ? Also please reply "BAGE OF HART-LOWER CHANBERS". Possible - mainly means "BEHIND OF" - I know ventricles are an earlier OF scrub.

What are the lifestyle and diet changes a person should make if he/she has mild heart block of about 30%? What is the treatment for this?

Hello. You are doing humanity a great service! I am 55 and had an MI in August 2016. 1 stent was placed for 100% blockage. Still have 80%, 40% and 50% block. Treatment with drugs. Reduced my smoking from 15 a day to 2-3 and some days none. I'm so tired all the time and so depressed and afraid to do anything stressful, including going back to a stressful job. What is my best course of action? Can you suggest something?

Sir, I just want to cut to the chase as we are both short on time. I hope you will understand.
Patient - My father, 61 years old, weight - 58.5 kg, which is 1 kg less than the last record, height - 1.80 meters, no diabetes at all, any blood report, such as creatinine to Hb, are all normal, blood pressure present - 120 /80 (usually +/-10). No signs of angina, no chest pain, no shortness of breath, no fatigue.
History - 1.5 months earlier he felt shortness of breath and pain mainly on the right side for two days. But then of course it was gone. That was the reason to go to the doctor. He then referred to a cardiologist after seeing the ECG. The cardiologist confirmed a mild stroke after seeing the ECG and ultrasound, gave meds and told me to have an angiogram done right away. And then confirmed LAD 100% + RCA 90% blocking. Still don't feel anything special. But he said Angioplaty is not possible. An open heart is the only way. THAT IS THE QUESTION – CAN THIS KIND OF BLOCK BE POSSIBLE WITHOUT THE SYMPTOMS OF SUCH A SOMEONE WHO IS ACTIVE, NEVER SMOKES/DRINKS, A RELIGIOUS & ROUTINE GUY? ONLY AN OPEN HEART IS THE WAY, NO OTHER WAY?

This is a very interesting article. A lot of information. Thanks for sharing. My friend, who is 41, was just diagnosed with two heart blocks. He will do a 48 hour follow up test, but I am very concerned about the significance of two heart blocks. According to what he told me, two of the three ventricles are not working. He is gaining weight (290 pounds), is very tired and seems to sleep a lot. We await the visit of the specialist. But in the meantime, is there anything I can do to help him? For example, what type of diet is recommended for people with this type of problem? Thanks in advance. Many blessings on the way...

I just had a stent put in one of my coronary arteries two weeks ago, but I still have a 70 percent blockage that needs to be cleared. My cardiologist is going on vacation, so I can't do it until after January 30, 2017. What are the chances that I will have an attack before then? I'm worried and have some chest pain.

I am a 53 year old man and in August 2016 I suffered a TIA and since then I have seen several doctors trying to find the cause of the problem. January 6, 2017 I had an angiogram and they found that the LAD was 100% blocked and the doctor could not place a stent due to the location of the blockage and the severity of the blockage. The doctor recommended bypass surgery, but after his findings it was not really necessary to solve this problem. So is this normal?

This article is very useful for me, but I have a question, my father has 80% blockage in his heart…..And some doctors say that it is urgent to undergo surgery….And he also has only chest pain at night and after he has had his meals...and i also want to ask how long he can have surgery that would be safe...???

Thanks for the illustrations! Very well written, clear article, explains to me where the doctor who treated the cat did not go into detail immediately after the cat.

I found your illustrations extremely helpful and this helpful website has helped me understand the situation my mother is in.
She is in hospital after suffering from pneumonia and two subsequent heart attacks. An angiogram yesterday confirmed that the right artery is blocked and inoperable, the circumflex is blocked and inoperable, and that the LAD is calcified but is doing enough to keep the blood pumping. Consultant only recommends treatment with medications, because she is too ill for surgery, she is 85 years old. It's pretty grim news, isn't it.

Hello doctor, my brother, he is only 30 years old, he had a good, healthy lifestyle. He exercised for 2 hours every day and constantly monitored his diet. He was also particular about his diet as we have a history of heart problems in our family. both pages, but yesterday it was deducted by 80/-! blockage right and left 70 percent and extreme left 60/- dr has been asked to go for angioplasty for 3 stents. Can you please suggest us another way in which it can be cured?

