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medicine or surgery

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LCA             LMS         Normal
                   LAD:         Critical disease in mid portion. Mild 30-40%osteal disease.
                   LCx:         Critical disaese in proximal course.
RCA:           Totally occluded.
LV Angio:     fair LV function.
Diagonosis:  TVCAD.
2 Responses
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63984 tn?1385437939
Are you having chest pressure/angina symptoms?  Also, are you short of breath when exercising to the point of affecting your quality of life?  

These are important questions when evaluating treatment.  
Helpful - 0
367994 tn?1304953593
Apparently, the RCA has a natural bypass of collateral vessels that provide blood/oxygen to the area formerly served by the RCA.  If so, you shouldn't need any intervention.
Lesions less than 70% occlusion do not require intervention according to the guidelines of the AAC/AHA unless there are associated symptoms uncontrolled with medication
Helpful - 0
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