Hello doctor, I am a 42-year-old male. Because my half brother had a heart attack at 21 and died. I paid for an angiogram and exercise stress test. I had a good exercise outcome, but the angiogram showed triple vessel heart disease. The cardiologist said it was very mild and probably due to smoking. Cholesterols were in the normal range. I was placed on Statins and low dose Aspirin and discharged. The doctor told me that I need not worry and many people would have mild atheroma at my age. My concern is triple vessel sounds very serious and also I have a print out from the angiogram that I cannot understand. I need a second opinion. I am so anxious about it every day, and I am worried.
Hello. Thanks for providing a detail note (attachment removed to protect patient identity). I understand your concerns, but no need to be worried you will be fine. The study only shows minimal evidence of coronary heart disease, which is reversible as of this moment. In cases like this, I usually advise my patients to modify their lifestyle. Do the regular exercise of at least 30 minutes three times a week, stop smoking and adopt a healthy eating habit. Continue the medications as prescribed and hopefully you will be fine.