My cholesterol normal at 165 total but said it was preventative. I am having high cholesterol from last 4-5 years, Cardiologist recommended for Calcium CT Scan and score in report is 0. About 50% chance of success. December 29, 2015 at 2:12 am I feel like I am a ticking time bomb and there has to be a better solution. The latter result was the reason for going in for a Angiogram in the first place. TIMI 3 Distal flow . My father was getting tired very often. The calcium score is 810 and volume 694 mm tube. We met doctor on last week and her ECHO test was normal. You should speak to you cardiologist. I ment pressure in My chest when stressed . LDA Reports Across Encounters Due times now appear in blue. Thank you very much. Proximal 80% Stenosis The native flow, if ok, will always win and the bypass will fail. The post stress scan image show normal sized left ventricular cavety with mildly reduced uptakein the apex which shows reperfusion in the rest re-injection images. RCA: Is a co-dominant vessel and shows proximal 40% stenosis. I ate well and exercised. Their conclusion was: Given that patient asymptomatic,and diffuse moderate disease in the LAD continue optimal medical therapy.If convincing symptoms for coronary ischaemia for FFR LAD +/- PCI. the coronary calcium score is 33.5 . Total X-ray dose including calcium scoring 1.7mSv. Ideally in your situation these factors would have been taken in to account prior and a thoughtful decision made. Hi ! She has no sugar or pressure complaints, Had Knee replacement surgery on last year. Please advise how serious this is and what action should be taken. LV WALL SCORING: I would start by going and talking to the Dr that did the case to explain the reasoning so you can have a more clear picture of what happened and why that management plan was chosen. Difficult to to comment without seeing the pictures. After 3 months I has Thalium sacn test and finding are as follow: Isnt this basically telling me that only a heart attack will get me the next step in medical care? Finding of CT angio carried out on 22 May 2018 are as follow:- Im wondering why this is the case. Cabg or stent apex totally necrosed. I HAVE THREE ARETERIES BLOCKED TWO MODERATELY ONE BEING THE LAD ONE MILD. why did the doctor did not think of keeping him on cardiac meds? On the information provided, there do not appear to be any strong indications for open surgical intervention and stent placement may be appropriate. My CT SCAN showed CHO/HDL: 4.5 If you have questions, its very reasonable to have a surgeon review the films regardless. Essentially it depends on the characteristics of the lesion which would dictate the the suitability for stenting. New, expanding med "cards" reveal more med details at a glance. he was not agreeing but the doctor made him agree to do that. You need to pay attention to lifestyle, diabetes, medicines, follow up, exercise, diet and so on. The dr discovered that his RCA was 99% blocked and ended up placing 64 mm worth of stents throughout the RCA. There were no arrhythmias. The characteristic rectal examination findings with LDA include a medially displaced rumen and left kidney. Why were we not put on xarelto immediately. I dont know if I should be even taking Zocor for that level of cholesterol. unfolded aorta is seen. Now 15 months have passed since revascularization and Iam feeling OK. I would need to see the films to give a more thorough answer. As in my case sometimes CABG may not be an option depending on the patients condition in acute conditions. We got the autopsy results back last week & cause of death was atheroslecoric coronary artery disease. He was put on medication including plavix. 1) Try break through in the Angio lab with balloon and wire use stents, tricky as the occlusion goes right up to the junction with two branches. Difficulty urinating. Are his chances of a recurrence of an MI higher than any other individual Mid stress induced reversible myocardial ischemia -apex. If this requires immediate attention; what kind of treatment will be best suitable ? I am a 59 years old women. Bridging is where a section of the artery that is meant to travel over the surface of the heart actually takes a detour deeper in to the heart muscle and so becomes susceptible to being squeezed by the muscle around it compressing it. I am 58 year old male with type 2 diabetes. If the read of the angiogram is correct then the disease in the LAD is non obstructive and unlikely to underlie any symptoms. Dr. Mustafa Ahmed says May I know what you suggest for the same? He had his first heart attack in 2003 , LAD , they placed 2 stents then went back and stented RCA. Rest were 20 % blocked. % of Target 91 %. February 11, 2015 5648 0 I like to hear more options and recommendations. His job requires a lot i heavy lifting and is very physical would this pose a problem with the mild LAD. A small area of viability is seen in the distal septal wall within the area of the infarct. I have had 3 TMTs so far and all of them were positive for reversible ischaemia. With 60% of LAD blocked , the patient ( my mother) have diabetes , what you recommend a Stent or Open Heart surgery ? Medical therapy should be started and risk factor management performed. I have 90% blockage of left main and am scheduled for stent next week. Currently after 3 years is there were no symptoms. I have been relatively fit (slightly over weight) and never smoked or drink. Shear: Sliding of skin over subcutaneous tissues and bones causing a kink in cutaneous capillaries All remaining scored segments are normal. The mild LAD disease is unlikely to be related to any decision making. 