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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Life Expectancy When Suffering From Heart Disease?

My father, 81 had bypass about 9 years ago. He is now having regular angina. He had dye injected and the main bypass still looked good but some of the smaller ones have blockage. His cardiologist didn t recommend any surgery at this point - just changed his meds. Advised is a candidact for heart attack but that where blockage is would be too risky to operate. Dad has pains several times weekly and also has several times had to use three nitro pills to resolve. He has an EF of about 40 and possibly may do a pacemaker at some point. Seems we are at wait and see. Still leads a busy life style. Working and getting around Ok but having a lot of pain fairly often. What type of life expectancy could he have if nothing changes. Non-smoker, reasonable diet, 160 lbs but limited energy at this point.
Thu, 29 Dec 2016
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Ophthalmologist 's  Response
Hi
pacemaker is required for critically lowered ejection fraction less then 30% , your father is 40% which is not that bad.
If your cardiac surgeon is saying that cabg can cause more harm then benifit , then you can ask him to keep your father on chronic antianginals, they are highly efficient in reducing stable angina
Apart from nitratres he can take tablet ranolazine, trimetazidine and nikorandin in theraputic doses .
in fact trimetazidines apart from being a chronic antianginal will also improve his cardiac functions
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What Is The Life Expectancy When Suffering From Heart Disease?

Hi pacemaker is required for critically lowered ejection fraction less then 30% , your father is 40% which is not that bad. If your cardiac surgeon is saying that cabg can cause more harm then benifit , then you can ask him to keep your father on chronic antianginals, they are highly efficient in reducing stable angina Apart from nitratres he can take tablet ranolazine, trimetazidine and nikorandin in theraputic doses . in fact trimetazidines apart from being a chronic antianginal will also improve his cardiac functions