Please Suggest The Next Course Of Action I Am Sharing My Recent Blood Report

Posted on Mon, 4 Apr 2022

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

Mon, 4 Apr 2022 Answered on

Wed, 8 Jan 2025 Last reviewed on

Question : Hi Doctor, I am sharing my recent blood report and scan details below-

BP- 124/86
Total Cholesterol- 201
Triglycerides- 312
LDL-153
HDL-48
HbA1C- 5.9

CT Coronary Angiography observations-
Left main artery (LMCA)-Originates from the left coronary sinus and shows normal calibre.

Left anterior descending artery (LAD)- Type 3 vessel giving off 4 diagonals –
Proximal LAD shows concentric soft plaques with 40 to 50% luminal narrowing.
Mid LAD shows minimal myocardial bridging. Distal LAD shows small concentric soft plaques with minimal wall irregularity.

Diagonals- 4 diagonals seen - normal.
Left circumflex (LCX)- Non-dominant vessel - normal
Obtuse Marginal (OM)- Two OMs seen - normal.

Right coronary artery (RCA)- Dominant vessel, originates from the right coronary
sinus
Proximal and mid-RCA show thin eccentric and concentric soft plaques with minimal wall irregularity. Distal RCA is normal.

Posterior descending artery (RPDA)- It shows minimal wall irregularity.
Posterior left ventricular artery (RPLV) - Normal.
Visualised sections of mediastinum appear normal.

Impression: Right dominant circulation
40 to 50% stenosis in proximal LAD. No other flow-limiting lesions

Based on the observations above is there anything I need to worry about? Is the LAD observation looking quite bad?
Please suggest the next course of action. Thanks!

Answered by Dr. Bhanu Partap (21 hours later)

Brief Answer:
Please refer to the detailed information below

Detailed Answer:
Hello

After going through the medical query raised by you I can understand your concern and I would like to tell you that as you have a family history of diabetes, hypertension and you yourself has deranged lipid profile, all these makes you more susceptible towards heart disease.

As per your angiography report there is nothing to worry as of now but surely your arteries have developed disease process which will progress over a period of time.

You need to follow healthy lifestyle routine strictly which includes daily exercise and healthy diet. Also you need to start some low dose medication for your lipid levels.

Kind Regards

Above answer was peer-reviewed by : Dr. LAKSHMI

Follow up: Dr. Bhanu Partap (37 hours later)

Thank you for your reply.

I have a couple of follow-up questions-

1) "My arteries have developed disease process which will progress over a period of time" by this statement you mean the soft plaques deposits(stenois)? Can this be fully reversed like zero plaques/No stenois?

2) Can you prescribe some low dose medication for my deranged lipid levels?

Answered by Dr. Bhanu Partap (37 hours later)

Brief Answer:
Hello again

Detailed Answer:
1. No, disease that has developed inside the arteries cannot be reversed back to zero.

2. You can start Tab ecosprin AV 20mg one tab Once a day before bed for one month.

Regards

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

Follow up: Dr. Bhanu Partap (2 days later)

Thanks, Doctor!

My last set of follow-up questions-

1) Do I need to take any rosuvastatin tabs?
2) If I am able to bring down my LDL levels to ~70 and the Triglycerides to ~120 and I am able to maintain them on a consistent basis, do I still need to continue any medications?

Answered by Dr. Bhanu Partap (18 hours later)

Brief Answer:
Hello again

Detailed Answer:
1. It’s better if you take ecosprin AV
2. Yes, once under control the medication can be stopped and healthy lifestyle routine should be continued.

Good luck.
Regards

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