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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The Following Angiogram Test Mean?

Good Morning Doctor, My father is heart patient. Last week check the angiogram Test. In the report 1. LMCA - Normal, 2.LAD- Mid Segment 90% long segment stenosis, Distal another tight lesion graftable.3.LCX- Proximal 70% stenosis, Mid Segment 70% stenosis after OM1. 4. RCA-Dominet, Osteal 90% stenosis, Mid Segment 100% occlusion, NO antegrade flow, good retrograde. This is the report, what is your suggesion sir,
Thu, 6 Jul 2017
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General & Family Physician,  's  Response
Hello, Thanks for posting your query on Healthcare Magic...
* Brief Answer:it seems that your father needs to do CABG(coronary artery bypass grafting).
*Explanation: My opinion is that multiple coronary vessel disease is an indication to do coronary bypass grafting, percutaneous coronary intervention in your father condition is debatable and may be non beneficial to his condition,on the other hand ,CABG would improve morbidity and mortality.
I suggest my patients the following : consult a cardiothoracic surgeon about your father's condition and adhere to antiischemic medications
The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about other comorbidities and results of any any other investigations you have done to your father.
*Conclusion: I suggest you consult a cardiothoracic surgeon and stick to your medications low salt in diet and

If you have any further questions I will be happy to help, If not, you can close the discussion and rate the answer. Wish your father good health.
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What Does The Following Angiogram Test Mean?

Hello, Thanks for posting your query on Healthcare Magic... * Brief Answer:it seems that your father needs to do CABG(coronary artery bypass grafting). *Explanation: My opinion is that multiple coronary vessel disease is an indication to do coronary bypass grafting, percutaneous coronary intervention in your father condition is debatable and may be non beneficial to his condition,on the other hand ,CABG would improve morbidity and mortality. I suggest my patients the following : consult a cardiothoracic surgeon about your father s condition and adhere to antiischemic medications The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about other comorbidities and results of any any other investigations you have done to your father. *Conclusion: I suggest you consult a cardiothoracic surgeon and stick to your medications low salt in diet and If you have any further questions I will be happy to help, If not, you can close the discussion and rate the answer. Wish your father good health.