- male
- 60 Years
- 14/08/2025
I've had mild chest pain for years and my doctor recommended an angiography which showed blockages in my arteries. The report says there's a 40-50% mid-segment stenosis in the LM artery, 90% stenosis in the LAD at S1 D1 level with diffuse distal disease, and severe blockages in LCx (70-80% ostial), OM1 (80% ostial), OM2 (90% diffuse). RCA also has 90% stenosis in ostial PDA and PLV. Given these findings, is bypass surgery the best option for me or are there other treatments I should consider?
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View allI'm really worried about my cholesterol levels. My total cholesterol is now 273 and my LDL cholesterol is at 191, which has gone up from 180. My TcholHDL ratio has also increased to 6.5, and it used to be lower. The LDLHDL ratio is now 4.5, and it was around 2.5 before. My non-HDL cholesterol is 230.92. With all these numbers going up, am I at risk? What should I do to bring everything back to normal? Also, my triglycerides have improved a bit, now at 182 from 305, but I'm still concerned. Would appreciate some guidance.
Your cholesterol levels indicate that you are at an increased risk for cardiovascular diseases. To help lower your cholesterol levels and reduce your risk, you can make lifestyle changes such as following a healthy diet, exercising regularly, and maintaining a healthy weight. Additionally, medication may be prescribed by your doctor to help manage your cholesterol levels. For your high LDL cholesterol, you can consider taking Atorvastatin (brand name Lipitor) at a dosage recommended by your healthcare provider. This medication helps lower LDL cholesterol levels and reduce the risk of heart disease. To improve your cholesterol ratios and overall lipid profile, you can also discuss with your doctor about taking Fenofibrate (brand name Tricor) at a suitable dosage. Fenofibrate helps lower triglycerides and non-HDL cholesterol levels, which can further reduce your cardiovascular risk. Remember to consult with your healthcare provider for personalized advice and monitoring of your cholesterol levels.
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I'm feeling some tightness in my heart, and after going to the cardiologist, they gave me prothiaden tablets. What exactly are these tablets for? I'm a bit anxious about what they do and why they're necessary in my case. Can you explain more about it?
Thats used to treat aniety and keeps your mind calm,no need to worry follow your doctors advice
Answered by 1 Apollo Doctors
I'm trying to make sense of an angiography report, and it's got me a bit worried. It mentions a "LAD type 3 vessel proximal LAD 90 and mid LAD 90 stenosis" and "distal LAD minor plaques." Theres also talk of an "Intermediate 70 stenosis" and "LCX codominant system ostial 80 stenosis." Apparently, the LMCA is normal except for minor plaque and diagonals have non-obstructive plaque, while the marginals and PDAPLV are normal. The report concludes with "Final Diagnosis CAD Effort angina two vessel disease normal LV function. What does this all mean, and what should be the next steps? Is it something super serious?
Visit your Physician for appropriate management
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.