My father has 90% blocks in LAD and LCX please advise

[testube]

My father 74 years old recently had a heart attack(CAD acute IWMI) on 12.12.16 and recovered after ICU treatment (Lysed with S/K). After that a CAG was done. The conclusions were as follows.

LMCA: 3.0 mm vessel. Disease free
LAD: 3.0 mm type-3 vessel. D1: 205mm. LAD has ostioproximal minor lesion, mid has minor diseases and Major D1 has 90% lesion.
LCX: 2.75 mm Dominant. OM1 : 2.5mm. LPDA :2.0mm. OM1 has proximal 40% lesion followed by distal another 90% lesion.
RCA: Small calibre Non-Dominant vessel.

He is on treatment for sugar (T2DM) for years.
Anyone please advise what treatment(whether Angioplasty/Stenting is required) will be better for my father for his blocks. His discharge medications are:

T.Ecospirin 150mg 0-1-0
T.Clopilet 75mg 1-0-0
T.Itor 40mg HS
T.Gemer 1mg 1-0-0.5
T.Prolomet 25mg OD

[tacolino]

Hi there. Looking at the results you share,
he should be able to get the blockage stented, the one in
the LAD would be of most concern.

Has his DM been well controlled?
This will need to be watched carefully in future.

The meds he is on are pretty standard;
the Asprin and Clopidogrel are standard meds to prevent any clots forming.
Lipitor for colesterol control
Gemer for his Diabetes control
Prolomet is a beta blocker to keep the heart slowed a little(Its also called Metoprolol)

Of course your cardiologist is the only person trained to advise your father,
I think that they will do one stenting at least and maybe see how he progresses on meds thereafter.
All in all he will get through
There was no mention of his EF % in the results which is a little unusual.
It may be no harm to ask what it was in the test the did
(EF is the pump function of the left Ventricle)
Ideally it should be 55 - 70%, but if its a bit lower this can be alright also, given your fathers medical conditions.

Stents are routine these days and I am sure he will be put right fairly quickly.

God bless

[erijon]

I agree, the blockage in the LAD needs to be treated at least. A stent is a quick and safe procedure and will make a huge difference. Any blockage over 75% will usually be treated.

[Ger57]

How is your father doing now with the medication he has?
90% blockages will probably still give him problems/discomforts like angina/ shortness of breath...?

The blockage at the distal part of the OM1 of LCX is probably not life threatening and not easy to stent (if possible at all).
The 90% blockage of D1 of LAD will be the one that needs most attention. I think your father could benefit greatly if that blockage was resolved by placing a stent.

What did his cardiologist advice?

[testube]

Thank you for speedy response. He is doing good now. Local Hospital Doc advised angioplasty.
Today I consulted another doctor in a higher facility/hospital. He is planning further tests and analysis on a second visit planned next week.

[Ger57]

Good to hear that your father is doing good now. I am confident that his doctors will come up with a durable solution.
Take care.