There were no arrhythmias. Distal LAD disease is presence of plaques in the vessel beyond two major branches. Why was the angiogram done? The left or the right gastric artery, , or a short gastric artery. My question is when there is 80% stenosis should not we do a surgical approach? Cabg or stent apex totally necrosed. My cardiologist assures me it’s not heart pain and maybe joint or muscle pain. My question is if their was100% blockage of second Diagonal, how serious is heart attack.Also what is rate of progress of disease.mind you, even though, am insulin dependent diabetic long time, i am very well controlled. 2. The most important thing is follow up, medications, lifestyle, activity, diabetes control, no smoking, and risk factor control. The bodies natural instinct is to attack foreign object placed in the body which is why clots are an issue post stent. I have written to you before above on my husband’s medical condition. hypokinetic. If you need the echo results and all other results I can send them to you via email if you give me your address. He could have been alive.? Each case is unique, in some cases stents may be preferred and in some a CABG. He came to my side and said I needed bypass surgery and a surgeon would come to my room to consult me. Proximal 70% Stenosis. Mike was already on Rosuvastatin 20mg and had been for over 15 years due to family history. LAD has subtotal occlusion in the mid segment with a TIMI -1 0 flow and 99% stenosis. abbreviation for leukocyte adhesion deficiency. My family doctor sent me to see a cardiologist , the cardiologist ordered a stress EKG and result where normal . It means he has some major blockage in one of his main heart arteries. You have blockages but they aren’t critical, according to the tests the overall general risk is too low to justify invasive testing unless your symptoms were to progress or not be settled by medicines, at this point optimization of medicines, control of risk factors etc is advised in general. Im guessing that your husband has been placed on the Xarelto for either very poor heart function or the presence of a clot in the heart. I am starting to feel unwell again. The terminal branch of the popliteal artery or the initial branch of the posterior tibial artery; it runs along the front of the leg alongside the peroneal (fibular) nerve. A lenticulostriate or a thalamostriate artery (a branch of the posterior cerebral artery) that supplies blood to the striate nucleus of the brain. The superior or the inferior vesical artery, which is a branch of the internal iliac artery and which supplies blood to the urinary bladder, the lower ureter, and in males, the ductus deferens. My CORONARY ARTERIOGRAPHY results are as mentioned. Peak The mid anteroseptal segment is hypokinetic. One of the branches of the middle cerebral artery that supply the basal nuclei of the brain. Available for iPhone, iPad, Android, and Web. I’m scared as to what to eat to try and lower my cholesterol. now having to have a stress test ? At the level of the junction between the atria and the ventricles, the left coronary splits into the circumflex artery, which runs to the left along the outside of the heart in the atrioventricular groove, and the left anterior descending artery, which continues down the interventricular groove. It supplies blood to the forearm, the lateral side of the wrist, and the palm, and its branches include the radial recurrent, superficial palmar, palmar carpal, dorsal carpal, dorsal metacarpal, and dorsal digital arteries. Addendum: Your email address will not be published. Result – acute MI – near occlusion of LAD. Essentially normal symmetrical tracer uptake is noted in rest of the left ventricular walls.The gated SPECT images show normal left ventricular regional wall motion with LVEF of 70%. With the inferior alveolar nerve, the inferior alveolar artery enters the mandibular canal through the mandibular foramen. My question to you is how soon/ urgently he should get this surgery done. It will need surveillance only most likely. It depends on the lesion and the images. The small area with significant viable myocardium in the distal septum involves less than 5% of the LV myocardium. There is fibrocalcific plaque noted in the proximal LAD approx 0.7 cm beyond origin causing significantly focal 75-80% narrowing .the involved segment measures approx 0.8 cm in length . I smoked marijuana like cigarettes for 20 years. Mine can be followed at MustafaAhmedMD ). Also when I become more blocked is a stent the right way to go with just 1 blocked over 70% and with my diabetes is that a good idea? Reply Why is a statin necessary in my case or is it? The mild LAD disease is unlikely to be related to any decision making. 5. I really dont understand what happened as Doctor says though they were complete blocks he would survive .He has shortness of breath for hours and then he passed away .they were unable to perform an angioplast as they said the blocks were too thick .hes had a bypass earlier . As my father is little bit reluctant for cabg….nd tell me this too that leaving lcx blocked is dangerous or not? Medical » Laboratory-- and more... Rate it: LAD: Ladino. 