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Do Bypass Surgery Needed For Chest Pain Due To Block?
Hello Sir,
It is my pleasure to send you this email for knowing a appropriate and right solution of a critical problem.
I am Shuvo, from Bangladesh, Dhaka-1209.
I have a major problem, haven't found the right decision from others. So, i am writing this email to you for your greatest help.
Please if you have your valuable time for helping me, I will be very great full to you.
Here is the problem details,
Last 2 weeks ago, my father was in office. Suddenly he had a pain in his chest. Then the other employ in his office took him in emergency sector in
"National Heart Foundation Hospital & Research Institute, Dhaka, Bangladesh".
The doctor said, he had a simple pain. But when the pain grows up the doctor gave some medicine to stop the pain and the pain was gone after doing some heard work. The doctor gave him a lots of test and we did those test but nothing was appear in my fathers report. After 2 days doctor discharge my father from the hospital. Then, again 4 days later of discharge, he had a pain and my mother was too much afraid that time. We took him again the same hospital and they told us to admit my father in the hospital for 5-7 days for a little operation and kept him under observation.
When the test named "Angiogram" had been done, the report said that my father had 2 blocks in his right side of heart.
1st block is 100% and the 2nd block is 80%.
I forget to tell that my father is a chain smoker.
After got the reports we asked the doctor, what should we need to do for my father ? They let us know that my father need to do bypass surgery or wear ring block in his 2 blocks right side of his heart.
We asked the doctors that which one will be best and perfect for my father?
They told us, any of this can be done.
Now the main problem is,
we are very confused about the decision and don't want to take any risk with my fathers life. Hope you can understand my problem :(
I am telling you all this thing because if you can give us a little bit time from your valuable life to check my father's report, and can make a right decision for him, my father will be well again.
If you give us the permission to send you all the scan copy of original reports and the video of "Angiogram", i will send you.
We just need a appropriate decision from you for my father.
Please, if you can, let us know. We will send you all the reports to you.
Regards,
Shuvo
It is my pleasure to send you this email for knowing a appropriate and right solution of a critical problem.
I am Shuvo, from Bangladesh, Dhaka-1209.
I have a major problem, haven't found the right decision from others. So, i am writing this email to you for your greatest help.
Please if you have your valuable time for helping me, I will be very great full to you.
Here is the problem details,
Last 2 weeks ago, my father was in office. Suddenly he had a pain in his chest. Then the other employ in his office took him in emergency sector in
"National Heart Foundation Hospital & Research Institute, Dhaka, Bangladesh".
The doctor said, he had a simple pain. But when the pain grows up the doctor gave some medicine to stop the pain and the pain was gone after doing some heard work. The doctor gave him a lots of test and we did those test but nothing was appear in my fathers report. After 2 days doctor discharge my father from the hospital. Then, again 4 days later of discharge, he had a pain and my mother was too much afraid that time. We took him again the same hospital and they told us to admit my father in the hospital for 5-7 days for a little operation and kept him under observation.
When the test named "Angiogram" had been done, the report said that my father had 2 blocks in his right side of heart.
1st block is 100% and the 2nd block is 80%.
I forget to tell that my father is a chain smoker.
After got the reports we asked the doctor, what should we need to do for my father ? They let us know that my father need to do bypass surgery or wear ring block in his 2 blocks right side of his heart.
We asked the doctors that which one will be best and perfect for my father?
They told us, any of this can be done.
Now the main problem is,
we are very confused about the decision and don't want to take any risk with my fathers life. Hope you can understand my problem :(
I am telling you all this thing because if you can give us a little bit time from your valuable life to check my father's report, and can make a right decision for him, my father will be well again.
If you give us the permission to send you all the scan copy of original reports and the video of "Angiogram", i will send you.
We just need a appropriate decision from you for my father.
Please, if you can, let us know. We will send you all the reports to you.
Regards,
Shuvo
Mon, 7 Sep 2015
Hello. Thank you for asking on HCM. I carefully read your query and understood your concern.
Now, as I can understand, without seeing the angiogram film, I can say that this is a two-vessel coronary artery disease, and one of them is totally blocked. If these blockages are a good target for stent implantation, from an invasive cardiologist point of view, I would stent them both. The strategy may had been different, because the protocol is that if a patient presents to a hospital with an acute myocardial infarction, then only the total blockage that caused the infarction is stented at that time, and other blockages remain to be stented in an another moment, i.e. after two to four weeks. On the other hand, coronary artery bypass grafting (CABG) is recommended when the angioplasty cannot be done due to technical difficulty and/or if the blockages are in such areas of the coronary artery, that benefit less from stenting, and put the patient in an increased risk. My opinion is that these blockages should be treated with angioplasty and stent, for less risk, better clinical outcomes and slightly better results in lifelong terms, in comparison to CABG.
I hope this helps you make the decision. Take care and good luck.
Regards,
Dr. Meriton
Now, as I can understand, without seeing the angiogram film, I can say that this is a two-vessel coronary artery disease, and one of them is totally blocked. If these blockages are a good target for stent implantation, from an invasive cardiologist point of view, I would stent them both. The strategy may had been different, because the protocol is that if a patient presents to a hospital with an acute myocardial infarction, then only the total blockage that caused the infarction is stented at that time, and other blockages remain to be stented in an another moment, i.e. after two to four weeks. On the other hand, coronary artery bypass grafting (CABG) is recommended when the angioplasty cannot be done due to technical difficulty and/or if the blockages are in such areas of the coronary artery, that benefit less from stenting, and put the patient in an increased risk. My opinion is that these blockages should be treated with angioplasty and stent, for less risk, better clinical outcomes and slightly better results in lifelong terms, in comparison to CABG.
I hope this helps you make the decision. Take care and good luck.
Regards,
Dr. Meriton
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