Is there a difference between a block... - British Heart Fou...

British Heart Foundation

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Is there a difference between a blocked artery and arotic stenosis?

DizzyD profile image
5 Replies

hi trying to get my head around my heart issues and different termonology used by cardio doctors. Recently, received letter from cardiologist which states: Your CT scan shows build up of all 3 arteries but only one artery is a narrowing of any concern. Question: can a blocked artery also be called Stenosis? Very confused! I am very concerned because since i last attended clinic 6mths ago i have experienced symptoms of heart failure which is getting more profound.

The short letter concludes: I think we have to consentrate on your treatment for irregular heat beat.

To me it seems to me the irregular heart beat has been given priority over a more concerning heart issue such as the blocked artery. Do suspect the irregular heart beat is a consequence of the blocked artery so why isnt the cardiologist focusing on that? Treating the source of the problem which makes sense to me.

Still waiting for a follow up appointment so in the meantime would really appreciate someback because this is all new to me and any imput would educate me.

Thank you

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DizzyD profile image
DizzyD
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5 Replies
BridBoy profile image
BridBoy

Hi DizzyD, from my understanding any blockage, or build up of plaque in an artery is called stenosis.

When you get to a certain age most of us have stenosis of an artery as indeed we have stenosis of the backbone.

Most people are completely unaware of these conditions within their body and the conditions will have no effect on the quality or length of their life.

Stenosis is typically resolved by having an angioplasty.

The cardiologist is the expert, not anyone on here, from my knowledge I dont know anyone who suffered from angina with an irregular heart beat....I dont believe the two are connected.

I'm sure that someone with more knowledge than I will add to this.

Best wishes.

JulianM profile image
JulianM in reply to BridBoy

Aortic stenosis is a term that usually refers to the aortic valve. It means it isn't opening fully, so blood flow from the heart into the aorta is restricted. It would usually be assessed using an echocardiogram which can give an excellent picture of blood flow patterns through the cardiac cycle. If it is severe, it could be treated by replacing the aortic valve. Not treating it might eventually lead to heart damage.

A CT angiogram is a very good way to assess blockages or narrowing in the coronary arteries, which is a separate condition, though of course both may happen at the same time.

If you still don't understand what the consultant has written, this is one of those things where setting up a phone call either with a member of the hospital team or with your GP to discuss it could, I think, be really helpful.

fishonabike profile image
fishonabike in reply to BridBoy

irregular heartbeat (arythmia) can lead to angina if it causes a sufficient reduction in the blood supply to the heart muscle

fishonabike profile image
fishonabike

may i suggest that you contact the BHF telephone helpline during office hours, their specialist staff may be able to help you understand your situation

Zbignieva profile image
Zbignieva

Hi, medical terms can be confusing.

Stenosis is when plaque forms in our blood vessels, it starts at birth with fatty streaks. The extent of the plaque formation/stenosis depends on a few factors, including age and LDL levels.

Stenosis/plaques may rupture and cause a thrombosis/myocardial infarction/heart attack.

People can live with a lot of stenosis for quite some time, especially if they are treated with drugs like statins.

Irregular heart beats (arrhythmia) can also end up causing a stroke, sudden cardiac death, or damage the heart resulting in heart failure.

I am uncertain of the treatment for this, but it will depend on the type of arrhythmia.

The cardiac consultants will have experience in treating people with both conditions and know which is a priority.

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