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Chest pain. Angiogram shows triple vessel disease. Have blockages. On medicines. Treatment?

i am a doctor ( oncologist ). on 4.2.13 i admitted on hospital with chest pain. angiogram show tripple vessel disease. RCA proximally 100% block, LAD mid segment 70-80% block, LCX proximmaly and distally 70-80% block. i have no DM, no HTN, no family h/o, i am non smoker, my ECG is normal, Echo normal with EF 62%, lipid profile normal except HDL 27 mg/dl, all other investigations are normal, i have no any other disease, my age is 48yrs. i am on tab aspirin with clopidrogil, tab atrovastatin 40mg, tab vasterel mr 35mg, tab nebivolol 2.5 mg, now i have no chest pain or any other complain. what is the best treatment for me. with thanks Dr. Nizamul Haque from Bangladesh
Asked On : Wed, 20 Feb 2013
Answers:  2 Views:  131
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Cardiologist 's  Response
for you it suggests CABG is the preferred , as RCA proximal total occlusion and LCX two lesions and LAD lesion. it needs multiple stents (i.e At least 4) , and RCA lesion my be Chronic total occlusion , so angioplasty success rate may be low.
Answered: Fri, 22 Feb 2013
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General & Family Physician Dr. Md. Harun Ur Rashid's  Response
Hello, thank you for your query. From your description it's apparent that you have got four significant blocks at three major arteries of the heart. Significant means more than 70% obstruction. I personally think CABG is the best option as PCI with stenting won't be sufficient you know that.You have got indications for CABG. GOD helps you.
Answered: Fri, 22 Feb 2013
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