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How can calcified plaques in coronary arteries be managed?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

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?

Answered by Dr. Talapatra Ritendra Nath

Education:

MBBS

Professional Bio:

Dr. Talapatra Ritendra Nath is a Cardiologist with 15 years of clinical experience. He pursues his MBBS from Calcutta University and DNB in General Medicine at the National Board of Examinations. He deals with disorders of the heart such as congenital heart defects, coronary artery disease, heart failure, and valvular heart disease. Currently, he is working in Charnock Hospital, Kolkata, West Bengal.

This doctor is not available for online consultations on the platform anymore.

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.

Medically reviewed by Dr. K. Shobana
Published At February 7, 2018
Reviewed At October 25, 2024

Education:

MBBS

Professional Bio:

Dr. Talapatra Ritendra Nath is a Cardiologist with 15 years of clinical experience. He pursues his MBBS from Calcutta University and DNB in General Medicine at the National Board of Examinations. He deals with disorders of the heart such as congenital heart defects, coronary artery disease, heart failure, and valvular heart disease. Currently, he is working in Charnock Hospital, Kolkata, West Bengal.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Talapatra Ritendra Nath is a Cardiologist with 15 years of clinical experience. He pursues his MBBS from Calcutta University and DNB in General Medicine at the National Board of Examinations. He deals with disorders of the heart such as congenital heart defects, coronary artery disease, heart failure, and valvular heart disease. Currently, he is working in Charnock Hospital, Kolkata, West Bengal.

This doctor is not available for online consultations on the platform anymore.

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