Sticky

[ed34]

I posted a question recently regarding my condition and it was said my prognosis was excellent. It turns out that a re-examination of my stress echo results reveal ischaemia in the region of the distal LAD. I am told nothing can be done
and that I will have to attend a chest pain clinic. A huge total occlusion was removed from my Proximal LAD and 5 stents were used to clean the vessel as far as possible. However, the Cardiologist said "towards the bottom things got a bit sticky so I had to stop". I have seen the problem on an angiogram, the proximal LAD splits into two branches and each has a blockage of around 90%. If these are treated I will be normal again. Is sticky plaque not possible to deal with? I find it hard to swallow that this would be a higher risk than when they removed the large blockage which was 2.5cm long and on a curve. Should I persist in trying to get the blockages treated, or in your opinion should I now accept defeat?

Many thanks

[Cleveland Clinic]

I wouldn't necessarily view it as a defeat. Having 90% blockages in the distal circulation may not be of great significance in your case especially if your heart function is normal. Since you are having exertional symptoms only I would recommend increasing the beta blockers and if the symptoms persist at that point consider revascularization.  Since your cardiologist doens't feel comfortable with attempting the revascularization procedure I would consider getting a second opinion.  

[ed34]

Just to add. Stress echo revealed 70% LVEF, no problems with RCA or Circumflex and during stress I suffered throat discomfort, jaw ache, shortness of breath, chest pains and nausea. Those symptoms ONLY occur during exertion and never at rest.