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JeffandGop posted:
I live in Thailand and just completed a heart checkup at tbe local hospital. I've been having some pressure pain in the middle of my chest. Tests included cholesterol check, chest X-ray, Echo Cardiography, EKG, Carrotid Doppler & a CT scan.
All tests resulted in a normal condition finding. All cholesterol levels at good levels. However, the CT scan found in/at the LAD "mild to moderate stenosis at the early proximal part with small calcification, eccentric diffused severe stenosis (70%) with moderate to severe (60-70%) eccentric stenosis at the mid part with clump calcification."
The cardiologist said if the measured stenosis had been 80%+ he would have recommended a stent but would not suggest a stent given my results.
I wonder if this view is shared/consistent with US practice.
Anybody have any thoughts?
Thank you...
James Beckerman, MD, FACC responded:
Often times when a person has an abnormal CT scan we might consider an invasive coronary angiogram to get a better sense of the severity of blockages, and sometimes perform a test called "FFR" which can better determine how likely a blockage might be to cause symptoms. That information plus your symptoms plus your current medications help your doctors decide the best way to treat you.

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