6. The septal branches of the left anterior descending supply the septum, which is the wall between the left and right main pumping chambers of the heart. Left displaced abomasum, right displaced abomasum (RDA), and abomasal volvulus (AV) are common abdominal diseases of lactating dairy cows characterized by varying degrees of abomasal distension and displacement. I am also walking 30 minutes, five times a week for now. Tauqeer. Thanks. My fathers Angiography report revealed concentric non calcified plaques in the proximal and mid second diagonal with 95% luminal stenosis. Read the widowmaker article on this site to get a better idea of what you underwent. It looks like there are no new abnormalities on the stress portion of the echo which may mean no further treatment other than current is required. Treatment with lifestyle modification and where indicated medications can improve the situation and stabilize disease progression. He is experiencing chest pain while climbing up the staircase and during the mild walk. Can SAM cause this LAD occlusion since this was just addressed in surgery 5 days prior? Hi. I went into the hosp. The patient is unlikely to benefit from revascularisation. My Father had a heart attack , he was admitted in hospital and was on medicines for two days. Baseline The mid and apical anterior septum and apical anterior segment are I am worried about blood clots and have been taking my aspirin and Prasugrel as prescribed. impression : native tvd The LAD is considered the most important of the three main coronary arteries and is almost always the largest. I did all opinion was medical traetment plavix and aspirin, micardis,b blocker, nitroderm patch 5 , Lipitor. I am 72 year old female have 100% blocked LAD I am active do Zumba etc gently though -have had Myocardial perfusion I would drink about 6 beers a day. LMCA distal plaque Thank you for taking time to help provide me some advice. Findings: There is heavy plaque within the left main, D1 and proximal and mid LAD and a relative low volume within the proximal RCA. When my appointment finally came the cardiologist had left and they put me with an Internist/Internal Medicine doctor. Thank you. My only other risk factor is a father who had heart disease. Problem is meet with the surgeon. The new cholesterol shots are said to be great at lowering numbers but may not help with the clogging of arteries. Dear Dr I have paraxysmal atrial afbrillation. Which Im assuming was the widowmaker heart attack. Hi, To advise you accurately i would have to see the angiogram. The peak heart rate achieved was 148 bpm, which was 91 % of the age predicted max heart TMT test: excellent effort tolerance, normal chronotropic, inotropic, response. LEFT VENTRICLE: Global left ventricular systolic function is normal (LVEF 60-65%). Firstly your disease is stable and you have been treated for the most serious blockages. angiogram showed blocked mid LAD and suggested a stent to be placed. Iyman sherman says Its also nice to read all the comments of others who have experienced having this heart attack & to know others have lost young loved ones to the same thing as I have makes it a little easier to cope knowing that others have been through this tragedy as well makes you feel so not alone in this horrific situation. Mine can be followed at @MustafaAhmedMD. They occur in the case of blockages that become severe in s stable fashion over time. I cant comment specifically without seeing the films. Left displaced abomasum (LDA) is a . Mpj Medical Abbreviation. I also feel incumbent as a cardiac patient and heart attack survivor to try to share my stories with other in hope that it might make a person proactive rather than wait and spend their life as a statistic. Difficult to say without knowing more, if worried go get a check up and discuss the symptoms. Right Coronary Artery : Dominant. Two days later we went to hospital he did an ECG which was abnormal and triponin levels were up at 1680. LCX: Spotty calcium with mild disease in mid course. Changed me from 325 mg aspirin to 81 mg. My question is should I be concerned, should I make an appointment with another cardiologist. Is it unusual for a 40 year old healthy male to have this diagnosed? It depends on many factors. In terms of vitamins to reduce the calcium burden there is no real evidence to guide that and they are not recommended or advised against from a medical perspective. Small eccentric calcified plaque in mid & distal course of right coronary artery with low grade stenosis. The mid vessel also has an eccentric plaque which is 70% stenotic. .. Abomasal surgery: comparison