How to live with 100 PerCent Blocked LAD

[revcforde]

My husband has been seeing a well known preventive cardiologist in Houston for two years after being diagnosed with severe CAD and 100 Per cent blockage of the LAD and one other artery.  He has been a marathoner, played full court basket ball until he was 55 (ten years ago).  After his younger brother died from a heart attack at age 48 and his dad at age 62 plus discovery that his stamina was really decreasing... he had a calcium tomography showing he was in the 95th percentile of having a cardiac event in five years.  Five years later he repeated the CT scan and his numbers doubled.  At that point he had a PET scan showing the severe CAD in all of his arteries.  the cardiologist wanted him to do an angiogram; but he refused because of familial issues with invasive procedures and chose to begin the two year program to reverse CAD. the cardiologist suspected his CAD was genetic looking at the PET scan vs  his athletic fitness, perfect cholesterol panel, etc.  He was diagnosed iwth LPa ... a genetic component to CAD with a score of 130.  Normal is 30.  He has been on Lipitor, Plavix, and 200 mg of Niaspan plus following the severely restricted fat (15 gm day) 100 per cent of the time for the past two years.   His appointment this past week for the repeat PET scan two years later showed NO change.  100 per cent blockage of the LAD and 100 per cent blockage of another artery 9lower down).  He is not a candidate for bypass surgery.  He is asymtomatic with plans to cut back fat even more drastically.  Obvioiusly he has collateral circulation but that is not enough under heavy stress.  My questions are ... will this unblock the blockages?  Is there any medication that will clean the arteries?  What happens to the heart with such inadequate flow:

[Ahmad2015]

Hi,

How is your husband doing? I recently had 100% LAD blockage, and a heart attack, and was able to get a stent put in. I have been since looking into ways of reversing the plaque build up, as the angioplasty doesn't really clean the plaque. So I found a youtube video, and hope it will guide you for an alternative approach you were seeking for your husband. Here is the link:
https://www.youtube.com/watch?v=Pj_EjhNvdS4

Please update us, wishing you both the best.

[revcforde]

Correction:  he eats breads...  
Auto correct is my worst enema.

[revcforde]

I just noticed the message above today.  My husbands health continues to be excellent.  We reach the four year mark since his first PET scan and have passed ten years since the first CT scan. He is extremely disciplined with his dietary restrictions eating no more than 10 fat grams a day which means he receives any fat through three ounces of fish, chix or turkey a day.   With high metabolism, being very lean and athletic, he needs to eat all of the time.   This means he ears brads with Zero fat, vegetables steamed in huge quantities and cereals that are made without any oils.  He must have 80 plus grams of protein a day to maintain energy so we use soy protein.  He will use two scoops of isopure protein powder on a bowl of cereal that contains 50 grams of protein.  And we eat super sized egg white veggie omelets made with cooking spray.  Almost every day we walk/hike 3-4 hours.  He remains a symptomatic.  

What does it mean to have  severe apical stress induced defect?  Is this a hole?  Is this congenital?  And I am confused with the seemingly contradictory report of 61% ejection fraction and also a severely reduced heart flow?    What I have recently understood  is that two of the three main arteries going into his heart are 100% blocked.  I had not realized the posterior or circumflex artery is one of the three main arteries.  I also wonder how these two main arteries affect the other Main artery.  What I am really asking is how long can this stay stabilized without deterioration in the heart?   Even with corollary arterial flow how much will the rest of the heart get damaged.

[javed610]

Hello
What about your husband's health?

[ed34]

You are very welcome, and please keep us informed because we all learn a great deal from each other.

[revcforde]

Thanks to everyone who has commented. I really appreciate this forum.  You have been very helpful!  Kind regards, CF