Recently my father complained
  Recently my father complained

Total Views: 3979

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

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

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

Have a similar question? Ask our top doctors now !
Matching Already Answered Queries

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.

  Doctor's Answer

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 correctio ...
Read Full Answer


Hello, I have had a nail fungus for a good ten years or so. When I first noticed it, I went to my doctor and he game me lamasil which I stopped taking after a few days since it had negative affects on me. Thereafter, I stopped taking care of it and just let it go for a good 7 or 8 years. I eventually grew up and started getting very self conscious of how it looked and wanted to wear sandals and flip flops and not have people think nasty things about me. A few years ago I went to my doctor again and he gave me a topical oil which I used for over a year and did not see any results. About two years ago, I noticed that a vertical brown line was starting to grow from the bottom up. I went to a dermatologist who took a sample of my nail but did not take a sample of the nail bed or from the cuticle. Biopsy came back as of course it being a fungus. He in turn gave me pills to take which I also had to stop taking since it was having a bad affect on my liver. After that, my dermatologist said that he would give me laser treatments which I did two of. They did not clear it but it looks a little bit better then what it was before. Still thick, yellow, crumbling below the nail, nail bed where new nail is growing is darker then the others and the brown line is still there. It is a thick brown line. How did I get this brown line? Did I get it because of the prolonged damage of the nail bed due to the years of having the nail fungus?

  Doctor's Answer

You're most welcome. Nail Melanoma does not affect multiple nails together while Longitudunal Melanonychia (LM) often does. The fact that an additional nail is showing changes is nearly conclusive that this is LM, which as I said is harmless. However it would be best to see your doctor to get this confirmed since I cannot see the affected area. I would recommend getting the entire nail removed if its the only one affected by fungus, but this will be solely to treat the fungus not because I thin ...
Read Full Answer


Hi there I have been to the doctors on Xmas eve and he said I have sinusitis as all my nasal passage was blocked I had a lot of pressure and tooth ache and head ache , he told me to take ibuprofen and sudafed and steam inhalation to which I did , that night went to bed and woke with terrible ear ache in my right ear after 4 hours it started cracking and eventually released fluid which then released the pain of ear ache , Christmas Day night it started in my left ear but this time the pain was so bad that nothing touched it and I was almost delirious ! Eventually it to cracked and popped and released fluid ! Both ears are still a little achy but bearable but they are still leaking and I am now a little death and I have ringing in my right ear constantly , I am taking antibiotics now started them on Christmas Day amoxicillin what do you think is going on in there I'm very concerned

  Doctor's Answer

it seems you have a predominantly ear based infection. visit and ENT ASAP on an emergency basis. ...
Read Full Answer


Hi, I am really stressed and don't want to self diagnos and go crazy, but I have had this (pimple, ulcer, follicule infection or chancre on the side of the shaft of my penis. I don't know which one it is. I don't have medical but I am signing up on Tuesday for state medical..... The story is it appear maybe a week after a day and a half masterbation marathon I am embarrassed to say I had. It started as just a burning sensation on the side like I ripped the skin which I have done before. So I just didnt touch it. That was on a Sunday then Monday Xmas I tried to have sex with my lady and I couldn't cause of the pain and burning sensation on the skin. We started and stopped. 3 days after that in the same burning area 1 pimple formed with maybe 2 smaller ones. Very small ones... I I tried to masterbate again and it seemed as if it irritated the area and another one grew. They got to an ok size and where kind of painful. Then they grew and seemed to bust and started to go down. They look some like a chancre or a lesion when it was going down. They itch a little bit I guess that's from healing but I am freaked out. I had unprotected sex with another woman maybe a month before the night I began the marathon. I have pics please help.

  Doctor's Answer

Hi, You might either be having STD or you might have ripped of your skin ,which might have also caused an ulcer. 1. Are you having any pain during micturition ? 2. Are you having any burning sensation during micturition ? 3. Are the ulceration rigid ? 4. Are there any glands on penile area ? 5. Any kind of secretion from ulcer or any kind of discharge ? If it is an STD then it can only be diagnosed by a scraping or specimen of discharge Please kindly describe the kind of ulcer(whether it is ...
Read Full Answer


My husband was recently diagnosed with a thoracic aortic dilation of 4.2 during a preop echocardiogram. Cat scan was also done. No evidence of dissection. He is having bilateral knee replacement on January 17. His cardiologist has cleared him for surgery for both knees. Should we be getting a second opinion. I should mention he is 67 years old, no evidence of heart blockages, no diabetes.