Dr. Ahmed I am 67 years old, I fainted while working, the left circumflex was blocked, om1 was blocked, I had a colonoscopy 2 weeks ago, use PREPOPIK as a kit, the colonoscopy was done 2 weeks, had epigastric complaints with flatulence after the colonoscopy, just before I fainted, I had severe stomach complaints with pain in the lower rib that radiated to my back. Do you think I fainted because of the constipation or stomach upset? By the way, they placed 2 stents, one in the left circumflex and one in om1, I still have stomach problems here and there.

First of all, congratulations on a very brilliant and informative website. A very noble act, well done.
I'm 39 years old, man. About 20 years ago I was very into sports
Last May I was diagnosed with hypertension and occasional mild chest pain/discomfort. I was sleepless/restless and stressed. Then a TMT which showed some problem in phases 3 and 4. The cardiologist said it was a false positive. An angiogram was then done (actually I forced it), which was normal, but showed a myocardial bridge in the middle of the LAD, causing a 30% systolic constriction. he said it's not something you've lived with all these years (even during my athletic days) and that it's quite normal.
But I still have pain in my chest and in my left arm sometimes. the pain always starts in the evening and lasts until the night. happens in 10 day phases, followed by no pain for a month or so and then comes back.
I saw a gastroenterologist who also thought I was suffering from GERD and did an upper gastrointestinal endoscopy, which was normal apart from an HPylori infection. Give me pantoprazole. Although things have improved, I still get chest pain. The gastroenterologist also said that if I get anxious it always makes the pain and GERD worse. The heart says the angio is ready and it is clear and it is a conclusive and gold standard test.
I have started exercising and yoga since the last 8 months, changes in my diet, lost about 5kg, cut down on smoking to just one a day and very occasional drinks, maybe once or twice a month. Pls help as I am very confused
1. I also wanted to know: is there any possibility that the 30% systolic narrowing of the bridge could be the culprit? I mean, what are these percentages you also quoted with certain images (40%, 70% etc.) Is this computer determined or manual? I mean, is there a chance that in my case it's not 30% stenosis, but 70%. I mean, could the angio results be wrong?
2. all other arteries and even LAD are also normal... normal means < 40%. I mean with all the risk factors, can this be controlled at this level and I never have to become a heart patient again?

Dr. Ahmed,
My 35 year old nephew had to go to the hospital because of a heart attack. He had been diagnosed with 98% blockage of his artery. The doctor opened the blockage with a balloon and then placed a test. The catheter became stuck to the stent and broke off in his heart. This caused another heart attack. He was rushed to another hospital, where he was told his artery had died. The doctors don't know what to do. He is in intensive care and my niece is scared and doesn't know what to expect. Heart surgery?? Can you advise anything? Any idea of ​​a forecast. Something???

Dr. Ahmed,
Update on previously sent information:
The doctor placed a stent in the nephew's OM coronary artery and managed to break off the tip of a .014 wire on the stent and the piece remains in this artery. (ON obtuse marginal) – they said the artery is dead?? Would a bypass work??? Please advise.
Thank you very much for your knowledge and input.
Met respect.

Hello Dr. Mustafa,
My 75 year old father underwent coronary angiography with these results:
LM: Distal LM has ulcerated plaque causing 50-60% stenosis, extends to optium of LCx
LAD: Type III hostelplaquette
Diagnoter: Large diagonal has proximal plaque
LCx: non-dominant, portal stenosis van 95-99%
OMs: Large OMs have proximal plaque
RCA: Dominant, middle RCA has a discrete stenosis of 20-30%
CV has suggested cardiac bypass. Is it necessary?

Thank you for the information and the many responses it has generated. I was just diagnosed with a 99% blockage at the junction of the LAD and LCA, which is not stentable. I was surprised by the high percentage, as I can still do most things normally, except walking quickly uphill, dancing or running. I'll be having a bypass in a month or two, so it's good to have some understanding that this high rate doesn't conflict with my own sense of my health.

Recently my father had an angiogram done with the result as below
LMCA: NORMAL
LEAD: 80% TANDEM STENOSIS IN PROXIMAL AND MIDDLE SEGMENT
50: 90% PROXIMAL STENOSIS
RCA: DOMINANT, 80% LANG, COMPLEXE PROXIMALE SEGMENTSTENOSE.
ADVICE: CABG SURGERY.
My doctor checked the report and he was treated with medicine. Could it be controlled with medication? We are worried. We are not going for surgery. Please share your opinion.
CABG is the final solution?

