Talk to Cardiologist on Coronary Artery Disease
Asking for Self, Male, 65 years old, Lahore
I m 65 yrs male & needs your further guidance in light of following CT CORONARY ANGIOGRAPH Calcium Score LT main 0 LAD 70 LCX 02 RCA 27 Diagonal branch 20 Total 119
Left Main Stem: • Normal bifurcating vessel. Left Anterior Descending Artery: • Moderate proximal disesae due to mixed plaque, mid and distal segments are normal. Diagonal branches are normal. Left Circumflex Artery: • Small caliber normal vessel. Right Coronary Artery: • Dominant vessel with normal proximal, mid and distal segments. PDA and PLB are normal. LV Angiogram: • EDV 134ml • ESV 57ml • Ejection Fraction 58% whether any narrowing or Blockage in LAD if so, what is its percentage ?
Dr. Abdul Hafeez - Cardiologist
MBBS, Diploma in (Cardiology) | Karachi
moderate disease can range from anywhere between 40-50% to 80%
Dr. Muhammad Asad Baqai - Cardiologist
MBBS, FCPS Cardiovascular Diseases | Karachi
14 Positive Reviews
moderate means between 40% to 70%. need to continue medical treatment.
Patient
Post Owner
Sir, In my case, any further evaluation like stress thallium scan is required?
10 months ago
MBBS, FCPS Cardiovascular Diseases | Karachi | Book Appointment
10 Positive Reviews
not needed as we already know the disease. continue medical therapy and If u feel any chest pain or difficulty in breathing then better to get ur checkup done
10 months ago
Patient
Post Owner
Dear Sir,
Currently I am on following medical Therapy:-
Sitagliptin/metformin 50/500mg one at morning and night after meal (Being Diabetic since 14 Yrs)
Glimepiride 1mg one at morning and night before meal
Losartan potassium 25mg one at Evening
Bisoprolol. 2.5 mg one at morning
Rosuvastatin 5 mg one at night .
Clopidogrel 75 mg one daily at noon
Whether this treatment is appropriate OR any change/addition in above medicines is required ?
thanks for your concern .
10 months ago
MBBS, FCPS Cardiovascular Diseases | Karachi | Book Appointment
10 Positive Reviews
dose of Rosuvastatin is 20 mg for cardiac patients. and better to start aspirin 75 mg instead of clopidogrel. rest is fine
10 months ago
moderate disease can be treated with medicine
Patient
Post Owner
I m on BISOPROLOL 2.5mg LOSARTAN 25 mg ROSUVASTATIN 5mg AND CLOPIDOGREL 75mg (All one tab Daily) In your opinion these medicines are OK in my condition & would be enough to prevent any Heart Attack ?
10 months ago
Dr. Hassan Shabbir Arain - Cardiologist
MBBS, FCPS (Cardiology), MRCP (UK), CHPE(NUMS), FCPS (Interventional Cardiology)(AFIC) , FACP(USA) , Certified National Board Of Echocardiography and Cardiac Imaging (USA) | Islamabad
21 Positive Reviews
Just medical treatment for now
Continue Clopidogrel, Losartan and Rosuvastatin
No need for bisoprolol for now
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