  Doctor's Answer

surely get the second opinion from other cardiologist ...
Read Full Answer


Doctors Related to

Dr. Ritu Sethi

  • Gynecologist
  •  Gurgaon, India

Dr. Ramesh Madan

  • Internal Medicine
  •  New Delhi, India

Dr. Puneet Madan

  • General Physician
  •  New Delhi, India

Dr. Vivek Nair

  • Dermatologist
  •  Gurgaon, India

Dr. Pravin Gore

  • Colon and Rectal Surgeon
  •  Mumbai, India

Dr. Gladson Uchil

  • ENT
  •  Bangalore, India

Dr. Darshan Parikh

  • Dentist
  •  Pune, India

Dr. TANUKU RAGHU

  • General Physician
  •  Visakhapatnam, India

Dr. Alok Kalyani

  • Rheumatologist
  •  New Delhi, India

Dr. Govindaraj S J

  • Dentist
  •  Bangalore, India
Articles Related to
Get Answer from online doctors now !

Ask Doctor Online 24/7

Verified Panel of Certified Doctors
Complete Privacy, Stay Anonymous
Full Satisfaction Guaranteed

By proceeding i accept Terms and Conditions

11 Doctors online to answer your health query now! 11 Doctors online !

Top Related Questions
Hello, I have had a nail fungus for a good ten years or so. When I first noticed it, I went to my doctor and he game me lamasil which I stopped taking after a few days since it had negative affects on me. Thereafter, I stopped taking care of it and just let it go for a good 7 or 8 years. I eventually grew up and started getting very self conscious of how it looked and wanted to wear sandals and flip flops and not have people think nasty things about me. A few years ago I went to my doctor again and he gave me a topical oil which I used for over a year and did not see any results. About two years ago, I noticed that a vertical brown line was starting to grow from the bottom up. I went to a dermatologist who took a sample of my nail but did not take a sample of the nail bed or from the cuticle. Biopsy came back as of course it being a fungus. He in turn gave me pills to take which I also had to stop taking since it was having a bad affect on my liver. After that, my dermatologist said that he would give me laser treatments which I did two of. They did not clear it but it looks a little bit better then what it was before. Still thick, yellow, crumbling below the nail, nail bed where new nail is growing is darker then the others and the brown line is still there. It is a thick brown line. How did I get this brown line? Did I get it because of the prolonged damage of the nail bed due to the years of having the nail fungus?
2 Answers
Hi there I have been to the doctors on Xmas eve and he said I have sinusitis as all my nasal passage was blocked I had a lot of pressure and tooth ache and head ache , he told me to take ibuprofen and sudafed and steam inhalation to which I did , that night went to bed and woke with terrible ear ache in my right ear after 4 hours it started cracking and eventually released fluid which then released the pain of ear ache , Christmas Day night it started in my left ear but this time the pain was so bad that nothing touched it and I was almost delirious ! Eventually it to cracked and popped and released fluid ! Both ears are still a little achy but bearable but they are still leaking and I am now a little death and I have ringing in my right ear constantly , I am taking antibiotics now started them on Christmas Day amoxicillin what do you think is going on in there I'm very concerned
1 Answer
Hi, I am really stressed and don't want to self diagnos and go crazy, but I have had this (pimple, ulcer, follicule infection or chancre on the side of the shaft of my penis. I don't know which one it is. I don't have medical but I am signing up on Tuesday for state medical..... The story is it appear maybe a week after a day and a half masterbation marathon I am embarrassed to say I had. It started as just a burning sensation on the side like I ripped the skin which I have done before. So I just didnt touch it. That was on a Sunday then Monday Xmas I tried to have sex with my lady and I couldn't cause of the pain and burning sensation on the skin. We started and stopped. 3 days after that in the same burning area 1 pimple formed with maybe 2 smaller ones. Very small ones... I I tried to masterbate again and it seemed as if it irritated the area and another one grew. They got to an ok size and where kind of painful. Then they grew and seemed to bust and started to go down. They look some like a chancre or a lesion when it was going down. They itch a little bit I guess that's from healing but I am freaked out. I had unprotected sex with another woman maybe a month before the night I began the marathon. I have pics please help.
1 Answer