My father has a heart blockage, but he never stopped smoking and drinking. He sometimes suffers from shortness of breath. Where do these things lead? Please introduce sir. It will be very useful.

My father went to test on the treadmill and was found positive, also advised to sign autographs. There, upon angiography, he was diagnosed with 90% blockage in all three arteries. He has multiple blocks and roots deep. He has also had diabetes and high blood pressure for almost 10 years. High cholesterol-237,.. doctor days since diabetes patient no longer feels pain. He doesn't feel any pain or anything, but he gets tired after a 2 km walk. Some cardiologists suggest continuing the medication for half a month and the cardiologist says to operate immediately after seeing the angiography CD.

Please tell me he has trivascular disease.

How much of your artery needs to be blocked for a balloon angioplasty? (in %)

Hello sir, your comments are very helpful. I am also in a critical condition. My father's environmental report says that the heart works only 25%, so the doctors refuse to do angiography and also advise not to operate. He recently had a severe seizure and was unable to make decisions. Please help

Hello doctor Ahmed
I am 58 years old and have been diagnosed with 100% blockage of my right coronary artery. I was told that the artery was filling back up and working that way and that it is a very old blockage that is healing itself. but when I look at the function of the arteries, it is to fill oxygenated blood to the heart, not from the heart. So I'm a little confused that the filling is very useful and my heart is being filled from the other side. Thanks Paul

Dear Sir, I hope you are well, Dr. Sir. my father is currently in the hospital. The first heart attack happened to my father in 1997, and that same year I was operated on through a pass operation, then in 20 6 times now Angioplasty. He is suffering from very severe chest pain. Doctors say his heart is 80 percent damaged so he can never get relief from this pain. Dear Sir, my whole family is very worried so please help me and introduce me

This is very useful. I have just been diagnosed via catheterization with 99% and 95% blockages on two major arteries and 3×50% on a third, given a strong family history of atherosclerosis (father died at age 45, I am 57). The answer from heart surgeons is to schedule an ultrasound in 10 days and then another consultation. While I don't have chronic chest pain, I do have pain with mild/moderate exertion. What should my sense of urgency be on a 10-point scale?

My doctor found a shadow on the left side of my heart. I imagine there will be cardiac arrest. If they go through the groin area, which side do they go? Left or right groin?

Hello, my father has 80-85% valve blockage and one valve is small. Compare with another doctor. Suggested open heart surgery. Please someone introduce me without surgery. How can we recover? Introduce me.

Hello, I had a calcium score test done and the result said I have a score of 0. Is it possible that I still have constipation, I have cholesterol, no bp ho dibetes. Should I do an angiogram?
Thank you

Hello sir. Is it possible for a 21 year old man to have heart block? Or is there another reason why a man has chest pain at this age? Could it be serious? Because Heartattack is in his family history..

My father, who is 82 years old, recently had a pacemaker procedure due to a low heart rate. He also had an angiogram done and now his doctor is recommending an angioplasty due to blockage of the left main coronary artery. Is it really necessary?

Let 90% of your photos show me exactly where my 2.75 x 12.00 mmw stent was located. Thank you

I am 23 years old, I have a feeling of heaviness in the chest above the heart and sometimes I feel the heart skipping and sometimes pain (sharp) in the heart with dizziness, calf pain and weakness during the day since 5 to 6 days
Is this a heart block.

Dr. Ahmad, I had a syncopal event while on vacation abroad. The angiogram performed on July 6 showed a 100% blocked proximal right coronary artery. But I was told I had good collateral.
I still have some symptoms of shortness of breath and chest fullness, and the holter monitor showed some PVCs. The ultrasound is normal except for the mature inferior wall infarction showing hypokinesia.
I am scheduled for stent placement at Barnes Jewish Hospital on August 7th. Needless to say, I'm a little nervous. Do you think it is necessary for me to have the stent placed? I hope to receive your answer soon.

Dr. Ahmed, my father had an angiogram this morning and I have a map showing the blockages. His right coronary artery was 100% blocked and there was a vein called 'diag'. branch of the LAD was 90% blocked. Stents were placed in these 2 areas. My question concerns three other areas where he has a stenosis that was not resolved during the angiogram. The diagram shows three small arteries, all on the left side, each with 70% blockages. One is a branch of "Cx" and the other is a branch called "SP" of the LAD. Another is on the left side of the LAD and is not marked. No stents were placed here as I believe they could not be achieved with this procedure. Do you know if the only way to fix this is open heart surgery? Should I worry about them sending him home with these blocks? His ejection fraction is 70% and although he had a heart attack, doctors say his tissue is healthy. He's 71 years old, so I'm concerned that if these arteries develop problems, he may be too unhealthy for surgery. Any information or thoughts you can give me would help. Plus, my parents live in a remote area and the hospital he is currently in sends him home, which is a four-hour drive away. Thank you!

