Dear Mr Mehmood,
Thanks for writing. I am qualified and certified cardiologist.I read your question with diligence. Normally, we reserve revascularisation by stent implantation
or coronary artery
by pass grafting for lesions more than 70% occlusion, unless a) spasm is additional contributory factor b) it is a situation of acute coronary syndrome
. Reading your CT angiography
report it appears your arteries are moderately calidified and lesion is diffuse. Real situation is often revealed with 100% certainty with routine coronary angiogram combined with what symptoms patient is having with maximum medical therapy. With the available data I would definitely try maximum medical therapy rather than intervention of LAD with coronary angioplasty
with stent implantation first. Leaving option of intervening if so required. Good Luck.
With Best Wishes.
Dr Anil Grover
MBBS, MD (Medicine) DM(Cardiology)