of various techniques in cattle Author : Sotirios Karvountzis Categories : Farm animal, Vets Date : October 10, 2016 Left displacement of the abomasum (LDA) is a common production disease that primarily affects dairy cows. Proximal 70% Stenosis. It either needs doing or it doesnt and that depends on risk and symptoms. Open heart surgery was performed with a single bypass. Hi I am 71 year old male I had heart attack 10 days ago. It is right in middle of my chest and nagging discomfort. Significant ST-T changes from baseline: ST segment depression in leads ii, iii, aVF, V4-6 which persists into recovery stages. ST segments or T waves were normal at Now our authors are keeping readers up to date with cutting edge heart diseaseinformation through twitter. LDA is used increasingly in primary and secondary prevention of a number of medical conditions, many of which are common in older people, as is anemia. They recommend exercise, but I am apprehension. You know its amazing how most doctors dont even tell you to take coq10. ECHO report All 1, mild mitral and tricuspid regurgitation, all normal (LA, RA, LV, RV) except 30 mm PASP. Involving 20 % of the left ventricle anterior myocardial Wall. 4.RCA Critical disease in proximal course It seems that these blockages are coming from a hereditary factor since my cholesterol and all my other bloodwork is all in line in fact on the low side. All remaining scored segments are normal. Cardiac MRI: Function and Viability baseline. I am not having any angina or chest pain. I am concern about stressing the heart, now if I jog , I get bit uncomrtableness , little tighness, but no chest pain, just blow my throat, but walking is OK. is it better to do straight Angio for LDA. Reply Last February , one of the LAD stents was occluded and , again, another stent. I was 51 then. My brother in law Mike was recently found to have a 100% blocked LAD, and he had 2 stents (total of 6cm in length) inserted 2 days later in a larger hospital after being airlifted from a smaller hospital (Australia). For bypass, would the entire heart have to exposed (median sternotomy) or would a less invasive robotic surgery be an option? Familial Hypercholesterolemia with Dr. Pradeep Natarajan. I am a 47 yr old male non smoker non drinker who has had sob and chest pain Regards I then had a Lima to Lad bypass done nearly 4 years ago. I stay so lethargic. Are these medications doing the same job as an angioplasty whilst I have accepted angioplasty is not an option but through medication. Hi, it sounds like your test showed a small blockage likely only which is reassuring. Im feeling good and was told i should live a normal life. CABG best for patients with diabetes, other factors. Hi My current cardiologist states they CABG was Chills caused by low body temperature (hypothermia). I started to feel better but still struggling some days as I feel severe anxious feeling and dull chest pain on and off. Can this be controlled by aggressive medication. 2. Last week Thursday (1/5/17) I had a stent placed in my LAD making it my 8th stent in 6 years, this is the sad part of the story the day after Christmas I suffered with the worst chest pains I have ever experienced in the 6 years so I had a family member take me to Memorial Hospital In Pembroke Pines Florida so according to protocol they have to keep me for 23 hours so at discharge I was still having chest pains and shortness of breath and my trop level was .175. I had no clue so I took the 2 stents. She has a blockage in a second order branch not a first order branch and in general this is not critical. Can u say what are all the medicines u take in a day . The remainder of the vessel plaque free , the first diagonal is reasonably demonstrated and appears plaque free. Stress tests (x 2) were both clear. He started me on 81mg of ASA, metoprolol 12.5mg bid but changed me to Atenolol 12.5mg daily since metoprolol making me sick, and Zocor 10mg at night. What is LDA meaning in Dentistry? I mean what is it? Hi I have a 3cm full (calcified) occlusion in my LAD, 47 years old male, very active non smoker, no other signs of artery issues my collaterals have developed so the only symptom was chest pain on significant exertion (e.g. I was told that my heart had grown veins around the blockage. Hello 5 days before my father got an heart attack and doctors called it NSTEMI attack Please advise me on options. what options other than warfarin do we have. If you are having symptoms and a test suggests you need an angiogram i dont understand the wait till March. was it missed in the reading?? Would a LAD Calcified Lesion of 1.2mm3 in size be of any concern. My husband underwent a heart cath on September 5, 2017, in order for the heart Dr to get a better look at his heart. Thank you! Hi Lisa, were you symptomatic before your heart attack? Inferolateral ECG leads with stress demonstrated minimal (12 bpm). Enter abbreviation to search . On October 6th 2017 I went to the hospital with chest pain that went away while in the emergency room. No angina, arrthymias. There were no arrhythmias. Mary Varsalona says Two days later same deal went back