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Recently my father complained of mild chest pain..Doctors did an angiogram and found out that he has Triple Vessel desease. They have suggested PTCA to LAD & RCA. We want to take a second opinion on this before going ahead.

PAST HISTORY : Recently my father complained of mild chest pain..Doctors did an angiogram and found out that he has Triple Vessel desease. They have suggested PTCA to LAD & RCA.

2 Answers

Dr. Puneet Madan answered : 12 years ago

Hello,

You have not informed about ejection fraction as we usually want an ejection fraction of 50% or more. If it's less then that then you surely need coronary revascularisation technique.

Now we have to decide between percutaneous coronary intervention or coronary artery bypass grafting. PCI can often save the lives of patients with an acute heart attack. or stable coronary heart disease causing chest pain, it can relieve the symptoms of angina very effectively. Generally, patients with single or double-vessel disease can benefit from this method.

With triple-vessel disease, or the presence of poor heart function, a surgical procedure known as Coronary Artery Bypass Grafting can often be a good alternative or a better treatment option.

Feel free to ask other questions.

Patient asked followup Question: 12 years ago

Following is the report of angiogram. Please give us your opinion. Pressures : FA: 148/62 (58) Contrast : Vistavu: 40 ML Catheters Used : 5F SHEATH, 5F JL3.5, JR 3.5 LMCA : Normal LAD : Type - 3, Mid Segment Discrete tight lesion Diagonals : Two in Number, D2 diseased Ramus : LCX : Non dominant, mid segment discrete 50% tight lesion OMS : Three in number, OM1 & OM2 diseased RCA : Dominant proximal total cut off LV ANGIO : Not done

Dr. Puneet Madan answered : 12 years ago

Hi,

I have seen the angiography report written by you. As many of the findings on angiography are subjective and can be decided by the interventional cardiologist while doing and watching the action of heart and flow of dye during the procedure itself ,it would be a good idea that you should discuss the result with the cardiologist himself.

As such blockages of less than 70% of artery does not need to be interference,they are better left to be managed medically.Life style changes and correction of factors viz. diabetes,hypertension,reduction of weight to near normal,stopping smoking,reducing lipid levels will go along way in helping the patient

Feel free to ask any more question

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Recently my father complained of mild chest pain..Doctors did an angiogram and found out that he has Triple Vessel desease. They have suggested PTCA to LAD & RCA. We want to take a second opinion on this before going ahead.

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