Sir, I am a heart petitioner. DONE MY PTCA. MY OPERATION DONE LAST SEP 2016.
STENT INSERTION. NOW I FEEL BETTER. CAN I REGISTER FOR GYM, YOGA? GIVE THE ANSWER.

I am so amazed at your personal response to each person! I have experienced breathing problems after or while falling asleep. I wake up and grab what I can (pillow, sheet) and gasp for air. I'm only 48, but there is a family history of heart problems (grandfather died of the first heart attack at age 49, aunt died at 56). I have discussed these problems with my doctor. She made a face and said she could refer me for testing, but she doesn't think there will be anything wrong with that. I'm unsure if I should go ahead with a test because it's expensive. I have no problems breathing during the day or when sitting up, only when lying down and sleeping. Thank you!

Hello Dr.
Please keep us updated if we have to do angioplasty or if it can be cured with homeopathy.
As we did CAG – Cardiac Angiogram in Narayana Hrudayala, Bangalore, India.
According to the report, there is something in this direction
LCX – middle 100%
RCP-prox. 80%
K.I. ca. 80%
normal sinus rhythm

My 65 year old father with a normal dominant right coronary artery. LAD has 50 to 70% lesion in the proximal part. There is 90% lesion in the proximal circumflex.
Can you advise whether angioplasty or bypass is required or whether medication alone with controlled diet and exercise would be sufficient. Please share your valuable advice.

Dear Sir, In 2013 the doctor diagnosed that I have 100% RCA and 40-50% LAD blocks and advised me to take medication. In general, I have no problems, even if I can run and walk quickly for a long period of time, and I don't feel anything during exercise, but after exercising, about 10 hours later, I feel some pain and discomfort in my left shoulder and left shoulder. side of my chest stuck to my shoulder even when I'm resting. What could be the cause of the unexpected pain during rest? . Greetings/Mohammad Masjidi

Hello, my doctor did an angiogram. There was 90% blockage in the LAD. He placed a stent. Did he do the right thing?

My mother has 80-90% stenosis in small caliber vessels (type 3). The doctor says that since a small caliber stent is not necessary, only medicine will help. Isn't stoning necessary?

My father has a blockage of 70℅. What should we do angioplasty or bypass? And how long does it take for the variety to grow back after angioplasty? ???? Plsss reply soon plsss

My mom just had an angiogram today and found a 30% blockage. Is there room for bigger concerns?

Which stent is the best doctor for 80% blockage

Hello Dr. My mother had symptoms of chest pain and shortness of breath while walking or going upstairs. It was presumed to be a cardiac-related problem and angiography was performed, which resulted in 50% stenosis of the proximal LAD occlusion. In addition, a hernia in the esophagus was also diagnosed. The team of doctors decided not to place a stent and to treat the symptoms with medication. But doctors also correct the symptoms of a hernia with the heart. How to rule out either of these so you can focus on getting the right treatment. They gave her medicine for heartburn.
Please advise what I should do....

I am 44 years old and within 3 months I experience terrible chest pain and a heart attack. It was really painful and I was suggested an angiogram and the doctors suggested me a medicine... my two arteries were infected and 50% damaged... these pictures really help me

Hello Dr. Ahmed, I loved your article on blood clots, now I need to read the article on cardiac cautery. I have been diagnosed with a blocked artery, but I don't know to what extent it is blocked, I will find out next week. I hope this is all. It's been a very stressful year because I don't need any more. Thanks for all the information, it was very useful and interesting.

Great article Doctor Ahmed
I have been told that I have triple vessel disease with diffuse moderate disease in the mid LAD, severe distal LCx and OM2 disease, and moderate disease in the small proximal RCA.
I've been having trouble breathing lately and most of it is due to calcification. Is there anything that can reverse this?
I had a kidney transplant over ten years ago and a TIA three years ago. I have AF and they gave me warfarin, aspirin and caltrat. Will it be worse for the calcification? Are there alternatives? Thank you

Dr. Is it possible to have good blood pressure and still have a blockage? I become very weak and break out into clammy sweat at the slightest exertion. I'm 71, I had a triple bypass in 2012, 3 scents since then. I have a nuclear stress test on the 20th, I'm afraid I may have to go ahead and go to the ER.

