Hi, i had a mild hearth atack 3,5 years ago, they put me 2 stents, the result of catheterism was: "right coronary: dominant whith multiple lesions, the biggest is 100% in 1/3 distal (stent); posterior ventricular of the RC: big importance, whithmultiple lesion, the biggest is 80% in 1/ medium (stent); main Left coronart: no lesion: LAD: passing the apex, , multiple lesions, the biggest is 30% in 1/3 midlle;D1: moderate importance, localized lesion onf 50% in 1/3 proximal; Circunfelx: reach the 1/3 distal of AV sulc, whirh multiple lesion, the biggest is 60% in 1/3 midlle. I am ok from now , no pain , feel really good!
Now, my cardiologist request a Coronary Angiotomography, the result is: " Calcium Score:not avaiable, due to presence of stents, high risk of obstrutive actual lesion, high risk (more than 20%) of future coronary events). Coronary anatomy: right dominance coronary circulation; main left bifurcated , whitout lesions; LAD whit calcified and mist plaques throught the vassel, discrete luminal reduction in proximal (30%) and moderate luminal redution (50%) in midlle.Has big diagonal branch, ostial severe lesion of 80%- calcified plaque.;Circunflex dominant whith 60% of luminal reduction in 1/3 middle.Has marginal branch whirh difuse arteriosclerosis of 30%.. Conclusion:Triarteial coronary pattern, impossible to avaliate reestenosis of stensts due the little calibre of it.
So, from what i am thinking, my D1 is very worst, i am concerned, next days i will go to my doctor to show it, if possible answer me to that:
1: can it gave(80% D1 stenosis) me another hearth atack?
2: is it possible to put a stent, even in a ostial position ? it can afect teh LAD?
I feel ok, no pain in chest , nothing, do exercises,alimanetation is not very good, i must change it for sure! I take 100mg aspirin, sinvastatin, potassic losartane and atenolol since my infartion. Thanks in advance for yours answers and God bless you all!