<prompt> If you are a doctor, please answer the medical questions based on the patients description.My history is: Antoroseptal MI on 14.02.11, thrombolysed with STK. Angiography 24.02.11 results: LMCA-Nor.; LAD-40 Ostial Segment Stenosis 90 mid Segment Stenosis; D2-80 Ostial Segment Stenosis; LCx- 30 mid Segment Stenosis. PDA-RCA Ostial Segment Stenosis. Coronary Angioplasty Report 24.02.11: PTCA Stent XIENCE Vascular to LAD Inj. Faximab with good end results no residue stenosis or flap.Discharge Summary 26.02.11: Acute Anterior Wall Myocardial Infraction, Double Vessel Disease, PTCA Stent to LAD, LV Dysfunction LVFE 45.Stress Echo 16.06.11 Report: LVFE 50 at rest 60 at Impost. Trace MR at rest No MR at Impost. Impression: Negative for reversible Myocardial Ischaemia.Myocardial Perfusion Scintigraphy Report 19.01.12: Test done following iv Inj. of 110 MBq of TI201 at rest 444 MBq of Tc99m Tetrofosmin at Bruce. Exercised for 06.51 Min. attained heart rate of 148 BPM 89 MPHR. Test Reveals: Post stress images show reduced tracer uptake in septal anteroseptal apical wall of LV myocardium. Refilling kinetics is seen in above mentioned area at rest thallium images.Impression: Features of SPECT myocardial perfusion scintigrapghic study are showing evidence of exercise induced reversible ischaemia in Septal anteroseptal and apical wall of LV myocardium.Personal observations: Post angioplasty I used to have throat irritation on exertion. Even during stress echo on 16.06.11 on 19.01.12 the throat irritation chocking feeling increased exercise had to be stooped.Now what do you conclude suggest future course of action.I shall be highly obliged for your expert consultations suggestions. Thanking You RegardsAnil Goel91 0000 YYYYYY ; YYYYYY  <response>: Dear Anil Goer, On your angiography in 2011, there were significant narrowing of two coronary arteries and some non-significant narrowing which couldnt cause any ischemia and complaints. One significant narrowing was treated with stent, but the other one remained. I think they didnt perform stenting of the other artery as the stress test results were good in 2011, but of you have positive stress test results in a year, then there is a need to repeat coronary angiography to evaluate arteries again, there may be two possibilities, either the other narrowing became more and are significant now or it is the D2 from the first angiography causing the problems. In both cases angioplasty stenting may be needed. Take fearsome back if you have any further questions 