My friend's daughter went to the hospital and they found her heart was 98% blocked and wanted to keep her and they said they were going to do her bypass surgery in about a week. They said they wanted to get her thyroid, blood pressure and cholesterol checked, but she died in hospital the next morning. If they had not performed emergency bypass surgery and waited for a 98% blockage, according to this article it says within a few hours: the sooner the better
Thank you a concerned friend

Hello Dr.
My mother had 90% block in LAD and 90% block in D1. Also 90% blocking in RCA, which is non-dominant. Also about 60% blocking in the minor branch of LCX. She initially underwent tank stenting in the LAD, which was closed within 6 months with 90% stenosis at stent entry and 90% mid-stent stenosis. They then recommended a bypass with LIMA delivering LAD and D1. But Dr. said they won't bypass RCA because it is non-dominant and RCA tends to create its own bypass. I wasn't satisfied with the answer and tried to find some medical literature on the problem, but I can't find the right information. What do you suggest Dr. Mustafa? I wonder if they're already cutting their chest, why not fix all the problems they can...?

My father had an angiography today...
Dr. said there is about 70% blockage in his two arteries...does he need to undergo angioplasty or can it be repaired with medicines and following a good diet.

Hello Docter,
– always trained, etc.
– was out of breath a few times, went to test
– was given a stress test and came back positive
– did an angiogram – the result was a 30% blockage in two places in the boy – showed the report to two more doctors, one said 50%, the other said 30%
- have now completely given up milk and products, haven't smoked in 10 years, don't drink
– cholectrol was 214 when this happened (151ldl, 39hdl, 15vldl). three – 100
– bought it back to 150(100ldl, 32hdl(I don't know), 15ldl) tri 140 – this went up
– was also told by a doctor that I should take sera flow 250 (inhaler) for possible asthma
– now lost 6 kg in a month thanks to the diet (76.7 kg to 71.6 kg)
- started training again after a month. even if you don't feel 100% as before
– now the symptoms go on and off – sometimes pain in the left calf, sometimes pain in the left chest next to the rast bone, sometimes tired breathing, once after exercise the whole chest was tight, occasionally I have pain in the left chest with pain in the back next to the shoulder blade, etc.
- tager choplodogrel/clopilet 75
– don't take carbon lowering drugs as the side effects were huge – pain all over etc
- I am 42 years old, have been training for more than 25 years, swimming competitions, etc.,
– for the past 4 years I have followed a diet where I ate a balanced diet during the day, but for dinner I ate 150 grams of cottage cheese + tomatoes + legumes
– what should I do – can I undo this?
- Doctors here say the symptoms are not due to constipation
- there is more, I can't write everything

I am a 52 year old woman, I have a family history of heart problems, my mother died of a sudden heart attack, my sister had 3 stents at the age of 45, I suffered from chest and left arm pain, had a calcium score of 17 and also stress test and CT versus angiogram minor coronary disease. I had a conventional coronary angiogram that showed mild to moderate irregularities in the center of the LAD. I was given astrovstatin and was told not to worry. I'm still getting symptoms, but the doctor says he doesn't think it's related to my heart. If I'm worried, especially given my family history, I feel like I'm a ticking time bomb

Hello doctor Ahmed,
I have diabetes with an HbA1C 7.0. Blood pressure is always normal. Total cholesterol 110, Trig 68, HDL 40, LDL 75, echocardiogram (EF 75%) and Stress TMT were both normal. I have no chest pain or angina. Walk (no matter how slowly) for 2 hours daily without fail. Climb 10 floors of my building without losing breath and without breaking a sweat. However, the CT angiogram results were as follows:-
Views:
•Calcium score of 883 represents the 90% percentile of the population based on age and gender.
•Multifocal high degree stenosis/occlusion at proximal RCA.
• Significant/high degree of stenosis in proximal LAD.
•Significant stenosis at proximal LCX.
• Significant stenosis at proximal ramus branch.
(Stenosegrad: Mild = 70 %)
I also had 3D cardiovascular cartography done which showed that blood flow is normal and total myocardial strain is 0 (zero)
I consulted two cardiologists. Both said I have Triple Vessel Disease and need a bypass or angioplasty.
I am your follower on Twitter and have been following your answers here, which are very helpful. I am asking for your advice whether I am the right candidate for surgery?
So

