Sometimes, if the blockage is towards the end of the artery, medicines alone may be advised. I had been having problems with 2 large varicose veins, one in each leg…. There is fibrocalcific plaque noted in the proximal LAD approx 0.7 cm beyond origin causing significantly focal 75-80% narrowing .the involved segment measures approx 0.8 cm in length . The Left anterior descending artery typically supplies over half of the heart muscle with blood, so twice as much as the other coronary arteries. Reply What Will value your opinion , thank you. being scared wont help you. Thank you. The small area with significant viable myocardium in the distal septum involves less than 5% of the LV myocardium. Dr. Ahmed is an interventional cardiologist and Director of Structural Heart Disease at The University of Alabama at Birmingham. Now , I am stick to all these instruction since two months except stop smoking , I feel good , there is no symptoms , some rare times I feel uncofortable , but I did my stress test and echo and it is fine . My cardiologist says nothing to do as that 20% of heart has died no point reopening the LAD. comment what possibly went wrong . Language Assimilation Development Development, Study, Learning. The treatment in either case is mainly for symptomatic relief. lisa says They suggest me angiography and I convinced and they done it ..after that they told me that .He have serious blockage in LAD ATTERY 80_90% blockage and also a blockage in CRA Up to 99% know they suggest me to do angioplasty (stents) what should we do know ??? Hello I am a 46 year old male. It all depends on your symptoms and why the test was done in the first place. I know nothing about Internist and whether I should trust anyone besides a cardiologist with my heart. – 40 mm Hg peak to peak gradient across the aortic valve. My ejection fraction was 40% in the hospital. If a blockage slows or stops blood flow a clot can form, but the hear attack itself is not often caused by an actual clot as much as the collection of platelets. Last July I went to the emergency room with chest pain and nausea. Get evaluated by a cardiologist who can evaluate your symptoms and assess your need for stress testing and suitably medically treat your coronary artery disease. one by one.. LAD definition / LAD means?. If you would feel more comfortable with a 2nd opinion I’m sure the initial physician won’t mind. The patient’s baseline blood pressure was normal. January 25, 2016 at 10:01 am 81 mg aspirin is likely the correct dose. The genetic defect in LAD III is a mutation in the gene for Kindlin 3, a protein essential for all integrins activation. It depends on the lesion and the images. It is a vague response that is not to be used as direct medical advice and in no way should replace the opinion of a medical provider. I am one month out from the procedure. what options other than warfarin do we have. What to do know ? IMPRESSION: The perfusion study reveals a large area of infarction in the apex and the anteroseptal wall. I still have Angina daily and have been taken by ambulance back to hospital to be told it’s angina. Films need to be reviewed by both a surgeon and an interventionalist. Just received the results of my CT Heart Wo Con Coronary Calcium Scoring … Reply However, he says always, if you feel shortness of breath or Angina, call immediately and we will do an angiogram. LCX: Is a co-dominant vessel and normal. With the lifestyles lead today and the risk factors, this is becoming increasingly common. They occur in the case of blockages that become severe in s stable fashion over time. It is right in middle of my chest and nagging discomfort. My question is PCI bypass or a stent area. How would you personally treat a patient like me. Results show Second Diagonal of left coronary (mid size vessel) has 30 t0 50% stenosis, otherwise mild calcification left Main & LAD.No significant finding in Right coronary. Left ventricular measurements would have any of these tests shown a blockage? 2.LAD 40 to 50% disease in proximal course Especially ecospirin ? They told me 3 years ago that there were illregularities just think they should of sorted it then and not let me have a mild heart attack this time. Tests showed I have high cholesterol 6.3. The patient experienced palpitations. Are there any techniques to locate an LAD ? Now our authors are keeping readers up to date with cutting edge heart disease information through twitter. I was admitted to the hospital and later that day a stent was placed in the RCA and I was sent back to the room to recover. God Bless You. The very proximal LAD Has a very tight stenosis of 90%+ My family doctor sent me to see a cardiologist , the cardiologist ordered a stress EKG and result where normal . I had a routine stress test as part of annual physical on Monday this week. His symptoms , due to which he was referred to the hospital, were an episode of sweating, nausea and dizziness during a flight . I am at a crossroad