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Resolved Question:

1) I Want to Know about what is mean by Acute Coronary Syndrome & Minor Coronary Artery Disease?\
2) Please provide your opinion on my health base on CAG Report old & New Attached here with Old Dated 03/06/2013 New dated 25/09/2014

3) Instead of Cardace 2.5 mg & Met XL 25 Mg Can i Take Cardace Meto 2.5 mg which is in the stock with me

Category: Cardiologist

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Category: Cardiologist
 23 Doctors Online

Hello Mr Babaji. Thank you for your query at

Minor coronary artery disease or insignificant coronary artery disease indicates blockage or obstruction less than 70 percent of the diameter of the coronary artery or 90 percent of the area of the artery. It need not be treated.

Occasionally these minor blockages rupture or develop ulceration on their inside surface and there is a blood clot formation over there, resulting in sudden increase in blockage. This results in pain in chest at rest.
It can lead to heart attack and is a dangerous phenomenon.
So you had a heart attack which was an acute coronary syndrome and then the clot dissolved on its own and on angio you were diagnosed with minor disease.

I can find the old report but not the new one . Kindly reattach and send for comparison.

Also the Cardace Meto 2.5/25 is good enough substitute for the two tablets. You can take it.

Regards, Dr Vivek Mahajan, DM Cardiology.

Patient replied :

I m attached herewith my new CAG Report for comparision
and i also wants to know human can servivive after three heart attack my frineds said me that after 3rd attack human cant servive


The angiography report is same as previous and suggestive of insignificant coronary artery disease. Nowhere is it mentioned that humans cannot survive 3 heart attacks. It depends on the area and exteny of damage of each heart attack. 3 attacks of small area may not affect the heart much whereas a single attack with large area can lead to death.

Dr Vivek Mahajan

Patient replied :

i think i wrongly send same report to you as new & old report i am sending herewith old report which is sugessted recanlised LAD
My Tropin T Test is Negative as on 24/09/2014

Kindly send the new report to [email protected]
It will be taken care off,
InHouse Physician,

Patient replied :

I do not get answer on comaparision of Both Reports so please provide same
My doctor Said that you are normal minor plaques contain in many person its not problem of worry
and i am much improved as compare to last CAG Report which was Recanalised LAD
Please Provide your valubale openion

Hello again,

Both your angiography reports are more or less similar and your disease in coronary arteries has not progressed. So relax.
Take care
Dr Vivek Mahajan

Dr. Vivek Mahajan
Category: Cardiologist
Fellowship: DM, Cardiology, PGIMER, 2013
Residency: MD, Internal Medicine, AIIMS, 2007
Internship: King Edward Memorial (KEM) Hospital, 2003 
Medical School: MBBS, Seth G.S. Medical College, 2002
Dr. Vivek Mahajan and 4 other Medical Specialists are ready to help you

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