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Dr. Andrew Rynne

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Can 3 Blocks In My RCA Be Treated With Medication?

dear doctor, iam a heart patient with three block in my RCA.after angiogram doctors asked me to go for urgent cabbagein the month of august.but i wont.aftr taking medicines iam perfectly normal now. shall i go for another angiogram. please suggest. suresh                                                                  
Thu, 28 Mar 2019
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Internal Medicine Specialist,  's  Response
Hello,

Block in RCA may lead to thrombotic occlusion leading to acute inferior wall Myocardial infarction, often complicated by complete heart block which will require emergency transvenous pacemaker therapy.

If RCA is the dominant artery, one should go for CABG. If the posterior descending artery is supplied by the right coronary artery (RCA), then the coronary circulation can be classified as "right-dominant" i.e. the artery which gives off supply to the AV node i.e. the AV nodal artery.

Most of the time this is the right coronary artery.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Tushar Kanti Biswas, Internal Medicine Specialist
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Can 3 Blocks In My RCA Be Treated With Medication?

Hello, Block in RCA may lead to thrombotic occlusion leading to acute inferior wall Myocardial infarction, often complicated by complete heart block which will require emergency transvenous pacemaker therapy. If RCA is the dominant artery, one should go for CABG. If the posterior descending artery is supplied by the right coronary artery (RCA), then the coronary circulation can be classified as right-dominant i.e. the artery which gives off supply to the AV node i.e. the AV nodal artery. Most of the time this is the right coronary artery. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Tushar Kanti Biswas, Internal Medicine Specialist