4. Non smoker ,non drinker , reasonably physically fit, 51 yrs next month ,was asked by office doctor to CT coronary angiogram as a part of annual health checkup . Nearly a decade ago I witnessed a fatal heart attack of a 19 year old male. my husband didn’t go to the doctor for 12 years. The doctor’s reccomendation is PCI to LAD and RCA. overall normal LV function. In general 60% blockages don’t require stent or surgery. 5.LV Angio GOOD LV FUNCTION. I do have family history of heart problems. I had no symptoms of either it was actually stumbled by by my neurologist and the heart attack was sudden when I got terrific pain in my shoulder. MY CARDIOLOGISTSAID THE TEST WAS GOOD RESULTS, IT WAS DONE BY A RADIOLOGY DEPT THAT ONLY SPECIALIZE IN THE HEART. The major artery supplying blood to the brainstem and the cerebellum. my husband has coronary artery diease age 67 had open heart surgery a year ago with 2 bypasses ..now a year later having intermittent chest pain with exertion. What are your recommendations on how to proceed with this diagnosis? Thank=you doctor. – RCA: Dominant, spotty calcium proximally. It forms as the union of the vertebral arteries on the ventral surface of the hindbrain; it runs as far as the midbrain, just rostral to the oculomotor nerves, where it splits into the right and left posterior cerebral arteries. Please advice whether it is to be provided or not for my health. Although fasting shouldnt be too much of an issue i suggest you speak to your drs as many factors in a persons medical history need to be taken in to account (kidney disease/diabetes etc). One was placed inside the blocked stent in LAD and another was placed in RCA. Is there something going on in the whole of the system that is causing a blockage to form in the LAD? In the situation described, medical treatment would be typically advised over any type of intervention. pda and plv are faintly visualized retrogradely by collaterals . The third branch of the external carotid artery; it supplies blood to the tongue, the suprahyoid region of the neck, the sublingual gland, and the palatine tonsils. – Mixed density calcified & non-calcified plaque in proximal LAD for about 12mm length causing 50% to 70% stenosis, located 7mm from the origin, with optimal distal flow. The superior or the interior hypophyseal artery, both of which are intracranial branches of the internal carotid or the posterior communicating arteries and both supply blood to the hypophysis (pituitary gland). 1. which medication will he have to use for life time- taking in mind he is only 48 years old. There were no arrhythmias. A branch of the middle or the anterior cerebral artery that supplies blood to the basal ganglia and much of the internal capsule. A lot depends on the distribution of the vessel and the area at risk but in general the diagonal is considered a 2nd order vessel and if medium in size although the heart attack could potentially be significant its unlikely to be large. Its branches supply blood to the trapezius muscle and to the medial scapula. However, he says always, if you feel shortness of breath or Angina, call immediately and we will do an angiogram. lisa says The second unpaired midline artery branching from the abdominal aorta; it originates 1 to 2 cm distal to the celiac artery. tmt came positive and following angiogram i was diagnosed as follows: left anterior descending artery-tyoe 3 vessel shows proximal and mid mild disease. Retrieved January 29, 2021, from https://www.allacronyms.com/LAD/medicine. To my dissatisfaction I agreed, here we go 3 LHC’s in 3 weeks! The posterior tibial artery continues into the foot behind the medial malleolus; beside the calcaneus bone, it branches into the medial and lateral plantar arteries, which run in the plantar side of the foot. He changed me from simvastatin to lipitor and gave me blood pressure med. I can feel my heart racing all the time……, Hi.my father had 1spent in lad about 4 years ago. m-AVR â mechanical Aortic Valve Replacement. Also diagnosed with NYHA Class 2 Systolic & Diastolic. ACAS â Asymptomatic Carotid Artery Stenosis Study . The report says, Left main Coronary Artery : Normal Its branches include the acromial arteries and it anastomoses with the subscapular and transverse cervical arteries. I picked up my records and saw he noted LAD 40% long lesion noted in distal tip of heart and tortuosity with twist and turn of diagonal 1 artery. is this thoat tighness while jogging occur due to blockage. I would ask your Dr. what group you fit in to. I have had multiple stents to LAD, many inside others, once clotting a day after causing an mi. These regions include the primary motor and sensory cortices; therefore, a blockage of the internal carotid artery circulation, e.g., a unilateral ischemic stroke, often