Arts,
I have a significant family risk for CAD and have therefore been followed by a cardiologist for many years. About four years ago, at the age of 58, I underwent a stress test. A target value of more than 100% of heart rate was achieved (120% of target value) and there were no findings at rest or during exercise.
Recently, at almost 62 years old, I repeated the stress test. I later learned from the report that the test was completed at 84% of target heart rate (both were treadmill tests). I experienced no unusual discomfort and was surprised when the test was completed, as I was nowhere near the exertion level of the previous test four years earlier. I have never experienced chest pain during daily moderate to strenuous activities, although I am mostly sedentary and overweight (no other risk factors). The second test was performed by a different group of cardiologists than the previous test.
I am very curious as to what could explain the fact that the first stress test was performed so much more aggressively (120% of the HR target) compared to the second test (84%). Could the results possibly not have even appeared if the second test achieved at least 100% of target or higher?
Findings were mild to moderate ischemia in the mid-inferior, basal inferolateral, and mid-inferolateral areas. No ischemia at rest. This obviously implies that there are potentially (70%+) blockages present. The advice is to use a catheter/possibly stent.
I also think a lot about whether to stent or not when there is an aggressive medication and lifestyle option. Given these findings and their severity, is there any information (obviously not advice) you can offer?
Thank you

Hello doctor, I am 63 years old, diabetic and high blood pressure. My CT calcium score for the LAD was 401. But the angiogram showed the LAD was clear and the RCA was 85% blocked. A stent was placed in the RCA. My question: If the CT scan showed that the LAD had a calcium score of 401, how come the angiogram showed this to be clear?

Have a moderately blocked stent from 6 years old..ECG and chemical stress test failed..angio on the 15th..through my wrist?!?!? First heart attack on 49th birthday. Getting Angio 5 days before my 55th birthday/heart attack day

My diabetic grandmother has 90% constipation. They talk about immediate surgery and ask for a DNR. What is the chance of survival?

Hello doctor, I hope you can help me understand what is happening to my youngest sister…This all started with swollen ankles and becoming very tired and short of breath!! RONA is 64 years old, she is overweight and is not a smoker. Big carnivore and although she is cute and we all love her, she is very lazy!!! Her cholesterol is very high: about 10 to my 4:3!! She smoked from age 15 to 60 and now uses one of those e-cigarettes. She never puts it down, even when she's puffing in bed all night! She received a letter today from a scan she had two weeks ago... stating... Prognosis of coronary death affecting the mid to distal LAD and the mid proximal third of the right coronary artery...
She read this to me on the phone, I don't understand it. Can you help me understand if this is a serious illness as my sister has a tendency to exaggerate and always seems sick. attack in the late 1960s...he suffered from heart attacks from the age of 30, underwent a triple and then a quadruple bypass at Basildon Hospital and had the prostheses removed from his legs. He was very bad... I would really appreciate your answer as I don't live with my family. I live in Essex while all my family still live in Liverpool...
Thank you