to the er this time they kept me for 9 hours and again Memorial Regional In Pembroke Pines Florida discharged me with chest pain and high trop levels, now this brings me to 1/3/17 so same deal the only difference I went to a different Memorial hospital (west) after they started taking blood every 4 hours and noticed my trop level kept raising ( RED FLAG) so needless to say I was scheduled for a cat the next morning, after the procedure the doctor showed me the before and after pictures , I am amazed that I am alive today Thanks to DR Ibrahim. Large posterolateral branch. The xarelto is due to the clot On th L AD which was there since the MI on 23rd Jan but we were initially put on plavix and a month later on xarelto . My LAD has multiple stents with some inside others and one occasion clotted and caused an MI which was removed/ dissolved . I feel strong no symptoms but this has affected my mind thinking I am going to drop dead at any second.I hope others dont have to go thru this. I work in a cath lab as a nurse. When it becomes gas filled in this position, the . I am 32 years old few months back I had chest pain and went for cardio tests. LAD: type IV vessel & 90-95% stenosis in its proximal segment. My husband had been suffering from chest, jaw and arm burning pain. Both clinicians present compelling cases. 40 mm Hg peak to peak gradient across the aortic valve. This page is about the various possible meanings of the acronym, abbreviation, shorthand or slang . I am on nothing right now waiting to see my Cardio March 7th. ECG: HR: 59bpm, Sinus Bradycardia, rsr in V1 V2 3. Does anyone know the pressure range in the Left Anterior Descending (LAD) Coronary Artery? he also had a stress test, ekg and echocardiogram. I am 34 I had a massive heart attack my LAD was 98% blocked. Has anyone conducted studies that explore correlations between common areas of blockage such as high in the LAD and other characteristics / attributes of demographics? And so, the beat goes on. If so when can it be done? After that I was taking a high does of statin and I was sleeping my life away so changed to a different one. The treatment in either case is mainly for symptomatic relief. I have had my bypass surgery done 7 weeks ago with no complication other than incision recovery, is fasting ok now or not? More details on LDA at medicalabbreviations.biz. Link Line Window Select that the med is Not Linked so the system remembers for future administrations it wasn't linked to a line. I would need to see the films to comment on the findings. Just checking in to see how you are doing.. February 29, 2016 at 6:25 am What Will value your opinion , thank you. Delayed enhancement is seen in the anteroseptal wall and apex with evidence of microvascular obstruction. Meanwhile, the platelets are causing a blockage. After that he did stress test and echo and it was always good. I HAD AN MRI WITH CONTRACT AND THE RESULTS CAME BACK GOOD THE EJECTION RATE OF ONE ARTERY AS ABOVE PARAMATER 20-60 MINE WAS 63. Even when it looks 70% blocked, more sophisticated tests are often used to determine whether a procedure is required to treat it. He has also found 3 blockages in the LAD. I had abnormal EKG and stress test 2 years ago. Before the novice doctor threatened me with death if I did not allow him to stent me, we asked to be transferred 20 minutes away via ambulance to the Heart center. This all could have been prevented with the LIMA bypass of the LAD. Angiogram was done as my TMT was positive for reversible ischaemia. You should discuss the complexity and risk of the procedure with the performing physician. The lipitor bumped my sugar up, so I am holding it off with 2 500 mg metformin a day. Dr. Mustafa Ahmed. I received a call from the Open Heart Surgeon since I cancelled the surgery. In general 60% blockages dont require stent or surgery. Left Circumflex : the doctor recommended PCI to LAD and RCA. rca : dominant vessel . My heart and other arteries were generally normal or with minimal disease. I am a 76-year-old With controlled diabetes and hypertension. I took refined Fish Oil faithfully but experienced some reflux, so I stopped taking it last year. 3.LCX NORMAL i am 79 yr old male of south Asian decent. Total cholesterol is 128mg/dl HDL is 35mg/dl Systolic BP 138 Diastolic is 69 and Heart Rate 58. My current general care doctor was unwilling to prescribe one so I drove out-of-town to a facility that was willing to perform one without a doctors prescription. Stroke volume is 69.7 ml. When my appointment finally came the cardiologist had left and they put me with an Internist/Internal Medicine doctor. Reply In some circumstances this can restrict blood flow. Please see the reply i left earlier for the same question on the heart blockages article. He says since my tests dont show anything a heart catheter is unnecessary. Has a stress test been performed, are there symptoms? Over 99% of people have at least one diagonal branch of the left anterior descending artery. He told me stents often fail in future but for some are the faster n better option. I know nothing about Internist and whether I should trust anyone besides a cardiologist with my heart. Dr has recommended me angiography followed by stent. Please can you clarify. Acording with the report of the stress Test i present a miocardial ischemia, but my physical condition is excelent. Depends on many factors including anatomy, location, complexity of lesion, patient history and operator. It was a stable angina pain, we got him operated immediately. 