<human>: this is to certify that Mr. moosa ibrahim 64yrs us a case of (CAD )effort angina, TMT +ve, systemic hypertension, dyslipidemia. He underwent (CAG) on 9/6/2011 which revealed LMCA steno sis with two vassel disease. He is advised early (CABG) can u explain this is serious or normal and this short forms
<bot>: First of all the abbreviations:CAD-coronary artery disease i.e. disease of hearts blood vessels TMT- treadmill test i.e. a test done on treadmill while the patient runs on it to study status of hearts circulation on exertionCAG-coronary angiography done to see blood vessels of heart and their patency CABG- coronary artery bypass grafting; a procedure done to bypass a block in hearts vessels so that it continues to get blood supply.YMCA- left main coronary artery The test results show that the patient has angina on exertion due to two vessel disease that is two of the hearts vessels are blocked. As was suggested by his physician the patient needs to undergo CABG. The patient also has hypertension and dyslipidemia i.e. poor lipid profile both of which are independent risk factors for CAD.  I would suggest consulting cardiologist to discuss the Chat Doctor. Physical exertion might also need to be restricted for some time to not provoke angina. Hope the above answer helped you. If you have anything more to ask I would be pleased to help.