How can calcified plaques in coronary arteries be managed?

Question

Hello doctor,

My father underwent stent surgery two months ago. Since then, he has been experiencing a burning sensation and a deep cough. During his CT scan yesterday, a calcified plaque was found in the left anterior descending artery, with a proximal LAD showing moderate intensity of more than 70 percent. Additionally, a densely calcified plaque was noted, and calcified plaques were observed at the ostium. The left circumflex artery showed stenosis between 50 percent and 70 percent, while the obtuse marginal plaque was noted with 40 to 50 percent stenosis.

Could you please suggest the severity of the disease?

Answer 1

Hello,

Welcome to icliniq.com.

If the patient had stent surgery, then why is he only on Aspirin? He should be on dual antiplatelet therapy, a high-dose statin, an ACE (angiotensin-converting enzyme) inhibitor, and a beta-blocker. Please revise the medication chart. Consult your specialist doctor, discuss the case with him or her, and obtain their consent before starting the medications. A coronary angiogram indicates that disease is present in a specific artery but does not reveal the extent of the disease. If the patient is symptomatic, he should undergo angiography to assess the extent of the disease present.

I hope this helps you.

Thank you.