Though the cholesterol is normal, is it necessary to take Ecosprin AV?

Question

Hi doctor,

Sometimes, my father used to get chest pain. Angiography showed that he has a LAD bridging, and the vessels are normal and clear. His echo is normal. His BP, blood sugar, and cholesterol are normal. After the chest pain, he was given the following medicines for one year. They are Stator, Ismo, Clopidogrel, Aspirin, Cardace, and Metoprolol. Now, after 1 year, his cardiologist has prescribed Ecosprin AV 150/20 (Aspirin and Atorvastatin) for life.

But he does not have any pain now. So, is it necessary to take this tablet? Also, his cholesterol level is normal, and he does not have any blood clots. I read on the internet that beta blockers are given for LAD bridging, but this doctor has not given them now. He just gave Metoprolol and stopped.

Please help.

Thank you very much for your time and guidance.

Answer 1

Hi,

Welcome to icliniq.com.

I have noted all details of your father. A myocardial bridge means that a group of muscle fibers are present on the top of coronary artery instead of on the bottom. In almost 40% cases, it is asymptomatic. However, in some patient the bunch of muscles pushes the coronary artery causing symptoms of angina and breathlessness.

As you know beta blocker and calcium channel blockers are usually given in such patients. Your father was on Metoprolol, but doctor switched it off. The treatment depends on the site of LAD bridging (left anterior descending coronary artery). LAD bridge can be proximal, distal or in between.

Kindly send me the angiography report of your father, so that I could see the site of bridging, which you have not mentioned. As his lipid profile is normal, Ecosprin AV can be given in lower doses also. But, I need to see the location of bridging and the doses of all other medicines he has been taken. When it comes to heart suggestion cannot be given without going in details. Wish your father a healthy recovery.

I hope this helps address your concern.

Please feel free to share your valuable feedback for improved patient care.

Thank you.