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Question:

What should I do about my ectatic coronary arteries?

Sir, I have a problem of chest heaviness from one year. Last week, I had angio and the result is:

AORTIC PRESSURE: 140/80 MMHG
LMCA: NORMAL
LAD: TYPE 3 VESSEL. IT IS ECTATIC WITH SLOW FLOW WITHOUT ANY STENOSIS
DIAGONAL: NORMAL
LCX: NORMAL BUT ECTATIC WITH SLOW FLOW
RCA: DOMINANT VESSEL. IT IS ALSO AS LCX
RENAL ARTERIES: BILATERAL NORMAL ARTERIES
RESULT: ECTATIC CORONARIES WITH SLOW FLOW
EF: 66% cavity size normal limit. No regional wall abnormalities.

Sir, my problem remains the same as before. Please suggest to me what should I do now. I smoke two cigarettes daily and I am non-alcoholic from last 8 years.

submitted by Manoj from Kolkata, India on 11/11/2013

Answer:

by Texas Heart Institute cardiologist, Atasu K. Nayak, MD    

Atasu K. Nayak, MDThanks for the question. You have ectasia of coronary arteries and your heart function is normal. Please stop smoking and continue aspirin. Ideally, LDL [the "bad" cholesterol] should be less than 70 mg/dl. If LDL is high, a statin is advised. Risk factor modifications are important, especially control of blood pressure and diabetes if you have these. Please see your cardiologist and follow his/her advice.           

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Updated November 2013
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