Conversation: The conversation between human and AI assistant.
[|Human|] I had a stent inserted in the mid lad 2 years ago. A few months ago I started having the same symptoms that I had before the heart Cath that showed a 90 percent blockage. After another heart Cath 2 months ago, I have 80 percent blockage below the stent in the distal region of the lad. I m going to cardio on Friday to learn the game plan. What are your ideas?
[|AI|]  As I understand, the reason of having a redo path was you were symptomatic, so the lesion warrants some treatment.depending on how large is the LAD and the territory supplied by it, most importantly you should optimize your anti-anginal medication, beta blockers, nitrate s SOS nicorandil, reinflating or trimetazidine depending on the country you reside. It the territory supplies is significant a redo angioplasty and if you are diabetic and other features of coronary angiogram shows high rate of restenosis, a LIMA bypass to Lad should be the option. Regards