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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Will Doing Bypass Surgery Dangerous For Diabetic Patient?

my mother had an heart attack in september 2008 at 69 age , and than was immediately rushed to hospital and than take to big hospital after she was saved for angioplasty and the doctor said that her heart was working only 30 % , so they did Angioplasty with medicated german stents 3 numbers in two blocages, now after two and half years she died on 20 april at 72 running , and very sad for me lossing my mom and so she died within 3 to 4 mins in the morning after she urinated at 7.30 and at eight when my brother came to give her midicines she took all the medicines out of her mouth with water and within three to four mins her heart stopped and she was no more, she was having diabities and blood pressure. so i want to ask you doctor if we had bypass instead of medicated stents (angioplasty) did that was better for my mom was she still be living if she had a bypass cause what the doctor said to us was in diabities bypass is dangerous.
Thu, 19 Nov 2015
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  Anonymous's Response
's  Response
Hello and thank you for using HCM. I got through your query and i totally understand you. I am very sorry for your lost. It is a heartbreak to loose a parent.And now it is quite normal that you do this kind of questions to your self and to the doctors. I will try to explain you something.
As you describe, your mother had a heart attach that was complicate with cardiac insufficiency. This means what you already knew, that the heart looses its normal total function. If you tell me that her heart worked only 30%, this was not a good think. A person whit cardiac insufficiency is much more prone to a lot of big complications in the operating room and in the future. Their heart might experience aritmyas that lead to sudden death. As you explain, it might be the cause.
When a doctor is dealing with an insufficient heart he has to make balance for what the patient might profit and which are the ricks.
Having diabetes is a major rick factor for ischemic heart disease and for possible heart complications. Diabetes is a risk factor for both procedures angioplasty and cardiac surgery. having diabetes predisposes to close stents in a short time and it might give major other organ complications during cardiac surgery in post operator period.
So, my opinion as cardiologist is that your doctors have done a balance in that time. A heart with a 30% function, only with to blockages and diabetes, angioplasty might be the best option. Normally we sent to surgery people with much more stenosis (to ore tree vessel disease) and in critical positions that are not resolved whit angioplasty. Her function and diabetes that might lead to organ damages rises a lot the rick for surviving surgery.
So, I wish i explained you something and that this might resolve your query's. I think that you should be in pace because this is not related with a bed decision but with the mystery of the heart.
Best regards, DR Ervina
Cardiologist Dr. Amrit Singh's  Response
You have a very complicated question but I can tell you specifically that in this kind of case off diabetes passes bypass is preferred and recommended especially if she had low this is EF 30%. It is known that bypass surgery does the wrong life where pass not angioplasty or stent.
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Will Doing Bypass Surgery Dangerous For Diabetic Patient?

Hello and thank you for using HCM. I got through your query and i totally understand you. I am very sorry for your lost. It is a heartbreak to loose a parent.And now it is quite normal that you do this kind of questions to your self and to the doctors. I will try to explain you something. As you describe, your mother had a heart attach that was complicate with cardiac insufficiency. This means what you already knew, that the heart looses its normal total function. If you tell me that her heart worked only 30%, this was not a good think. A person whit cardiac insufficiency is much more prone to a lot of big complications in the operating room and in the future. Their heart might experience aritmyas that lead to sudden death. As you explain, it might be the cause. When a doctor is dealing with an insufficient heart he has to make balance for what the patient might profit and which are the ricks. Having diabetes is a major rick factor for ischemic heart disease and for possible heart complications. Diabetes is a risk factor for both procedures angioplasty and cardiac surgery. having diabetes predisposes to close stents in a short time and it might give major other organ complications during cardiac surgery in post operator period. So, my opinion as cardiologist is that your doctors have done a balance in that time. A heart with a 30% function, only with to blockages and diabetes, angioplasty might be the best option. Normally we sent to surgery people with much more stenosis (to ore tree vessel disease) and in critical positions that are not resolved whit angioplasty. Her function and diabetes that might lead to organ damages rises a lot the rick for surviving surgery. So, I wish i explained you something and that this might resolve your query s. I think that you should be in pace because this is not related with a bed decision but with the mystery of the heart. Best regards, DR Ervina