My father is 68 years old, with high blood pressure, fatigue and chest tightness. CTA in Shuang Yuan: There are multiple mixed plaques in the middle of the anterior descending branch of the left coron

My father is 68 years old, with high blood pressure, fatigue and chest tightness. CTA in Shuang Yuan: There are multiple mixed plaques in the middle of the anterior descending branch of the left coronary artery, with moderate stenosis at the narrowest part of the lumen. The negative results of coronary CT are more reliable, because although coronary CT requires a heart rate of about 60 times, the patient's nervousness will inevitably lead to an increase in heart rate, so there is a greater possibility of ghosting or superposition.

Now the report suggests that there are moderate lesions, many plaques, high blood pressure and other risk factors, and it is recommended to do coronary angiography. As for whether to put a stent or not, it depends on the results of angiography.

The symptoms of angina pectoris are various, and some may just be toothache for no reason. General elderly people have high risk factors. If there is pain below the teeth and above the abdomen, don't let go of angina pectoris. Although not necessarily, we must think of it and identify it. If the symptoms are as typical as those written in the textbook, it will be easy for the doctor, hehe.

In terms of treatment, coronary angiography is still the gold standard for the diagnosis of coronary heart disease. Therefore, whether you apply for special diseases or take drugs, you can give a prognosis evaluation as a reference, and the application for special diseases can also reduce the cost of drugs. If the stenosis is serious, active treatment can also be carried out. Let's talk about stent placement, but we still have to weigh the economic conditions at home. After stent implantation, some drugs should be taken for at least 1-2 years. If they can't afford it, they'd better keep the medicine conservative. Otherwise, a thrombus will form in the stent, and everything will be in vain.

The risk of myocardial infarction is definitely there.