apollo
  • male
  • 60 Years
  • 20/02/2025

My dad had a major heart attack a couple of months ago, and the angiography showed some serious stuff. It mentioned a 90% blockage in the mid LAD and another in the early OM1, plus an 80% blockage in OM2. They also did a PTCA with DES on the LAD shortly after the attack. I'm really worried and wondering what should we do next?

Doctor 1

Answered by 1 Apollo Doctors

take treatment

Dr. Ibrahim Suggests...

Consult a Cardiologist

Answered 04/07/2025

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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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Doctor 1Doctor 2

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What's the deal with moderate left ventricular (LV) function if the LVEF is 45%? My dad had an Inferior Wall Myocardial Infarction (IWMI) last week. Any advice on what this means for his heart health and what steps we should be taking?

Moderate LV function means that the left ventricle of the heart is not pumping as effectively as it should be. An LVEF (Left Ventricular Ejection Fraction) of 45% indicates that the heart is pumping out 45% of the blood with each heartbeat, which is slightly below the normal range (55-70%). For your father's condition following an IWMI (Inferior Wall Myocardial Infarction), it is important to manage his heart health carefully. He may benefit from medications such as ACE inhibitors like Enalapril 5mg once daily, beta-blockers like Metoprolol 25mg twice daily, and statins like Atorvastatin 20mg once daily to help improve heart function and prevent further complications. Additionally, lifestyle modifications such as a heart-healthy diet, regular exercise, and stress management are also important for his recovery. Regular follow-up with a cardiologist is essential to monitor his heart function and adjust treatment as needed.

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