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

Underwent four artery CABG surgery. Left circumflex artery was blocked. Weak and stressed. What would you recommend?

User rating for this question
Very Good
Answered by
Practicing since : 1966
Answered : 4497 Questions
I underwent 4 artery CABG surgery in Aug. 2010. all seemed well but now, 3 years later my left circumflex artery is 100% blocked both above & below where the graft connects to the original artery. Decision is to treat me medical y & watch.
I am weak, tired & using nitro patch & sub ling spray. I would like a 2nd opinion. Age 71...diabetic, male no smoking
but stressed. Thanks........ XXXXXXX XXXX, Canada.
Posted Thu, 7 Nov 2013 in Hypertension and Heart Disease
Answered by Dr. Anantharamakrishnan 2 hours later
Brief Answer:
Bypass is better...

Detailed Answer:
Hi friend,
Welcome to Health Care Magic

You are just 70 plus…
With a history of unstable angina a few months before / 100 % block beyond the graft / on a setting of Diabetes – the best option is to go for a CABG (Bypass) again.
In the meantime, aggressive investigation and management of risk factors is important…

Nitro and metoprolol are appropriate.
You must be taking aspirin / and clopidogrel too…
As also statins…

TMT (Treadmill Exercise ECG) with thallium isotope is an ideal non-invasive way to evaluate ischemia / to assess the PHYSIOLOGY (function) – to see whether the blood arriving at the heart muscle. / and can enhance the decision making process..

The treating doctor alone can suggest further based on his assessment of the situation.

Take care     
Wishing all well
God bless
Good luck
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Procedures

The user accepted the expert's answer

Ask a Cardiologist

© 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