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angiogram soon, advice please

Member Forum >> Coronary Disease & Cholesterol Protocol >> angiogram soon, advice please

kangarouge

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Posted: 7/24/2020 1:41:43 AM
 
Hello all
My cardiologist is sending me for an angiogram, after going through the following steps so far: CAC of 1320 showing ’possible 30% stenosis’ in left main and RCA, with scattered calcium but ’no significant stenosis’ in other arteries (although they said figures were imprecise because of ’blooming’ obscuring the scan images) // stress test ’positive’ after reaching 98% targeted heart rate before test halted at 7.5 mins for ’general fatigue.’ Ventricle walls not functioning optimally, cardiologist says it’s suggestive of a significant blockage.

My questions are: what should I insist on for the angiogram procedure? (e.g., I have read other contributors say they had the permission papers marked ’diagnostic only’ with no automatic permission to place a stent.) Is this a good strategy, or should I leave it to discussion during the procedure? At what level of blockage would it be appropriate to allow a stent (and by the same token, below which I should say no.) // If I am unsure about allowing a stent, does that mean repeating  the angiogram if I decide later to allow a stent, and is that good/bad idea? // Given the Ischemia, Courage and Noble trials, is it a good idea to have a stent placed in any non-emergency situation? Or to have a bypass for that matter?

All advice appreciated -- I’m sure they will make it tough to ’stand my ground’ on any issue once I’m in the hospital, so having some back up in my corner would be great. Thanks
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Bob Niland

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Posted: 7/24/2020 8:17:02 AM
 
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Malcolm

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Posted: 7/24/2020 12:35:11 PM
Edited: 7/24/2020 12:39:36 PM (2)
 
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kangarouge

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Posted: 7/25/2020 12:26:52 AM
 
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Bob Niland

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Posted: 7/25/2020 8:46:46 AM
 
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Malcolm

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Posted: 7/25/2020 10:57:55 AM
 
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Posted: 7/25/2020 11:27:28 AM
 
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kangarouge

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Posted: 7/25/2020 9:03:35 PM
 
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Malcolm

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Posted: 7/25/2020 10:35:06 PM
 
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Dr. Davis

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Posted: 7/26/2020 9:04:31 AM
 
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Malcolm

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Posted: 7/26/2020 10:43:57 AM
 
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kangarouge

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Posted: 7/26/2020 9:30:57 PM
 
Thanks Dr Davis, good guidance - I will ask a few questions ahead of time, but won’t try to tell him how to do his job.


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kangarouge

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Posted: 9/8/2020 2:59:01 AM
 
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Bob Niland

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Posted: 9/8/2020 8:48:54 AM
 
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Posted: 9/8/2020 11:42:19 AM
 
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kangarouge

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Posted: 9/8/2020 6:58:31 PM
 
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Malcolm

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Posted: 9/8/2020 7:34:36 PM
 
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kangarouge

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Posted: 9/8/2020 8:07:08 PM
 
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Malcolm

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Posted: 9/9/2020 6:09:43 PM
 
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Posted: 9/9/2020 6:55:00 PM
 
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kangarouge

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Posted: 9/9/2020 7:44:06 PM
 
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kangarouge

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Posted: 9/9/2020 8:01:46 PM
 
Thanks Malcolm. With the bypass in place, how do you ’track your plaque’? Individual artery scores, stress tests, labs?
 


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Malcolm

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Posted: 9/10/2020 12:17:05 AM
 
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kangarouge

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Posted: 9/11/2020 12:50:24 AM
 
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Posted: 9/11/2020 2:08:25 PM
 
Best of luck with your procedure Kangarouge!! 
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Pleegasser

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Posted: 9/11/2020 3:38:55 PM
 
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Malcolm

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Posted: 9/11/2020 6:13:32 PM
 
Pleegasser writes: Bypasses and stents do not add one day to your life...

I disagree.

Bypasses and stents could (and likely will) add years to your life.

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GSH1965

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Posted: 9/11/2020 6:36:15 PM
 
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kangarouge

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Posted: 9/11/2020 10:31:47 PM
 
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Posted: 9/12/2020 11:37:44 AM
 
Yes, these are concerning findings, Kanga, that tip the scales in favor of a revascularization procedure. 


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Posted: 9/12/2020 11:56:13 AM
 
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Posted: 9/12/2020 2:25:47 PM
 
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Posted: 9/12/2020 3:27:59 PM
 
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kangarouge

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Posted: 9/12/2020 9:23:09 PM
 
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kangarouge

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Posted: 9/12/2020 9:32:56 PM
 
Thanks Dr. Davis for your continued input, much appreciated.
 
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Posted: 9/12/2020 11:26:53 PM
 
kangarouge:

All the best to you as you continue on through the process.


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