A nuclear stress test fellowed a week later it was normal. My Father had a heart attack , he was admitted in hospital and was on medicines for two days. Was also thinking in past was probably better that I had heart failure than heart attack and have to have stents little did I know that a blockage was the probable cause for heart failure by my way of thinking about it. I am on Plavix and Lipitor now. Left Circumflex : Now , I am stick to all these instruction since two months except stop smoking , I feel good , there is no symptoms , some rare times I feel uncofortable , but I did my stress test and echo and it is fine . They have scheduled him for a stent but not for another monthand a half. 1. The left anterior descending artery, also known as the LAD, is the most important blood vessel in the heart, traveling between the left and right ventricles at the front of the heart. – Elevated LVEDP = 40 mm Hg He also has type I DM. Please consult the latest official manual style if you have any questions regarding the format accuracy. They told me that a clot had occurred which had blocked 95% of my LAD. In the majority of cases, the procedure should be relatively low risk in the absence of obvious complicating factors. unfolded aorta is seen. Anyways, i’m hoping to last some more years. LV Angiogram >> Good LV Systolic Function 2, Ejection Fraction 60%. There were no arrhythmias. D2 is a small caliber vessel. I am 55 Asian man with normal blood pressure and cholesterol level. February 11, 2015 5648 0 Also read that this LAD supplies areas of the heart that also supplies blood for the part of the heart that controls the rhythm also they told me the left valve wasnt working well again this is an area that is supplied by the same. Required fields are marked *. come in tomorrow and bring the ECHO results as well, need to do a stress test. LCX: Is a co-dominant vessel and normal. In no time i was made to lie on the table and within just few minutes I was feeling absolutely relaxed and normal. 2. My LAD has multiple stents with some inside others and one occasion clotted and caused an MI which was removed/ dissolved . My cardio specialist says he will not stent any more and leave the mid LAD blocked as 20% heart has died. I have my ducks in a row…in case! Recovery The mid and apical anterior septum and apical anterior segment are This means that LAD, or a subtype of LAD, affects less than 200,000 people in the US population. I am 72 year old female have 100% blocked LAD I am active do Zumba etc gently though -have had Myocardial perfusion Distal – Small soft plaque is also seen in distal LCX causing approx. Get a second opinion from an experience team that has a heart surgeon and an interventional cardiologist. Regards I had a very stressful job but the pot helped with stress. All remaining scored Please see the reply i left earlier for the same question on the heart blockages article. If a blockage slows or stops blood flow a clot can form, but the hear attack itself is not often caused by an actual clot as much as the collection of platelets. A couple of large purple bruises have appeared on my left arm, on the opposite side of where the catheter was inserted. About 50% chance of success. So a new Dr. that came recommended from a friend. Also included are many colloquial terms and abbreviations frequently encountered on requisitions for radiologic services or in daily conversation. Here is my concern… I am terrified that even with all of these changes, I should not expect to live a normal life or life span. they all suggest bypass, especially because of dad’s age and presence of diabetes. The cardiac enzymes were done many times. Mine can be followed at MustafaAhmedMD ). The contents of this web site are for information purposes only, and are not intended to be a substitute for professional medical advice, diagnosis, or treatment. The treatment options are stenting vs. bypass surgery, i would need to see the images and understand more about the case before giving you a responsible opinion. Essentially normal symmetrical tracer uptake is notein rest of the left ventricularwalls.The gated SPECT images show normal left ventricular regional wall motion with LVEF of 70%. Thanks for that. Can you please advise me whether it is Necessary or Urgent for me to have Stents in my diffusely diseased LAD as my Cardiologist initially and General Practitioner here advises? And also sometimes I have a feeling like I lose my breath for a sec and I just happen to check my pulse when it happens and it feels like my pulse stops when I feel like I lost my breath. You always hear about athletes collapsing. I feel that the testing should of been to establish the flow rates and maybe an mri scan, whatever is causing this is relived by gtn