Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
183 Doctors are Online

Options available to cure hear blockage - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Average Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1721 Questions
User :   my dad aged 54 years, has a blockage in heart in two channels of about 80% , what is best option we have i mean is it stunt, bye pass surgey or anything else
User :   hello doctor
User :   Hi
User :
User :   can i chat with heart specialist
User :   No,You are chatting with a GP
User :   gp?
User :   I can help you to talk to an cardiologist
User :   ok
User :   General practitioner
User :   or get an cardiology consultation via email
User :   my dad is in escorts hospital
User :   right now
User :   ok
User :   he just had engeography
User :   I think surgery is the best option
User :   Is he diabetic?
User :   doc says go for stunt
User :   yes diabetic
User :   Ok
User :   from lst 20 years and he is on insulin
User :   DIABETES can accelerate block
User :   ok
User :   what is best right now
User :   is it bye pass ot stunt
User :   and it should be done fast
User :   ok
User :   is tunt safe
User :   stunt
User :   yes
User :   & what about a bye pass surgery
User :   Did he have any chest pain?
User :   no
User :   is tmt test done?
User :   yes
User :   stress echo
User :   Once a cardiac catheterization has been performed, the three most common therapeutic options are medical therapy, percutaneous coronary intervention (PCI), and coronary artery bypass grafting (CABG).
User :   Patients with documented coronary artery disease should actively pursue lifestyle modifications that reduce the risk of future cardiovascular events
User :   The primary revascularization options are percutaneous coronary intervention and coronary artery bypass grafting surgery. The most common PCI techniques are percutaneous transluminal coronary angioplasty and coronary stenting.
User :   A major limitation of PCI is restenosis at the intervention site
User :   The use of stents, aspirin, clopidogrel, and glycoprotein IIb/IIIa inhibitors lowers the rate of restenosis to less than 10% at 6 months in optimal
User :   Percutaneous coronary intervention is more effective than medical therapy in relieving angina, but confers no greater survival benefit
User :   CABG produces better survival rates compared with medical therapy and is recommended for symptomatic patients with left main coronary artery disease, three-vessel coronary artery disease, or two-vessel coronary artery disease marked by stenosis of the proximal left anterior descending artery
User :   CABG is more effective than medical therapy for the relief of angina, although this benefit narrows after 5 to 10 years.
User :   CABG- coronary bypass graft
User :   this is commonly done
User :   did you understand?
User :   i am trying to
User :   can u make little simple for me
User :   i can say that
User :   stenting is little less invasive
User :   than cabg
User :   but it depends on the clinical condition
User :   and it is decided after doing cardiac stress tests
User :   like tmt test
User :   he went thru stress test
User :   CABG is more effective than medical therapy for the relief of angina, although this benefit narrows after 5 to 10 years.
User :   doc made him run on machine
User :   he ran for 7 min only
User :   yes thats it
User :   was it positive
User :   after tmt doc took him for futher engiography
User :   may be it is positive
User :   yes it means he has more than 70% blocks
User :   yes doc says it is around 80%
User :   yes ok
User :   anyway surgical therapy is the one
User :   stent or cabg depends on the condition
User :   and is to be decided by expert interventional cardiologist
User :   what is stent
User :   â?¢     By stenting, coronary artery patency is sustained better than with PTCA alone
User :   so discuss with your cardiologist
User :   i cannot give the finer details of surgery
User :   stenting is said to be better for some
User :   are you there?
User :   Did you understand what i said?
User :   Is there anything else i can help you with now?
User :   i am getting report in CD from the doc which i use for second opinion.
User :   So discuss with our cardiologist dr XXXXXXXX if you want
User :
User :   r u there
User :   use the link
Question is related to
Diseases and Conditions
Medical Topics
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor