How serious is triple vessel disease in a smoker?

Question

Hello doctor,

I am a 42-year-old male. I smoke 30 to 40 cigarettes per day. I was admitted to the hospital last week with chest pain and underwent angiography, which revealed triple vessel disease. The ECG (electrocardiogram) showed a normal rhythm with no evidence of acute ischemic changes. Troponin levels were mildly elevated. My total cholesterol was 5.7 mmol/L, and LDL was 3.8 mmol/L. I was discharged with medications (please see the attached pictures). My general practitioner advised me to stay at home for at least a week.

My main question is how serious my angiography results are. I was informed by my doctor that all three major vessels are affected. Does this require surgery, or can I manage with medication alone? Can I continue working? I was advised to stop smoking, but I find it difficult to quit immediately. Is using an e-cigarette a good substitute? How long can I expect to live with this condition?

Please help.

Answer 1

Hello,

Welcome to icliniq.com.

After reviewing your reports (attachment removed to protect patient identity), I can confirm that three of your major vessels are affected. However, the seriousness of your condition depends on the percentage of blockage and how narrowed the vessels have become, which I cannot determine just by looking at the photo. The nature, location, and extent of the blockage will dictate whether surgery is necessary or if medication alone will suffice for your heart condition.

You should be able to continue your job after taking a week of rest, as suggested by your general physician. It is crucial to stop smoking, as it is the primary cause of your illness. E-cigarettes are not a better substitute for traditional smoking. Instead, consider using nicotine chewing gum. With the right treatment and medication, you can expect to maintain a normal life expectancy.

I hope this helps you.

Thank you.