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