Thank you Mr. Ijaz for your query.
I am very sorry regarding your current condition. Blocked arteries can be unblocked by PCI or Repeat CABG. Repeat CABG has four times more mortality rate
than PCI and your current condition may not permit CABG. So, PCI can be a good option though coronary anatomy can make it technically difficult or impossible.
Enhanced external counterpulsation (EECP
) can be considered, but you maynot be fit for it as you are on pacemaker. EECP can create natural bypass.
After all these considerations, optimal medical therapy for both symptomatic relief and controlling risk factor is, i think, only safe option.