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What Do My Angiogram Test Results Indicate?

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Posted on Thu, 28 Apr 2016
Question: I had a cardiac XXXXXXX yesterday show. results fluoroscopy extensive calcification of the coronsary arteries. the left ventriculogram shows EDP of 10. no mitral regurgitation a ejection fraction is 65%. ascending normal size. the left main measures 4.5 mm in diameter 2ith 20 % proximal stenosis. the left anterior descending artery 3.25 mm in diameter with negative remodeling at the ostium in the proximal with a 30% ostial stenosis. the left circumflex artery has luminal irregularities with a 30% ostial stenosis. ramus intermedium verus the high rising marginal is normal, the right coronary artery is dominant. the vessel measurement is 4mm in diameter with luminal irregularities.
, dotial calcification and negative remodeling and 60% ostial stenosis. good flush flow back around the 6-french catheter and a 4-french catheter placed across the lesion shows no change in the pressure waveform

What does it mean?
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Answered by Dr. Dr. Meriton Siqeca (49 minutes later)
Brief Answer:
My answer is as follows:

Detailed Answer:
Hello, madame. Thank you for your question and welcome to HCM.
I understand your query.

First of all, congratulations on your successful angiogram. That means that no further assessment and treatment measures are needed. According to your age of 74 years old, it is totally expected that you would have some narrowing/blockages in your coronary arteries.

These blockages are all non-significant, as called in our invasive cardiologist nomenclature. A stenosis (blockage) should be 75% at least so it would require a stent placement. At least, this is my everyday job, and I would not proceed with stent placement, in your case, also according to the fact that your right coronary artery is of 4 mm diameter (a great artery - which does not impend a good circulation through this artery). Of course, a stent placement is always a decision of the performing operator.

This is my insight. I would recommend you to be strict in taking your medication, as coronary artery disease cannot be "vanished", but, with medication, at least, we can refrain it to progress further, and produce greater blockages than those provided. I would recommend you to not refrain from any physical activity, but continue your life and everyday duties as always performed.

I hope my answer is helpful and thorough to you. If you have followup questions, I am happy to help.

Best regards,
Dr. Meriton
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. Dr. Meriton Siqeca

Cardiologist

Practicing since :2009

Answered : 775 Questions

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What Do My Angiogram Test Results Indicate?

Brief Answer: My answer is as follows: Detailed Answer: Hello, madame. Thank you for your question and welcome to HCM. I understand your query. First of all, congratulations on your successful angiogram. That means that no further assessment and treatment measures are needed. According to your age of 74 years old, it is totally expected that you would have some narrowing/blockages in your coronary arteries. These blockages are all non-significant, as called in our invasive cardiologist nomenclature. A stenosis (blockage) should be 75% at least so it would require a stent placement. At least, this is my everyday job, and I would not proceed with stent placement, in your case, also according to the fact that your right coronary artery is of 4 mm diameter (a great artery - which does not impend a good circulation through this artery). Of course, a stent placement is always a decision of the performing operator. This is my insight. I would recommend you to be strict in taking your medication, as coronary artery disease cannot be "vanished", but, with medication, at least, we can refrain it to progress further, and produce greater blockages than those provided. I would recommend you to not refrain from any physical activity, but continue your life and everyday duties as always performed. I hope my answer is helpful and thorough to you. If you have followup questions, I am happy to help. Best regards, Dr. Meriton