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Course of treatment for Coronary Atherosclerosis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2308 Questions
User :   my dad's CAG report has the following observations: -
1.Distal LMCA 40% Diseased
2.MID LAD 90% disease,D1has proximal severe disease
3.LCX & OMS:40% STENOSIS at proximal part,OM1 60% Stenosis
4.RCA:Proximal paert40% stenosis,mid part 70% stenosis,distal part 60% stenosis,PDA also diseased
What should be the course of treatment now?
Doctor :   Hi
User :   hi
Doctor :   Let me read it
Doctor :   May I know your dads age?
User :   65
Doctor :   may I know what symptoms he has?
Doctor :   Other comorbidities/diseases?
Doctor :   & the treatment schedules that he is on for the above?
User :   he has absolutely no symptoms.just while doing a routine health check up he has been suggested for CAG.He is high blood pressure and takes one pill(Amtas AT) daily.
Doctor :   Is he on any other medications besides what you have mentioned, Aspirin?
User :   apart from this ,he takes 0.25 alzolam at night daily.
Doctor :   OK, since the most of the arteries are blocked to quiet
Doctor :   a large extent
Doctor :   I would recommend him to unbdergoe a coronary artery bypass
Doctor :   at a comfortable date as soon as possible, even though he has no symptoms
Doctor :   May I know what your Cardiologist has recommended?
User :   we r yet to consult him in a day or two..
Doctor :   He will have to be put on Aspirin untill then
User :   ok...
Doctor :   How are his activities?
User :   he is doing normal activities....
Doctor :   Good
User :   can medicines cure this thing...?
Doctor :   Medicines can only prevent further build up of the
Doctor :   plaque in the arteries
Doctor :   but it cant remove the existing blocks
Doctor :   the only way to remove the existing blocks is
Doctor :   with surgery
Doctor :   If the blocks were smaller, we could have waited, since he has no symptoms,
Doctor :   but since so many arteries & some of them with 90%, its not advisable to wait for an attack to happen, to intervene surgically.
User :   ok thank you....
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