Patient's Query
Hello doctor,
My CT coronary angiography study reveals a sudden cut off at mid LAD at the region of D2 origin. Similar cut off saw at D2 ostium, proximal D1, and proximal LCX due to step artifact due to heart rate variation during the scan. It is not possible to comment on these arteries at these levels. Remaining LAD, diagonal, LCX, RCA, PDA, and PLV are normal. Is my report normal? Or I have to go for further angiography? Or only medicines are needed?
Hello,
Welcome to icliniq.com.
It is not normal. There are significant blockages in your arteries. You will need medications as well as conventional angiography. So you will need medications like Aspirin and statins (like Atorvastatin), other medicines according to symptoms, and an echo report. You will also need conventional angiography to document the exact extent of the blockages (as CT coronary angiography is not accurate in estimating blockages) and visualize the arteries which are not seen on CT coronary angiography. We will also need to see the feasibility of opening those blockages as you are young, and we would want your heart to get an adequate blood supply to live long. If feasible, you should also be prepared for angioplasty, which can be done with angiography in the same setting. I hope this helps.
Patient's Query
Thank you doctor,
My EF is 60 % in the echo report.
Hello,
Welcome back to icliniq.com.
That is good. So your heart is not yet damaged and pumping good. So opening blockages will prolong the heart's life to a great extent. However, angiography should be done to know the exact status of arteries (especially the arteries which are not visualized on CT) to plan further treatment in a better manner.
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Answered byDr. Sagar Ramesh Makode
Medically reviewed byDr. Vinodhini J.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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