I have complaint of chronic obstructive pulmonary disease since 2010. I Developed complaints of dyspnea on exertion since 15 days. After recent tests of ECG, ECHO and coronary angiography I was suggested for coronary artery disease. The report says that I have 70% blockage in my left artery. Though the doctor have suggested me for angioplasty with stent and he was open for a second opinion from the other doctors. I was hoping if you could suggest me some other options for the treatment (other than angioplasty). So far I haven't experienced any chest pain and I was wondering if there is any injectable medication though which the blockage could be removed. Also it will be very helpful if you could tell me about angioplasty without stent. Looking forward for your response Kind regards

Dr. Sameer MehrotraCardiologist19yrs exp

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1. It will be difficult to provide you a correct 2nd opinion without looking at the CD of your angiography and listening to your symptoms. 2) If going by your report, we consider that it is a 70% LAD blockage then you need to understand a few things - Symptoms of heart blockage is not always chest pain, dyspnea on exertion is a symptoms too. Infact this is an early warning symptom and you should consider yourself lucky that instead of having chest pain, you received this warning sign. Also, medicine will not be able to dissolve this kind of blockage it is either a stent or a surgery. But which you need will depend on further evaluation of your symptoms, investigations and review of the CD. But given that dyspnea (if it is not due to COPD) is a warning sign and you should not ignore it.  

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