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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Blockage In Arteries

neighbor has SCAN medical coverage and he had a shortness of breath so the did stress test . they stopped it as showed signs they did not like. they did hear catherization and said he has 80 blockage in 3 arteries. but they Never really informed him of danger of his condition. hes 84 and still does all his tasks. after my heart surgery i had to slow down but still ok. since he has Not had Any Surgery and Now Says He Feels Great (hes Afraid as hes 84) Where can i find Information to let him read so he gets his head back on himself. since hes Chinese there is Language Issues and Nobody Wants to Give Him doctors office second language spanish
Fri, 5 May 2017
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Pulmonologist 's  Response
Hello
Thanks for posting at HCM.
As per your description, he has got blockages in all the three arteries of the heart. In this case a bypass surgery is adviced. But as he is 84, the risks and benefits of the surgery must be weighed. Also other things that matter are associated health issues like diabetes, blood pressure, kidney issues etc.
The decision for bypass surgery also depends on where exactly the arteries are blocked i.e. very close from yheir origin or distal from their origin. Another important factor is his expectations and his desire. I dont know him personally, but you must ask him what he wants to pursue, what type of activities he expects himself to do.
I would not advice a bypass surgery for him at this age. It is putting him at more trauma and discomfort. One approach can be angioplasty to stent only those arteries which are more critically blocked and can cause a life threat. Rest can be left upon medical management. Second approach will be a trial of medicla management. He may remain asymptomatic with medications and can go around with his daily activities.
I need to watch his angiography pictures to comment more. Information can be availed all over the internet with a simple search, but those searches do not take into account his age, his personal preference and many other factors.
wishing him good health
Regards
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Suggest Treatment For Blockage In Arteries

Hello Thanks for posting at HCM. As per your description, he has got blockages in all the three arteries of the heart. In this case a bypass surgery is adviced. But as he is 84, the risks and benefits of the surgery must be weighed. Also other things that matter are associated health issues like diabetes, blood pressure, kidney issues etc. The decision for bypass surgery also depends on where exactly the arteries are blocked i.e. very close from yheir origin or distal from their origin. Another important factor is his expectations and his desire. I dont know him personally, but you must ask him what he wants to pursue, what type of activities he expects himself to do. I would not advice a bypass surgery for him at this age. It is putting him at more trauma and discomfort. One approach can be angioplasty to stent only those arteries which are more critically blocked and can cause a life threat. Rest can be left upon medical management. Second approach will be a trial of medicla management. He may remain asymptomatic with medications and can go around with his daily activities. I need to watch his angiography pictures to comment more. Information can be availed all over the internet with a simple search, but those searches do not take into account his age, his personal preference and many other factors. wishing him good health Regards