How Dangerous Is A Single Vessel Coronary Artery Disease?

Posted on Thu, 24 Apr 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 24 Apr 2014 Answered on

Sat, 10 May 2014 Last reviewed on

Question : Single vessel coronary artery disease Distal LCX continue as Om2 which has two division , at the point of bifurcation there is intra coronory thrombus extending to both division with faint ante grade flow. The I ferior division occluded .The superior divisions has 90 % stenosis.distal LCX is normal kindly advise how dangerous

Answered by Dr. Indu Kumar (1 hour later)

Brief Answer: You are rightly advised for medical management. Detailed Answer: Hello XXXX Thanks for writing to HCM You have single vessel coronary artery disease as stenosis is greater than 75%. Single vessel coronary artery disease is less severe than other types of coronary artery disease.It is commonly found among young adults. It is important to know ejection fraction(EF).Generally EF is better in single vessel disease and it is the most important factor to guide proper management and survival rate. These patients often have atypical and stable chest pain and severity is less. Survival rate of the patients with single vessel disease treated surgically and managed non-surgically are same.So,you are rightly advised for medical management only. Stenosis develops due to atherosclerosis in vessels,so you need to screen for Diabetes mellitus,Hypertension and Lipid profile.If these are deranged then it should be corrected. You may need to take anti angina drugs,so you can consult your cardiologist. You also need life style modification and diet changes. You should reduce your weight also if you are overweight. You should avoid red meat,high fat milk products. Cook food in olive or canola oil. You should take limited salt in your diet.Avoid fried and junk food.Avoid alcohol & smoking if you take these things. Take lot of fruits and vegetables.You should also increase your physical activity in the form of walking and exercise. You can also do meditation and yoga.It will help you a lot. Don't take stress in life. Get well soon. Hope I have answered your question. Further queries are most welcome. Take Care Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Indu Kumar (1 hour later)

Is it completely treated and what is the chance for hear attack.Kindly advise whether it can treated completly by medication

Answered by Dr. Indu Kumar (4 hours later)

Brief Answer: Please find detail answer below. Detailed Answer: Hello XXXX Thanks for writing back It is not possible to completely reverse stenosis caused by atherosclerotic changes in coronary vessels.However,further progression of disease can be halted by medicines and life style changes. Present findings will not lead to heart attack. Don't get scared.Try to follow disciplined routine.You will be fine. Get well soon. Hope I have answered your question. Further queries are most welcome. Take Care Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Indu Kumar (31 minutes later)

Is there any problem for sexual life and hard exercise

Answered by Dr. Indu Kumar (6 minutes later)

Brief Answer: Please find detail answer below. Detailed Answer: Hello XXXX Thanks for writing back I presume that tread mill test(TMT)has been done.If it is fine then there is no restriction in hard exercise.Also there shouldn't be any problem in sexual life. Get well soon. Hope I have answered your question. Further queries are most welcome. Take Care Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar