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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Triple Coronary Artery Blockage, Chest Heaviness. Undergone Cabg. What Can Help?

respected sir, my father had undergone through cabg 3 year back for triple coronary artery blocage main vessel, today he complained of chest heaviness for 10 minutes not very severe by nature, his cabg was dine on the prophylactic basis n he never suffered from frank anginal pain, can u plz tell me why he has complained of tis chest heaviness n does it indicate that his grafts are not patent any more plz suggest me sir what should i do he is not diabetic
Mon, 16 Sep 2013
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Cardiologist 's  Response
Hi friend,
Welcome to Health Care Magic

He needs to be investigated for block in the graft or native vessels, from progression of the disease...

     TMT (Treadmill Exercise ECG) with thallium isotope is necessary to evaluate ischemia. It is the ideal non-invasive way to evaluate ischemia / to assess the PHYSIOLOGY (function) – to see whether the blood arriving at the heart muscle.
     If there is a suggestion, the next step is to see the ANATOMY (structure) – undergo catheterisation and coronary angiography with a view for possible intervention. It is the only way to directly ‘see’ the block, if any – and its location, extent, severity and so on. Coronary arteriography is invasive but it is the gold standard for this. / CT angio is non-invasive study for the anatomy. If positive, he will need catheterisation, anyway.

Take him to his Cardiologist..

Take care     
Wishing all well
God bless
Good luck
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General & Family Physician Dr. Pavan Kumar Gupta's  Response
Hello,
You must consult your cardiac surgeon as early as possible as your symptoms suggest blockage of some of your graft.
You require a stress test and a coronary angiogram to look for the blockage.
Thanks
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Triple Coronary Artery Blockage, Chest Heaviness. Undergone Cabg. What Can Help?

Hi friend, Welcome to Health Care Magic He needs to be investigated for block in the graft or native vessels, from progression of the disease... TMT (Treadmill Exercise ECG) with thallium isotope is necessary to evaluate ischemia. It is the ideal non-invasive way to evaluate ischemia / to assess the PHYSIOLOGY (function) – to see whether the blood arriving at the heart muscle. If there is a suggestion, the next step is to see the ANATOMY (structure) – undergo catheterisation and coronary angiography with a view for possible intervention. It is the only way to directly ‘see’ the block, if any – and its location, extent, severity and so on. Coronary arteriography is invasive but it is the gold standard for this. / CT angio is non-invasive study for the anatomy. If positive, he will need catheterisation, anyway. Take him to his Cardiologist.. Take care Wishing all well God bless Good luck