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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does LAD Origin Causing 30-35% Luminal Narrowing Indicate?

Hello
I would like to know the precaution about ...how to reduce soft plaque noted at LAD origin causing 30-35% luminal narrowing with fibrocalcific plaque seen in mid LAD causing 40-45% luminal narrowing.
Please reply soon waiting for your positive reply
Wed, 2 Jul 2014
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Geriatrics Specialist 's  Response
Hi,
LAD is left anterior descending artery. It is a major coronary blood vessel supplying the predominant part of the heart. Any block in this vessel could lead to major massive myocardial infarction.
The report says that at the origin of the LAD, there is lumen narrowing of 30-35% and in the middle part of the artery 40-45%. If there is a clot within blood vessel (thrombus), it can get easily lodged and result in massive infraction.
Fibrocalcific plaque is due to atherosclerosis.
Precautions you can take against further narrowing of the lumen are:
1. It progressively increases and way of slowing it is to control lipid levels. Try to maintain lipid levels within normal limits, using statin group of drugs.
2.Also know the signs of myocardial infarction to educate self and others surrounding you.
3. At intervals also go for Stress ECG testing.
Any further queries, happy to help again.
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What Does LAD Origin Causing 30-35% Luminal Narrowing Indicate?

Hi, LAD is left anterior descending artery. It is a major coronary blood vessel supplying the predominant part of the heart. Any block in this vessel could lead to major massive myocardial infarction. The report says that at the origin of the LAD, there is lumen narrowing of 30-35% and in the middle part of the artery 40-45%. If there is a clot within blood vessel (thrombus), it can get easily lodged and result in massive infraction. Fibrocalcific plaque is due to atherosclerosis. Precautions you can take against further narrowing of the lumen are: 1. It progressively increases and way of slowing it is to control lipid levels. Try to maintain lipid levels within normal limits, using statin group of drugs. 2.Also know the signs of myocardial infarction to educate self and others surrounding you. 3. At intervals also go for Stress ECG testing. Any further queries, happy to help again.