instruction: hi doctor my dad recently had chest pain we took ekg and echo and it turned out as though he had a slight abnormality we got the angio done the reports shows lad type I lad has 50 proximal stenosis mid and distal has a mild diffuse disease ri has 80 proximal stenosis lex non dominant lex is normal ca dominant ca has 80 proximal stenosis mid segment has diffuse disease distal segment has tandem 80 or 90 stenosis pda has 60 mild segment stenosis diagnosis coronary artery disease right dominant system severe ca disease recommendation pi to ca I would like to know how many stents are needed on the right and what changes need to be done in the lifestyle his bad cholesterol 60 good cholesterol normal be with vitamin b12 and deficiency
output: hello I passed carefully through your dad medical history and tests and would like to explain that it is necessary to perform percutaneous coronary angioplasty followed by stents implantation in the right coronary artery in several segments 80 proximal stenosis but also in the distal segment where there are consecutive stenosis 80 90 so at least two to three stents will be most likely necessary to properly treat his ca right coronary artery on the other side life style modification would be necessary to stop the progression of atherosclerosis in several parts of the coronary arteries tree first vitamin b12 and vitamin deficiencies should be properly corrected then a balanced diet with low saturated fat animal fat and rich in green vegetables should be encouraged he should refrain from every smoking contact and periodically check his blood lipid profile and blood pressure values after tenting special antithrombotic drugs are prescribed as well I hope this helps