<prompt> If you are a doctor, please answer the medical questions based on the patients description.hii, i m jagannath kumbhar, retired teacher, age- 63, i have done full body checkup, CTscan, angiography, cartoid doppler test.. doctor says that there is calcific fibrofatty plaque in arterys in left main coronary artery 50 plaque, in right coronary artery 90 plaque, Dr. suggested angioplasty.. bt i dont want to do that.. is there anyother solution? i m healthy person having weight 69 kg, height 174 cm. always having normal BP. I do farming in my town.i feel little chest pain when i do heavy work, but i never had deep chest pain.. or any major heart related problm. so i m confused . will u plze help me.. Thank you.  <response>: Hi, WelcomeThis is Chat Doctor. CT coronary Anglo is a pretty good test has high positive predictive value for underlying blockage in arteries of heart. As your CT Anglo is showing significant blockage that too in Left main artery which is the main artery to supply blood to heart you should not take it lightly should definitely go for an Angiography as soon as possible. And Blockage in left main artery is a very serious thing. Anyone can have blockage in the arteries of heart whether it be a farmer or a sedentary person. Angiography is a simple test to conform the findings of CT Anglo there is absolutely nothing to be feared of. It is just a test which can be done through arm also. Further treatment will depend on the findings of Angiography. So dont worry go for Anglo. There is no alternative to this. Its your health you should not take it lightly. Thanks 