Brief Answer: You're hearts LAD is mildly blocked, called CAD Detailed Answer: Hello Sir, I rememebr fielding your question on the Coronary Angio last time. I hope you don't mind that I continue my discussion with you here. I see your ECG and I see the Blood work. I can see the changes in the anterior lead leading to the diagnosis of Anterior wall ischemia. I am also happy you uploaded the original coronary angio report. From what is described in these reports you are suffering from the very common affliction of "Coronary Artery Disease", CAD. This is a problem where one or more of the main arteries that supply blood to the heart itself have become mildly narrow. This narrowing happens due to age no matter what. But it can be accelerated by Hypertension, stress, infections, High Cholesterol and Smoking.. just to name a few. The problem is common and easily managed. You need to be started on medications that will thin the blood (eg, Aspirin and Clopidogrel) and prevent further narrowing of the artery. Exercise needs to be looked into so that you can increase the amount of HDL Cholesterol in your blood. That may help clean up the artery. The levels of LDL cholesterol and total cholesterol need to be reduced. Speak to your doctor about starting you on a medication called a STATIN (there are many, Atorvastatin is one example). Next, you need to look into your stress levels and blood pressure. Stress and everyday annoyances are factors which increase you BP and damage the cornoary arteries. If you need to have your BP controlled by medication.. so be it. If you can get away with yoga, meditation and other lifestyle changes and avoid medications, all the better. Lastly, you need to speak to a dietician about starting you on a Low fat, healthy diet which will help control your BP and prevent worsening of the CAD. Disscuss these issues with your cardiologist when they go over the tests with you. Once you start with these things, you will be well on your way to prevent worsening of this LAD artery and maybe even reversing it. Thanks for the question. Take Care. Feel free to follow-up

---