myself, I am 56 years old and had a first heart attack in 2006 in the RCA area , I recovered quickly and the Dr said it was mild and was started on statins at that time. So they put a stint in and put me on 75 mg of plavix once a day. Total cholesterol 196 , LDL 128, HDL ,50 , triglycerides 108 I am looking for guidance since I have had multiple procedures done on my LAD and it looks like the trend will continue unless I go in a different direction. I did fail my stress test but heart muscle good no heart attack but my family history of FH and genetic testing reveals A/P markers which means I believe my liver does not filter things out like cholesterol and sugar. LAD II is caused by mutations of the SLC35C1 gene. Thanks in advance. Surgery ,,,put in ur widow Maker,,to donate blood. Heres to all the heart warriors out there. In response to the evolving pandemic, emerging topics related to COVID-19 are featured in the special Cardiology in the Time of COVID-19 episodes. Of course first and foremost attention to risk factors is key. Myocardial perfusion imaging is abnormal The vein goes from my feet up into my belly area. One doctor put me on statin , another Dr said i need a angiogram . All remaining scored segments are normal. D2 is a small caliber vessel. These situations are often very complex and vary hugely from patient to patient. Activities of Daily Living A.S.A.P. Inspection of scars or skin changes; Palpation of temporomandibular joint, thyroid, and lymph nodes; Percussion may involve the skin above the frontal sinuses and paranasal sinuses to detect any signs of pain; Auscultation for carotid bruits I generally looked exhausted and felt breathlessness on climbing/high altitudes. My proximal LAD was 90%+blocked and I was treated with a stent. It does not happen all the time though. ; What does LAD mean? https://myheart.net/articles/stent-save-life/. I said wait how critical am I? To my dissatisfaction I agreed, here we go 3 LHC’s in 3 weeks! After review pls kindly advise my mail ID : [email protected], LMCA :Short normal It happens typically when the blood flow was too good in the native artery and a bypass wasn’t required. You know its amazing how most doctors don’t even tell you to take coq10. He was in the hospital having surgery to remove colon cancer and had a heart attack a few days later. I had open heart surgery 31 years ago for 93% of blockage of the same artery. thank you. Dear Dr Mustafa, Problem is meet with the surgeon. He went to work that Monday morning like normal, worked all morning then him & his crew went to lunch as normal, they all got back from lunch that afternoon & my brother had asked one of the other guys if his stomach was upset since eating bc he told the guy he was extremely sick at his stomach very hard cramps then turned to walk to truck & collapsed. They said my symptoms warrant early revascularisation of my lad. LAD artery Troponin Levels – The Heart Attack Blood Test. Kim, I am sorry for your loss. Greetings! NM REST MYOCARDIAL PERFUSION and MRI CHEST Was done. My father is 63 yrs old … He is diabetic since 20 yrs on insulin since 3 years….now he has 3 vessel coronary artery disease…angiogram done ….its findings are…LAD mid 90% distal 70% diagonal osteal 70-80% , LCX MID 100%, RCA prox 95%, mid 80-90%….one dr advosed him cabg nd cardiology interventionist saying stents can be placed 3 stents in LAD nd RCA…nd will leave lcx as it is blocked….kindly tell me which is the better option cabg or angioplasty? I’m waiting for consultation, but the Dr. performing the Cath. The L main has an ostial narrowing 50% with a shelf – like plaque. and if in two more months it doesn’t work he may have to be put on warfarin to dissolve the clot. Filed Under: Coronary Artery Disease Tagged With: Heart Attack (Myocardial Infraction), heart blockage Distal LAD appears normal with no significant plaquing or luminal narrowing. But everyone is saying me to have angiography only n never go for stent. Is this a good idea or could kill me? Lipoprotien (a) Lp (a) 60.50 mg/dl ( Range < 30). Results sent me for Cath of heart same day. Thank you! I suspect surgery is the best course of action if your problems recur. LVEF = 45% Why were we not put on xarelto immediately. SUMMARY: Would need to see the pictures to give you a decent opinion. Also diagnosed with NYHA Class 2 Systolic & Diastolic. The pot helped with stress give a more thorough answer of intervention be determined by treating physician with regards the! I received a letter today saying occluded LAD, many inside others, once clotting a.... Your problems recur proximal – small mixed density plaque is seen in the emergency room to! Natural ways to reduce the plaque to intelligently advise you same stents?! Assessment with modalities such as iFR to determine whether a procedure is required treat... Had 5-way CABG in case re stenosis occurs again in Taber 's medical Dictionary abbreviation! 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