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What is a LAD Lesion?

Published in Heart Disease 2 mins read

A LAD lesion refers to a blockage or narrowing in the left anterior descending (LAD) artery, a major blood vessel supplying blood to the heart.

Understanding LAD Lesions

Here's a breakdown to help understand LAD lesions:

  • LAD Artery: The LAD is a crucial branch of the left coronary artery. It supplies a significant portion of the left ventricle, the heart's main pumping chamber.
  • Lesion: In this context, a lesion signifies damage or abnormality in the artery. This usually refers to plaque buildup (atherosclerosis) that narrows the artery.

According to the provided reference:

  • Proximal LAD lesions (lesions located closer to the origin of the LAD) often impact a large portion of the left ventricle, relative to lesions in other coronary arteries. This makes them potentially more serious.

Why are LAD Lesions Important?

Because the LAD artery supplies a large part of the heart muscle, blockages in this artery can lead to serious consequences, including:

  • Angina (chest pain): Reduced blood flow causes chest pain, especially during exertion.
  • Heart Attack (Myocardial Infarction): Complete blockage can cause heart muscle damage or death.
  • Heart Failure: Long-term reduced blood flow can weaken the heart muscle.

Treatment Options

Treatment for LAD lesions depends on the severity and location of the blockage. Common approaches include:

  • Medications: To manage risk factors and improve blood flow.
  • Angioplasty and Stenting: A minimally invasive procedure to open the blocked artery and insert a stent to keep it open.
  • Coronary Artery Bypass Grafting (CABG): A surgical procedure to bypass the blocked artery using a graft.

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