produces unilateral motor weakness or sensory loss on the opposite side of the body. A branch of the superior mesenteric artery; it runs to the right, it supplies blood to the ascending colon, and it anastomoses with the middle colic artery and branches of the ileocolic artery. A small area of viability is seen in the distal septal wall within the area of the infarct. We are to do an MRI of the chest to decide whether xarelto did the job or we have to go to warfarin and I have a lot of reswrvations for warfarin. RCA: Is a co-dominant vessel and shows proximal 40% stenosis. I feel as tho I’m going crazy…… Thank you…. Anyway im afaird due to my family history. The first branch of the external carotid artery; it supplies blood to the surrounding muscles, the infrahyoid region of the neck, the larynx, and the thyroid gland, where it anastomoses with the inferior thyroid artery. My questions are- The test came out at 165 with 142 in my LAD area and 23 in my CX area. Everyone states its anxiety but I still get the pain. Out of 5 stent , 1 was bio-absorb-able. I was then asked to do thallium stress test : Hi ! I was told it I’d genetic. Its dependent on many factors such as general health, level of functional capacity, compliance with medications, underlying heart function etc, these are all equally as important in determining prognosis. Is there an explanation for why a 100% block in LAD did not cause death of heart muscle? I am 76 year old andhaving aCoronary artery bypass surgery in Nov 2011 and I am on madicones . End Diastolic Diameter: 56 mm (normal, 36-56 mm The terminal portion of a pulp artery in the spleen. In such cases, if possible bypass surgery is often the better option. I began a year long course of Keladine cream…snake oil, I know but you tend to grasp at staws. If you could help me understand why this happens and if I will need surgery on my aortic artery that would help me out a lot. after this result my doctor has put me on Ramapril 5mg and atorvastatin 80 mg , but I am worried . Significant blockages of the LAD artery can be dangerous simply because the LAD supplies such a large territory. He went for a Coronary angiography. This was back in 2013 and haven’t had any problems since. https://myheart.net/articles/stent-save-life/, If you are interested in cutting edge information and therapy for heart disease then follow my twitter at @MustafaAhmedMD. A branch of the facial artery; it runs beneath the muscles of the lower lip and anastomoses with the mental artery and the contralateral inferior labial artery. I have witnessed far to many stress related heart attacks during my nearly 17 years of being a cardiac poster child. An echo was done showing significant left ventricular systolic dysfunction with an ejection fraction of 30% and mild valvular regurgitation (mitral) as well as small pericardial effusion. Ultimately, a catheterization was performed indicating an 80% blockage of the LAD. RCA: dominant vessel & totally occluded in its proximal segment. The catheterization showed an 80% blockage. ASAP - as soon as possible 7. MY QUESTION IS THIS: What are my options for finding out how clogged my LAD is? My Doctor is a good Specialist and he is thinking that it is small, so we can wait. Could you please let me know what else/more can be done to increase life span . Should I start taking some precautions in diet and the mostttt important that should i keep continuing with my pipe smoking ( I dont inhale the smoke ) ? The calcium score is 810 and volume 694 mm tube. LV viability: Large Myocardial infarction involving the anteroseptal wall and apex with evidence of microvascular obstruction. -Addendum end———————————————–CLINICAL INFORMATION: LAD infarct. It is present in the U.S. in about 13% of black males and 2% of black females. End Diastolic Diameter: 56 mm (normal, 36-56 mm Right Coronary Artery : Dominant. The dorsal, the lateral, the posterior, or the septal nasal artery, which are branches of either the ophthalmic artery or the maxillary artery. My mother had an Agiography done recently. She was given medication aspirin, amlodipin and atorvastatin and now the cholesterol levels have gone down. The third branch of the first segment of the maxillary artery. Its branches include the peroneal (fibular), the posterior medial malleolar, and the medial calcaneal arteries. Right coronary Artery: Dominant vessel with 60% mid stenosis & 50% bifurcation distal stenosis. 2. My BP was 140/90 for the last 5 years. 3. Privacy Policy. OM2 – diffuse disease, subtotal occlusion Isn’t this basically telling me that only a heart attack will get me the next step in medical care? Other Study Information: Not intubated, no pacemaker or central lines. C - centigrade, celsius 9. The anterior or the posterior spinal artery. In terms of the medications it shouldnt be an issue. The clinical consequences of inadequate consumption or absorption of dietary copper. A branch of the internal iliac artery; it supplies blood to the iliacus, psoas major, and quadratus lumborum muscles. He also says bypass not viable. It supplies blood to the foregut, i.e., the stomach, liver, spleen, pancreas, and proximal half of the duodenum. https://www.allacronyms.com/LAD/medicine (accessed January 29, 2021). What is the meaning of LAD?. A lower branch of the superior mesenteric artery; it runs down and to the right to supply blood to the lower portion of the ascending colon and the ileocolic junction. Doctor advices for ECHO and EF is 60â