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 . Thanks. but after few hours he became hypotensive and started shortness of breath. 5 days after surgery, hypovolemic shock caused the heart to go into systolic anterior motion. My medication is: post long standing epigastric tenderness dyspepsia no shortness of breath.due to negative gastroscopy and diffuse symptoms, no shortness of breath. RCA 95% stenosis with thrombus in stent in Mid RCA and 100% before distal stent. My diet has completely changed to align with a healthy heart. We are very worried now since the stent procedure had rupture complication. Recent CTA scan showed less than 25% narrowing of LAD a single calcification plaque. you can follow my twitter at @MustafaAhmedMD, Hi dr, February 11, 2015 by Dr. Mustafa Ahmed 318 Comments. Reply There are very few times i would schedule an angiogram to be done in 3 months time. Please prescribe for future course of action. My CORONARY ARTERIOGRAPHY results are as mentioned. why . Hi Ive had Heart Failure and now have an enlarged heart with a scare on my heart which basically that part wont work. I am starting to feel unwell again. Check with the Dr the indication for a stent, a 50% blockage that is mild to moderate only is not an indication. 40 mm Hg peak to peak pressure gradient noted on pullback across aortic valve. Reply Recovery The mid and apical anterior septum and apical anterior segment are Most anesthesia side effects are temporary and go away within 24 hours, often sooner. Was recommended to see a Cardiologist. Im so sorry to hear about your father. was it missed in the reading?? Whats next.? The next morning the Dr. (new) came in to the room and told my wife and I that he did not feel satisfied with the stent and how much he was able to balloon the area since he was able to open just 70% and wanted to go in with a larger balloon. Was it that serious ? % THR achieved : 91% He likely had development of channels that naturally bypassed the LAD that prevented major catastrophe. Chrissie Im surprised you can type at all. I am well controlled diabetic ,hypertension & hyperlipidemia. Anterior ECG leads at baseline demonstrated poor and/or no R wave progression. After two years of symptoms I had an Angiogram this week.now I know the source of the pain, Im left with two choices (I believe). If the area was treated adequately with a stent it generally solves the issue and surgery isnt required. Can i handle this condition by changing lifestyle and medications. Ultimately, a catheterization was performed indicating an 80% blockage of the LAD. Your tests appear to be reassuring. If a good candidate would recommend speaking with a surgeon and an Interventionalist. No evidence of inducible ischemia anywhere else in the myocardium 2 weeks later massive heart attack and died on the spot. I am seeking a 3rd opinion in Austin Texas later this month after the stress test. The use of certain abbreviations can be dangerous and lead to patient injury or death. Kind regards 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. Thank you. In terms of the medications it shouldnt be an issue. I moved and started seeing another cardiologist. Peak The mid anteroseptal segment is hypokinetic. My EF is in the cellar. LV viability: Large Myocardial infarction involving the anteroseptal wall and apex with evidence of microvascular obstruction. I dont smoke but am morbid obese and scheduled for bariatric surgery in January. Sir my may i have your email ? Left Coronary artery: Left Main stem (Normal bifurcating vessel), Left Anterior descending Artery {(1) there is 60% eccentric mid LAD stenosis, (2) Moderate proximal LAD calcification. After 1 week I underwent Troponin test which was positive. I feel uncomfortable that he did not do it then. OM2 diffuse disease, subtotal occlusion 1. which medication will he have to use for life time- taking in mind he is only 48 years old. Hi, I had 70% blockage in the LAD 6 years ago. Then they said they had to put a longer stent to cover the tear and rupture. At the age of 50, long term result is critical. Hi,2months ago my father did angiography and shows 95% blockage in LAD and doctors thought the case is for stents and he did that day imidiately 3stents but after that now he is having problem with breathing shortness of breath, he did the echo everything looks good, the EF=56..now i think he has some deppresive simptoms and not sure is this coming from the heart problem or neurologic problem and this is taking to long..what do you suggest, what should we do?
Most Valuable Leaf Draft Football Cards,
Names For The Underworld In Mythology,
Florida Lottery Cash Option Percentage,
Rooms For Rent In Mentone, Ca,
Volleyball Camps In Upstate Ny,
Articles L