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Question:

Is there any procedure which needs to be done for stenosis in my arteries? 

I am 55 yrs old. I just had coronary artery scanning (CAC) which shows my left anterior descending coronary artery with mild irregularities, 30% stenosis in the proximal vessel, and 50% stenosis in the mid-vessel. Is there any procedure which needs to be done in my case? Or can diet or any supplements be used in place of procedures?

submitted by Ming from Los Angeles, California on 1/12/2013

Answer:

by Texas Heart Institute cardiologist, Scott R. Sherron, MD  Scott R. Sherron, MD

I am assuming that you are describing a CT angio where contrast was given in conjunction with the CT scan. The plaque you describe meets the definition of coronary artery disease and prompts aggressive prevention including daily aspirin, statin with LDL goal of <70, aggressive dietary control and regular exercise. Although none of the supplements have been shown to reduce the incidence of heart attacks, the addition of fish oil/Omega 3 and the use of Co-Q 10 are thought to be potentially helpful. These and any other recommendations of course depend on your specific situation and other medical conditions, and should be discussed with your cardiologist. Generally speaking, any narrowing of less than 70% does not rise to the level of benefiting from revascularization such as a stent or bypass. However, 30 and 50% narrowings can lead to heart attack because a blood clot can form at the site of the plaque, suddenly changing it from 50% to 100%. The above measures will help minimize this risk. Regular screening for progression should be considered, usually with some form of treadmill stress testing. 

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Updated January 2013
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Texas Heart Institute Heart Information Center
Through this community outreach program, staff members of the Texas Heart Institute (THI) provide educational information related to the prevention, diagnosis, and treatment of cardiovascular disease. It is not the intention of THI to provide specific medical advice, but rather to provide users with information to better understand their health and their diagnosed disorders. Specific medical advice will not be provided and THI urges you to visit a qualified physician for diagnosis and for answers to your questions.
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