. Belwady Murthy says I had a very stressful job but the pot helped with stress. I understand stents have improved greatly but I was wondering what I can expect.All of the men on my dad’s side of the family died of heart disease in their early 60’s but were untreated and heavy smokers. – Double Vessel Coronary artery disease including proximal LAD and proximal RCA The MRI will likely be to see if the clot has resolved or not and if the blood thinner can be stopped. It sounds like the disease may not be amenable to stenting given the complexity of the lesion and the anatomy. You need a cardiac stress test to assess for patency of the current stents and potential other blockage. Reply Left circumflex artery: 30% stenosis at the ostium. Non-cardiac findings: he also had a stress test, ekg and echocardiogram. The doctor regarded it as late presentation and immediate intervention to the LAD was now considered inappropriate. It supplies blood to the midgut, i.e., the distal half of the duodenum, the jejunum, the ileum, the ascending colon, and the proximal half of the transverse colon. A branch of the femoral artery; it originates from the posterior side of the femoral artery and it runs in the posterior thigh. They recommend exercise, but I am apprehension. Now I am concern as EKG stress will only show if the LAD will be 70 % or more blockage will show up on EKG result. Dr. Mustafa Ahmed says I had EKG, nuclear stress test etc., got rescheduled several times and never did get to see the cardiologist again. We went in for pre-op for the CABG and the carotid ultrasound revealed a blockage in the stent. The lipitor worked wonders bringing my LDL down to 60. I expect it was missed due to my age (36), health, non smoker, vegetarian and the lack of any family history. HI Dr Ahmed, Ecosprin 150 (OD) Platelets are a component of the blood that responds to the site of percieved injury. I’ve been consulting with many patients and other people, plus I’ve read studies done by harvard university and other reliable online sources and papers. You should be able to do pretty much as you please in terms of diet this far after the surgery, although your medication timing would need adjustment. Its really important to discuss with you. What danger am I in with the current heart attack and the 80% blockage of my widow maker vs the aortic aneurysm measuring 3.5. Who said 75% I would not survive the surgery if I was to survive I would be on a breathing tube the rest of my life. I have mild cheat pain occasionally and did have a stress test which I passed. I am on nothing right now waiting to see my Cardio March 7th. Any of the many small branches of the splenic or the superior mesenteric artery that supplies blood to the pancreas. ; What does LAD mean? A branch of the internal pudendal artery; it supplies blood to the urogenital diaphragm, the perineal muscles, and the skin of the scrotum or labium majus. I had a 99% stenosis in LAD only treated medically. why did the doctor did not think of keeping him on cardiac meds? I didnt get a bloody clue of it what they did and what they said. Akinesia of the anteroseptal wall extending to the apex is seen. We met doctor on last week and her ECHO test was normal. Even when it looks 70% blocked, more sophisticated tests are often used to determine whether a procedure is required to treat it. One doctor recommend bypass and the other recommended stent for the 95% left circumflex + medication. Hi I have had 4 heart attacks in 19 years 3 stents and on May 10th I went in for chest pains again and that was my 4th and put the 3rd stent also I have Congestive Heart Failure so out of all of this is my first stent is 100% blocked This is in the LAD they just did the stress test and getting ready for results on June 19th is there anything they can do it’s been a long 19+ years Also I am a diabetic Thanks just would like Ideas. It honestly difficult to say without seeing the films and knowing more details of the history, and the heart function etc. A branch of the common interosseous artery; it runs through the forearm on the anterior interosseous membrane. My cholesterol normal at 165 total but said it was preventative. After two years of symptoms I had an Angiogram this week….now I know the source of the pain, I’m left with two choices (I believe). I am 72. End Systolic Volume: 79 mL (normal: male = 19-72 mL; female = 13-51 mL) The LAD artery was assigned a score of 201. 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