Please interpret this angiogram report that recommends (triple) heart bypass surgery. Thanks.?
NIMS – Hyd, India
Male | 56y
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History : CAD- Chronic Stable Angina, DM+ HTN+
Angina: N
Episodes/day: N
Dyspnoea: N
PND: NPALP:NSyncope: N
MI:N
Thrombolysis:NH/O TIA/Stroke:NCHE:NAsthma:N
Drug/Contrast Allergy:N DM:+HTN:+
Smoking:-HLP:-Obesity:-APD:-PVD:-
Blindness:Nitrates:NormalB-Blockers:NormalCa Blockers:Normal
Others:NormalPallor:NOedema:N
Eczema:NPulses:Normal
JVP:NormalPR: BP:Normal mmHg CVS: CEN S3:N S4:N MR:N AS:N
Others:NormalChest:NormalCNS:Normal Abdomen:Normal
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Echo : No RWMA. Good LV Function
GXT : TMT Negative
RNV : Not done
Thallium: Not done
DIAGNOSIS: CAD- CHRONI STABLE ANGINA
DM/ HTN
Pressures: PCPW-MPA:- RV:-
LV:- PA1/4 -
LMCA: Normal
LAD: Type III, Proximal 99% lesion
Diagonal : D1 Small Diseased
RAMUS: –
LCX: Proximal Tight Lesion
OMs: OM1 Diffuse Disease
RCA: Dominant, Proximal & Mid Diffuse Disease
LV ANGIO: Not done
CATH Diagnosis: CAD- Triple Vessel Disease
Advice: CABG
LAD: 99% lesion means there is barely any discernable flow of the Left Anterior Descending artery. That may go 100% blocked and you could lose 40% of your heart.
LCX very well blocked
RCA many lesions.
Yeah, triple CABG as soon as possible.
After my angiogram, with three mains at 99%, 99%, and 80%plus other diffuse disease, they operated on me the next morning. Putting this off would be a mistake, maybe fatal.
But if you are not having unstable angina. you can wait a bit longer.
Left Main Thrombus – Non ST-Elevation Acute Coronary Syndrome
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