LAD 40% stenosis

[ibrahimmarji]

i am 52 years old male . i have placed a stent on the RCA three years ago , recently i have experienced the same symptoms as before, the doctor ordered  the CCTA  , and the result was that there is a 40% stenosis in the  six and seven segment of the LAD caused by long soft plaque .
the doctor  informed me that  such a stenosis is not risky and advised me to report to him after  one year despite the fact that i am still experiencing the same  symptoms ( chest pain. shortness in breath, check pain )
i am so afraid and can't sleep  thinking of the heart attack at any time especially i read about this LAD and knew that t he other name is the widow maker , as the stenosis in this artery causes the heart attache regardless  of the percentage of the stenosis .
please i need your advice about the necessity of  placing a stent

[Circa49]

"i am still experiencing the same  symptoms ( chest pain. shortness in breath, check pain )"

When,  under what circumstances,   are you feeling the pain?
During exertion,  or just any time during the day,  when sitting or doing little effort?

Look up "stable angina"  and 'unstable angina"  to see the difference.

Are you on meds?  A statin?  other meds?
And have you made significant changes to your diet since your prior stent?   Or have you only made minor adjustments in diet?

A 40% stenosis in the LAD is not that bad,  and in most instances would not produce stable angina.
Although I do wonder how accurate the estimate is from doing the CCTA.
I don't how accurate,  or what range of estimation can be done accurately via that method.
Perhaps others can give their opinion on accuracy.

[ScalpMassager]

If you doubt your doctor, I think you ought to seek a referral to another doctor for a second opinion.  Putting up with anxiety is not good (it adds stress, raises blood pressure, and can be otherwise debilitating in the long term), I urge you to seek an answer that will satisfy you that all is being done that ought to be done.

If your health is not otherwise optimal (eg. your blood lipids / chloresteral test above normal or high), perhaps now is a good time to be motivated to do something about that (exercise or at least more activity if your doctor has no objections, and, a cleaner diet of healthier food choices, modest and slow weight reduction - a dietitician may be helpful in providing guidelines), towards reducing or at least delaying the likelihood of complications from artery clogging.  

Are you medicated for hypertension (high blood pressure)?  If not, what is your typical blood pressure when relaxed?