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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 : 1777 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
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