HomeAnswersCardiologyblocked carotid arteryDo I need medications for blocked arteries?

Please interpret my CT angiography report taken for heart problem.

Share

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At January 5, 2021
Reviewed AtJuly 4, 2023

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.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sagar Ramesh Makode
Dr. Sagar Ramesh Makode

Cardiology

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Ask your health query to a doctor online

Cardiology

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy