Analysis report
Reading File
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Here is a full analysis of the Coronary Angiogram Report:
Coronary Angiogram Report - Analysis
Patient: Goutam Giri | Age/Sex: 36 Years / Male
Hospital: CARE Hospitals | Consultant: Dr. Jyotirmaya Sahoo (Consultant Cardiologist)
Procedure Date: 24/06/2026 | Cath No: 68152
Clinical Background
The patient was admitted with chest pain. His background conditions include:
- HTN - Hypertension (high blood pressure)
- DM - Diabetes Mellitus (diabetes)
- TROP-T (-VE) - Troponin-T was negative, meaning no active heart attack (myocardial infarction) was occurring at the time of testing
- Good LV Function - The left ventricle (main pumping chamber) is working normally
Angiogram Findings - Vessel by Vessel
| Vessel | Finding | What It Means |
|---|---|---|
| LMCA (Left Main Coronary Artery) | Normal | No blockage in the main left artery - very reassuring |
| LAD (Left Anterior Descending) | Type III vessel, Normal | This important artery is normal; "Type III" refers to how far it extends |
| Diagonal | Small caliber vessel, Normal | Small branch artery, no disease |
| LCX (Left Circumflex Artery) | Good caliber vessel, Mild disease | Minor plaque buildup, not severe |
| OMs (Obtuse Marginal branches) | Small caliber vessel, Normal | No disease in these branches |
| RCA (Right Coronary Artery) | Dominant vessel, Mild disease in proximal to mid segment | Minor narrowing in the first-to-middle portion of the right coronary artery |
Diagnosis & Recommendation
- CATH DIAGNOSIS: Mild CAD (Mild Coronary Artery Disease)
- CATH ADVICE: Medical Management
What This Means in Plain Language
The good news: This is a relatively favorable report. The two areas of "mild disease" (LCX and RCA) represent early, minor plaque buildup - not severe blockages. The critical left main and LAD arteries are completely normal.
No procedures needed: The cardiologist has recommended only medical management, meaning no stents (angioplasty) or bypass surgery are required at this time.
Medical management will likely include:
- Statin therapy (e.g., Atorvastatin) - to lower LDL cholesterol and stabilize the plaques
- Antiplatelet therapy (e.g., low-dose Aspirin) - to prevent clot formation on the plaques
- Blood pressure control - important given his known hypertension
- Blood sugar control - critical since diabetes accelerates coronary artery disease
- Lifestyle changes - heart-healthy diet, regular exercise, smoking cessation (if applicable)
Important Context
At 36 years of age, having coronary artery disease - even mild - is a serious warning sign. The combination of hypertension + diabetes significantly accelerates plaque formation. This report essentially identifies an early window where aggressive risk factor control can prevent the disease from progressing to severe blockages in the future.
Follow-up with the cardiologist is important to monitor plaque progression and adjust medications as needed.
Disclaimer: This analysis is for informational purposes only. Please discuss the findings, medication plan, and lifestyle recommendations directly with Dr. Sahoo or your treating physician.
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