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Angiogram results - 90% blockage
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aruhussi posted:
Hi, My father had an angiogram recently and the results showed 90% blockage. The test was mainly taken to see if he needed a bypass surgery. After the results arrived, his doctor now feels that going for bypass may not be a best option for him. The reason being the percentage of his blockage. My family is going to get a second opinion from another specialist to find out if bypass would still be a good option. If anyone of you have already faced this situation, can you please shed some light on this. Any help would be deeply appreciated. Thanks Arvind.
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CardiostarUSA1 responded:
Hi: My sister's girlfriend's boyfriend recenty was faced with a similar situation (i.e., involved an almost 100% blockage) such as this. More often, as applicable, single vessel coronary artery disease can be treated with catheter-based angioplasty and stent (drug-eluting or bare-metal) implantation, as opposed to coronary artery bypass graft (CABG) surgery. Interventional cardiologists typically consider/perform angioplasty, with or without coronary stenting, if/when a blockage is 70%75% or greater in the right coronary artery (RCA), left anterior descending (LAD), left circumflex (LCX), and some of the respective branches. Granted, in some cases, bypass is deemed better and in some cases, angioplasty/stenting and bypass are not viable options. Most important, coronary artery disease (CAD) is a lifelong unpredictable (can exhibit periods of stabilization, acceleration, and even some regression) condition, requiring a continuum of top notch care, and good doctor-patient/patient-doctor communication and understanding at ALL times. Best of luck to your father down the road of life. Take care, CardioStar☆ Advocate for ♥-Health i My father had quad bypass at the spry-young-age of 77, then three years later, and beyond, had multiple angioplasties and stents. - - b ☑Be well-informed WebMD b Living with Coronary Artery Disease (CAD) A chronic disease with no cure. When you have coronary artery disease, it is important to take.... This is especially true if you have had an interventional procedure or surgery to improve blood flow to the heart..../It is up to you to take steps.... b Recognize the symptoms. Reduce your risk factors. Take your medications. See your doctor for regular check-ups.... www.webmd.com/content/pages/9/1675_57792.htm b Coronary artery anatomy Starting with the left anterior descending coronary artery, the most critical coronary artery, next to the ultra-critical left main coronary artery. www.heartsite.com/html/lad.html - b Good to know, for the primary/secondary prevention of heart attack/brain attack Epidemiologic studies have revealed risk factors for atherosclerosis (typically affects coronary, carotid, peripheral arteries), which includes age, gender, genetics (gene deletion, malfunction, mutation), diabetes (the highest risk factor), smoking (also secondhand), inactivity, obesity (a global epidemic), high blood pressure (hypertension), diet high in fat, saturated fat and cholesterol, high LDL, high Lp(a), high ApoB, high Lp-PLA2, high triglycerides, LOW HDL (less than 40 mg/dL, an HDL level of 60/65 mg/dL or more is considered protective against coronary artery disease), high homocysteine, and high C-reactive protein (CRP/hs-CRP). - The hospital/medical center you choose can make a difference...a critical difference. Choose wisely! i Credentials, Experience, Research U.S. News & World Report b Best Hospitals: Heart & Heart Surgery www.usnews.com/directories/hospitals/index_html/specialty+IHQCARD OptumHealth b Making the Most of Your Doctor Visits Ten tips for making your visit to the doctor more effective. www.myoptumhealth.com/portal/Health+Hubs/item/Making+the+Most+of+Your+Doctor+Visits HealingWell b You and Your Doctor: It Takes Two to Tango Your medical care is a TWO WAY street...... www.healingwell.com/library/health/article.asp?author=salvucci&id=5 i Quote "Be a questioning patient. Talk to your doctor and ask questions. Studies show that patients who ask the most questions, and are most assertive, get the best results. Be vigilant and speak up!" - Charles Inlander, People's Medical Society . b ☛WebMD/WebMD message boards does not provide medical advice, diagnosis, or treatment. b ☛WebMD does not endorse any specific product, service, or treatment.


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