I got CAD with angina on exertion. What can be done?

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You have two blockages in two vessels. The first one is LAD (left anterior descending artery). It is an important vessel and the calcium has blocked it. The second important vessel present on the right is affected with stenosis. Your best option is bypass surgery and it is difficult to open a blocked vessel with angioplasty. If you are against bypass surgery, then angioplasty can be done. The success rate is 70 percent. There is no need to repeat angiography.

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No, there are no medicines to reduce blockage but medicines can prevent its progression. I guess that you have been advised to take Aspirin, Clopidogrel, Statin like Atorvastatin, Nitroglycerin, and a beta-blocker. This should be done as early as possible. As these are formed over a period of years, then we can expect you to become fine within a month after doing surgery and taking medicines.

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Angiography gives the best result for diagnosing blockages. An echo (echocardiography) shows the functions of the heart and it appears normal sometimes. So it does not directly show blockages.

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No, CT (computed tomography) scan does not provide accurate results. We use it before doing angiography to get some idea about the arteries. As we do not do angiography directly, so we do a CT scan initially. So, in your case, you do not require another CT scan again. You can review your results with another cardiologist. You can take tablet Metolar XR 25 mg (Metoprolol succinate) once a day if the blood pressure is more than 120 mmHg and the pulse rate is more than 65 beats per minute. Discuss this with your doctor and take it. If you have chest pain after taking Metolax XR, then you need to start taking Nitroglycerin, or else we can wait. You can take the rest of the medicines along with it. Tonact contains Atorvastatin and Clopitab A contains Aspirin and Clopidogrel.