Sir, I need your suggestion. My 61-year-old father underwent open heart surgery in 2008. About 4 blockages were found and successfully removed. Now, two days ago, CT coronary angiogram was done on the suggestion of a doctor at NIMS, Hyderabad. I hereby prepare the submitted report.
CT KORONAR ANGIOGRAM
Technology:
CT coronary angiogram was performed on Light Speed ​​VCT-64 Slice MDCT
Scanner, with IV infusion of 85 ml of non-ionic contrast.
Reason for investigation: Family history of CAD. DM & HTN+. TMT positive.
He can:
LIMA -> Distal LAD graft.
SVG -> D1 graft.
SVG -> OM3 graft.
SVG –> RCA-grengraft.
Heart rate during acquisition: 55 – 58 BPM.
During the examination, normal sinus rhythm could be noted.
No adverse reactions to the contrast were found.
Results:
Koronar calciumscore (Agastson): 538.
(LAD – 203, LCX – 285, RCA – 40, OM1 – 3, OM2 – 7).
Indicates a high risk of atherosclerotic CAD.
LMCA: Normal caliber, no plaques.
LAD: Type – III ship.
LIMA –> distal LAD graft with normal anastamotic location and good contrast
opacification in distal LAD.
Diffuse disease in proximal, midsegments causing mild to moderate stenosis
(maximum 60 – 70%) with a focal area of ​​almost total occlusion.
Small calcified plaque in the distal segment causes minimal to mild stenosis.
D1: Normal caliber.
Eccentric mixed plaques have been observed, causing mild stenosis.
SVG -> D1 graft with mild disease at anastamosis and normal vessel distally.
66: Dominant. Normal in caliber.
Eccentric mixed plaques have been observed causing mild to moderate stenosis (maximum 60 -
70%).
Patient name: Mr. D S S SANKARA RAO
Age/gender: 61 years / male
Ref. dr. : jyotsna
Request number: 8482
Request date: March 8, 2018 5:22 PM
Reported on: March 9, 2018 3:32 PM
OM1: Normal caliber.
The noted eccentric calcified plaque causes minimal stenosis.
OM2: Normal caliber.
The noted eccentric calcium plaque causes mild stenosis.
OM3: Normal caliber.
SVG –> OM3 graft with normal anastomotic location and good contrast opacification of
vessels distal to it.
RCA: Reduced in caliber.
Eccentric calcified plaques noted in the proximal segment causing mild stenosis.
SVG --> RCA branch graft noted with mild graft disease. Anastamotic side is
normal.
LPDA & LPLVB: Small in caliber, no plaques.
IMPRESSION:
*Left dominant system.
*Coronary calcium score of 538 indicates a high risk of atherosclerosis
CAD.
* Status post CABG.
* LIMA –> distal LAD graft with normal anastamotic location and good contrast
opacification in distal LAD.
* SVG -> D1 graft with mild disease at anastamosis and normal vessel
distal.
* SVG -> OM3 graft with normal anastamotic location and good contrast
opacification of blood vessels distal to it.
* SVG -> RCA branch graft with mild graft disease.
* Diffuse disease of the proximal, middle LAD causing mild to moderate stenosis
(maximum 60 – 70%) with a focal area of ​​almost total occlusion.
* Small calcified plaque in distal LAD causes minimal to mild stenosis.
* Eccentric mixed plaques in D1 causing mild stenosis.
Patient name: Mr. D S S SANKARA RAO
Age/gender: 61 years / male
Ref. dr. : jyotsna
Request number: 8482
Request date: March 8, 2018 5:22 PM
Reported on: March 9, 2018 3:32 PM
* Eccentric mixed plaques in LCX causing mild to moderate stenosis
(maximum 60 – 70%).
* Eccentric calcified plaque in OM1 causes minimal stenosis.
* Eccentric calcified plaque in OM2 causes mild stenosis.
* Eccentric calcium plaques in proximal RCA cause mild stenosis.
The quantification of the stenosis is as follows: The coronary calcium score is as follows:
1. Mild: 26 – 50%. 1. Score from 11 to 100 – Moderate risk.
2. Moderate: 51 – 70%. 2. Score from 101 to 400 – Moderately high risk.
3. Severe: 71 – 99%. 3. Score of > 400 – High risk.
I can't understand the technical words in it. Can I please have my father's situation explained and what should be done according to the report? I am waiting for your answer sir.

Hello Mr
I need information, my mother is a diabetic patient and has a problem with high blood pressure some days. She asks me, my left side is very painful
Dr told me angiography and he took angiography and he asked me two blockages in the heart arteries
1: RCA = Dominant vessel with mild central disease with 40% stenosis before the crux
2:LV Angiogram = Good LV systolic function with 60% EF
Control
Medical management with changes in risk factors
Dr. does not recommend a stent to me, he says I just need to take medication and remove this blockage
Confirm I'm right, or don't introduce me

My husband found out he had heart failure 4 weeks ago after going to the emergency room with severe shortness of breath. They had to remove fluid from his lungs three times during his four-day hospital stay and was sent home with a life jacket with a defibrillator and various heart medications. My husband has always been very active in sports, is not overweight and has never smoked. He has type 2 diabetes for which he takes oral medication. At the hospital he was told that he also had weak kidneys. So 3 weeks later, after getting the results of a modified stress test, they scheduled a cardiac cat. They discovered that his heart was blocked too much and he couldn't get a stent or bypass. They referred him to St. Vincent's Hospital in Indianapolis, IN to see if they could do anything for him or arrange for a heart transplant. We are waiting for an apartment in front of St. Vincent Hospital. Any help would be appreciated - he is only 57 years old and has a bipartisan family history of heart disease.

