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What does this lab report post stent placement indicate?

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Posted on Sat, 21 May 2016
Question: sir
my father has been done angioplasty in rca and lcx with stent, i want to know why the lad which shows diffuse cad disease with proximal to middle maximum 90% stenosis was left untreated and how it can be treated now.i am attaching dropbox link of all reports and cd of angioplasty, kindly answer only after seeing it
https://www.dropbox.com/sh/q0hwbv83hkz8z9m/AABf8hoIMWd8uP9Nn-ddudbxa?dl=0
https://www.dropbox.com/sh/gha6o615y7qodwh/AACX5xGzBgtUfYUUtRnsLjMea?dl=0
doctor
Answered by Dr. Prof. Kunal Saha (3 hours later)
Brief Answer:
Angioplasty with medicated stent advisable.

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone through the description and have tried to download the attachments. There seems to be a problem and I would request you to upload the same here using the facility on the upper right of this page. Based on that I would be able to guide you further.

However, if there is a 90% block, I would strongly suggest putting a stent using angioplasty. I need to ask about the intensity and frequency of chest pains that he has.

The recommendation for less than 3 blockages is angioplasty and for 3 or more, a cardiac bypass surgery is recommemded.

Regards
Above answer was peer-reviewed by : Dr. Yogesh D
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Follow up: Dr. Prof. Kunal Saha (12 hours later)
Hi, I have provided some attachments. Please review them.
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Answered by Dr. Prof. Kunal Saha (15 hours later)
Brief Answer:
Recommendations are correct.

Detailed Answer:
Thanks for asking on HealthcareMagic. I have gone very carefully through the attachment. There are definite signs of lack of blood supply to various parts of the heart. The recommendation 'Primary PTCA with stent to LCX and RCA. Staged procedure LAD' is correct and I would insist progressing on those lines. The follow up medications are correct too.

I understand that is indeed a tough situation. But things are proceeding in the right direction.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4470 Questions

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What does this lab report post stent placement indicate?

Brief Answer: Angioplasty with medicated stent advisable. Detailed Answer: Thanks for asking on HealthcareMagic. I have gone through the description and have tried to download the attachments. There seems to be a problem and I would request you to upload the same here using the facility on the upper right of this page. Based on that I would be able to guide you further. However, if there is a 90% block, I would strongly suggest putting a stent using angioplasty. I need to ask about the intensity and frequency of chest pains that he has. The recommendation for less than 3 blockages is angioplasty and for 3 or more, a cardiac bypass surgery is recommemded. Regards