Dr. Vivek S Narayan Pillai
Cardiology
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Patient's Query
Hello doctor,
The patient had a heart attack nine months ago. Currently, she is taking Aspirin, Clopidogrel, Atorvastatin, Atenolol, and Enalapril. In addition, she has had a stent implant. I am trying to understand this report. Please assist in describing in normal terms what is wrong. LAD: Small caliber vessel which is diffusely diseased with multiple intermediate lesions inc proximal lesion as well as tandem lesions mid LAD and distal vessel. LCX: Ostial disease of AV groove vessel with critical lesion just distal to that at the bifurcation of a small OM which is critically stenosed at its ostium. RCA: Small non-dominant vessel which is diffusely diseased.
Hello,
Welcome to icliniq.com.
The lady in question has suffered a heart attack (myocardial infarction), which is visible in the enclosed echocardiogram (attachment removed to protect the patient's identity). However, the coronary angiogram report does not show any of the affected vessels ideals for revascularization (bypass surgery or angioplasty) due to diffuse disease. If she is not suffering from chest pain, the best course of treatment would be optimal medical therapy, that is, beta-blockers, antiplatelets, antianginals, and non - hemodynamic drugs like Ranolazine and Trimetazidine. Regards.
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Cardiology
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