How long does it take for a 70 percent blocked artery to become 75 percent?

Hello doctor, my friend is 67, male and had a mild MI earlier this year. He is an American national, but is in Malaysia on business, where he had the MI in January. He saw his doctor there yesterday and had some tests which showed that he had an 81% blockage in one of the coronary arteries and was told that he
Processing for this as quickly as possible. The only problem is they want $18,000 upfront. However, he has insurance in the US. He doesn't have to pay $18,000 up front. Is it relatively safe
that he returns home for the procedure?

I had had two ETTs that were negative. ECO was normal. Angiography was performed as follows. Right Cornary: Non-dominant vessel normal
Left cornea: Dominant vessel, mild irregularities OM-I showing tight ostial stenosis. Small branch of distal OM shows tight ostial stenosis
I always feel chest pressure after meals like a heavy weight on the chest, but never heart pain. But when I walk quickly (exercise), the tightness gradually disappears as I go faster.

Hello Docter,
Today my father (73 years old) had an ultrasound, blood test and ECG - the results were negative. His doctor suggested him to also go for TMT to clear his doubts and he got a positive result. Now the doctor had asked him to come tomorrow morning for an angiography, since you have a blockage. Please give me your valuable advice: 1. Can we confirm the blocking with TMT Test? 2. If yes or no in both cases, what would you advise?

Hello Docter:
Recently, during a routine health check, the TMT was interrupted after 4 minutes due to chest pain. Subsequent angiogram revealed LMCA normal, mid LAD 80-90% stenosis, LCX non-dominant proximal LCX 30-40% stenosis, distal LCS 40-50% stenosis, RCA dominant, mid RCA 95% discrete stenosis, distal RCA has tandem lesions of 50 -60% stenosis followed by 50-60% stenosis. Ultrasound normal, normal LV systolic function, PDA diffuse plaque and PLV plaque. Does my condition require bypass surgery or can it be treated with medication? If surgery is necessary, I can opt for minimally invasive MICS-CABG

Hello Docter:
Recently, during a routine health check, the TMT was interrupted after 4 minutes due to chest pain. Subsequent angiogram revealed LMCA normal, mid LAD 80-90% stenosis, LCX non-dominant proximal LCX 30-40% stenosis, distal LCS 40-50% stenosis, RCA dominant, mid RCA 95% discrete stenosis, distal RCA has tandem lesions of 50 -60% stenosis followed by 50-60% stenosis. Ultrasound normal, normal LV systolic function, PDA diffuse plaque and PLV plaque. Does my condition require bypass surgery or can it be treated with medication? If surgery is necessary, I can opt for minimally invasive MICS-CABG. I do not have diabetes (FBS-100, PPBS-105), I am not overweight (height: 172 cm, weight: 60 kg). I am vegetarian, newborn, non-smoker.

Hit doctor..
Sir, I have been experiencing mental stress due to my personal problems, my age is 31 years, I feel pain in my left shoulder and upper back, does this refer to a heart problem??? my intention case has not been resolved yet, what should I do?

My heart is working at 35%. I have a pacemaker. Am I susceptible to a heart attack? I had severe chest pain 2 days ago. All tests went back to normal. The next day I was tired and very dizzy.

Hello. I am a 62 year old woman with a family history where father first developed MI at age 37 and died at age 40. I recently had a CTCA due to this history and have also had a few episodes of near syncope, which on further reflection may have been explained by other causes. I am overweight, eat mostly healthy, don't exercise enough, and total cholesterol is 6.2 with LDL at 3.7. My CTCA showed a calcium score of 2.2 and 10% in LAD. All other arteries were clear. I was given Crestor, although I wasn't really happy with it and tended to take it every few days. Can I have your opinion please?

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My wife is 88 and had a heart attack; As a result, 2 stents were placed. Since that procedure, she has not had any chest pain. And has accepted more surgeries to insert a new heart valve. I asked her nurse if it was possible to postpone the surgery; because my wife has shown constant improvement. The only discomfort she experiences is due to the daily intake of 8 pills prescribed to her by her doctor. I asked the nurse to inform the doctor of this possible delay. I reminded the nurse that she was a counselor and just as good as the doctor. She had a visiting nurse who called her twice a week... for a month.