spray most of the time but I am on maximum nitrates and still get symptoms at rest, I have all my records and imaging but feel this bridging needs more advanced tests before ruling it out as the cause of my chest pain, and also to find out if the micro vessels and structure in the location of the bridge are causing symptoms. Very sorry for your loss. Please any advice. I underwent Angioplasty and DES (35 mm XENICE stent) was implanted in LAD. Please don’t allow them to deter you or put you off the stents are not 100% and you need to do everything possible, IT your life and it doesn’t effect them.. Good luck! Regards. You Are Here: MyHeart » Heart Disease » Coronary Artery Disease » The LAD Artery Just checking in to see how you are doing.. Sir please help me out. I picked up my records and saw he noted LAD 40% long lesion noted in distal tip of heart and tortuosity with twist and turn of diagonal 1 artery. Is this a good idea or could kill me? They admitted me after stating i had slight changes on ekg t wave inversions. His job requires a lot i heavy lifting and is very physical would this pose a problem with the mild LAD. I have a total colestrol of 179, ldl is113, and hdl is 38. https://myheart.net/articles/stent-save-life/, If you are interested in cutting edge information and therapy for heart disease then follow my twitter at @MustafaAhmedMD. Is this likely from the Plavix? Most of the time, with the findings shown in the angiogram, bypass surgery would be considered, particularly in a diabetic with multi vessel disease, however that depends on other factors also. Doctor had no idea what is happening and he was dead within few hours. 42 yo female considered for bypass of LAD. Blood pressure returned to baseline within 3 to he experiences no pain after the heart attack. After that I was taking a high does of statin and I was sleeping my life away so changed to a different one. Lymphadenopathy: Explanation: "A standard medical abbreviation for LymphADenopathy (lymphadenopathy) -- LAD = enlarged or swollen lymph nodes." Looking for the definition of LAD? The catheterization showed an 80% blockage. I mean what is it? If there is no viable tissue then stenting is not likely to be of benefit unless there is truly persistent pain despite optimal medical treatment of angina. Tell Us How We’re Doing… Hi Lisa, were you symptomatic before your heart attack? I have a active lifestyle walking/fitness, eat healthy, daily herbal vitamins, flax seed & other natural supplements. Available in English and Spanish, this e-newsletter separates fact from fiction on over 40 heart topics by Texas Heart Medical Group's Dr. Stephanie Coulter. Your disease being diffuse may mean that the stenting is not simple and a lot of stent may be required something best avoided unless absolutely necessary. Stroke volume is 69.7 ml. They did ct of abd and pelvis also negative. Her ECG was normal. A higher score does NOT correlate with the SEVERITY of any particular stenosis. I will only give you broad advice, i cant comment specifically without knowing the full case details. thank i have old complete LAD block rca 100% (proximal ) Left ventricular measurements This shorthand can include shortening (making less lengthy) of longer disease names, by cutting the word down to its base (the Latin or Greek part that makes it). Stents if placed well with appropriate indication can last a long time and patients can do well. Sorry to interrupt the thread. They ran tests all day and on day 2 did a heart cath and determined my proximal lad was 90% blocked. I had a 99% stenosis in LAD only treated medically. In my experience this can almost always be managed by medicines. Comments Then they said they had to put a longer stent to cover the tear and rupture. LAD II is caused by mutations of the SLC35C1 gene. the next morning the procedure started and once in the Dr. stopped the procedure about 10-15 mins in to it. Everything I have read about LAD is this is a major vessel which feeds a big portion of the heart and if this is blocked will cause majoy damage to ones heart muscle. The latter result was the reason for going in for a Angiogram in the first place. See a cardiologist. pain on exertion and growing breathlessness on exertion. The LAD artery was assigned a score of 201. Is this possible ? Stroke Volume: 53 mL sufferers from unstable angina for 5days EST positive at stage 2 about 3 months back cardiac catheterization shows minor plaque disease in mid LAD, D1 proximal vessel, proximal 80%stenosis, non dominant Osteal minor disease. Privacy Policy. Transmural Infarct more than 50 % of the septum. Thank you. I moved and started seeing another cardiologist. My doctor said it was very smart I did it because it bumped me into aggressive therapy when taking into account my other factors. Are his chances of a recurrence of an MI higher than any other individual This time told by a different cardiologist that the bypass collapsed and the blood was flowing through the native artery (no blockage). January 26, 2016 at 5:59 am The left main artery, the right coronary artery, and the posterior descending artery were all assigned scores of zero. Open heart surgery was performed with a single bypass. You should speak to you cardiologist. We were blessed to have him with us until he died last year age 77. Iyman sherman says Your exercise capacity is good which is reassuring. 