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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for blockage in the blood vessels

Sir, I had by pass surgery during 1996 March. For review the tests & CT Angiography were taken last week and test results are normal except cholesterol level (ie) Total 204 , HDL, 39, LDL 134. CT Angigraphy reveals some blocks in the grafted vessel. I have NO BP, Sugar Pl. advise any medication can dissolve the blocks, if so pl. advise.
Mon, 5 Aug 2019
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Internal Medicine Specialist 's  Response

By angiography, the incidence of restenosis/blockade is significantly higher than clinical restenosis because many patients have mild restenosis that does not result in a recurrence of symptoms.

The management of clinical restenosis/blockade is usually to repeat the PCI with balloon dilatation and placement of a drug-eluting stent.

Once a patient has had restenosis, the risk of the second restenosis is further increased.

The risk factors for restenosis are diabetes, myocardial infarction, long lesions, small diameter vessels, and suboptimal initial PCI result.

Anti-platelet drugs (aspirin,clopidrogel) and statin +/- nitrates are all that are required for those patients who are unwilling for Target lesion revascularization (TLR) or target vessel revascularization (TVR).

Hope I have answered your query. Let me know if I can assist you further.

Take care

Dr Tushar Kanti Biswas, Internal Medicine Specialist
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General & Family Physician Dr. Shinas Hussain's  Response

Consult a cardiologist and get evaluated.
You might require additional blood thinners for the same.

Hope I have answered your query. Let me know if I can assist you further.

Dr. Shinas Hussain, General & Family Physician
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