The three coronary arteries are important for the blood supply to the heart. LMCA is the life line of heart circulation. If it is affected, the possibility of sudden cardiac arrest and the sudden death is a well known phenomenon in cardiology. While going through the coronary angiograms, it has been noted that whenever there is a small RCA, there is a definite clinical presentation of CAHD in the form of AMI- non fatal or fatal depending on the affection of the other vessels.

When the RCA is normal in size or bigger, in spite of some block in the vessel, the clinical presentation will be minimal. The deciding factor for the clinical presentation in most of the patients with CAHD is related to RCA size as well as pathology, is the new finding, I have noted while going through patients’ CAG. So, my hypothesis is whenever RCA is smaller or diseased , there should be effective ways of…