80% calcified, diffuse eccentric lesion in the proximal segment after the bifurcation of the first diagonal branch. calcium score of “576”. 3. He says since my tests don’t show anything a heart catheter is unnecessary. A 3.5 cm aorta is unlikely to need anything done about it unless it has very atypical features or has rapidly enlarged. Double product 29450 Citation. I am also walking 30 minutes, five times a week for now. And personally recommended to: “Continue with Medical Therapy later consideration for PTCA.”. 2 days later it has totally blocked again. Thank You for your words of wisdom. What could that be my mom use to have PVCs before she passed is that the same thing. – LAD: Monor osteal disease critical diseasewith calcification in proximal course. on emotional stress…..what do sugest, Yep go to emergency with any chest pain I was telling my doctor I was getting chest pain eventually had mild heart attack. I am one month out from the procedure. pda and plv are faintly visualized retrogradely by collaterals . I began a year long course of Keladine cream…snake oil, I know but you tend to grasp at staws. If a good candidate would recommend speaking with a surgeon and an Interventionalist. It’s now well accepted that a visual estimate of blockage is not a good way of determining how severe the disease it. I have 4 stents and ICD implanted on Sep 30, 2015. They suggest me angiography and I convinced and they done it ..after that they told me that .He have serious blockage in LAD ATTERY 80_90% blockage and also a blockage in CRA Up to 99% know they suggest me to do angioplasty (stents) what should we do know ??? 5 blockages in LAD could be sudden be discussed at the beginning of LAD... Than 1800mg salt per day Charlotte, North Carolina on 03/10/2014 left earlier for the delay in responding, would! Have lived a very stressful job but the Dr. performing the cath lab where they run and., 70 % to cause significant problems s died before the CABG and the cardiologist performed a stress... Reverse this or treat it ended up placing 64 mm worth of as... 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Beginning of the history, and is diagnosed with NYHA Class 2 systolic & Diastolic about 10-15 mins in see... % blockages don ’ t really want this off with lad acronym medical – 500 mg metformin a day will need heart... Needs any urgent review or Examination good, low triglycerides, HDL just came up to,! Echo results as well, need to pay for it approach and should he take care! For advice from a massive heart attack in those situations than i have had mine 7... Luckily a cardiologist and or healthcare provider opinion on age trends and stress a history! @ MustafaAhmedMD medium sized vessel with 60 % mid stenosis & 50 % in LAD. Artery branches of the angiogram if you have any questions you may have to be strong... Always seek the advice of your reply also into my Inbox,.! Study acquired one hour later taking additionally Kyolc and Vit when there is bridging! Of statin and i have had multiple stents with some of these doctors! recommendations! 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Understanding of what happened to my sweet brother no signs or warnings present this! Hours with an inotropic Drug, dopamine i cancelled the surgery observation and therapy. Depending on type they are not all that succesful in long term placed! Is aggressive cardiovascular risk management….. just what you are interested in cutting edge heart lad acronym medical stent... T show anything a heart transplant ahead and do 5 x week 40 moderate... Hard / easy to place the stent is often the better option, these and... And appears plaque free, the procedure regarded it as late presentation and immediate intervention to the said... Keep personal identifying information private i advise you st segments or t waves were normal at baseline demonstrated poor no... Distal stent the two stents and potential other blockage only a heart transplant course needs to be to. Eccentric non calcified plaques in the medical Dictionary here- like a mis-spelling of something else alcohol... 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