Does my dad need a triple bypass surgery or stent angioplasty?

Hello,

Welcome to icliniq.com.

I understand your query and concern.

I went through your reports (attachments are hidden to protect the patient's identity). If the surgeon agrees to bypass, this is the best strategy. If the surgeon says that bypass is not possible due to diffuse disease or small vessels, then angioplasty should be done. Such cases are usually discussed in the meeting of a specialist doctors team comprising of cardiac surgeon, cardiologist, cardiac anesthetist, nurses, and intensive care unit doctors, and the case is discussed from multiple perspectives, and the decision is made regarding treatment, and then it is discussed with patient and family.

Hope this answers your query.

Kind regards.

Hello,

Welcome back to icliniq.com.

I understand your concern.

After bypass surgery, the wound heals in about two weeks, but heavy load-bearing, exertion, coughing, and straining should be avoided for six to eight weeks. The Mediterranean diet is good for cardiac patients. A vegetarian diet does not contain vitamin B12, so he should take supplements. He should combine vegetables, nuts, legumes, lentils, fruits, low-fat dairy products, eggs, etc. After six to eight weeks of surgery, he can exercise. At least 30 minutes of brisk walking or other equivalent exercises should be done daily. You can monitor blood pressure daily once or more times if you need. Once the blood pressure has stabilized on medicines, you may check less frequently, such as once a week or so. ECG (electrocardiogram) should be done whenever he develops chest discomfort, sudden shortness of breath, when he gets dizzy, or when his BP (blood pressure) drops. Otherwise, one ECG per year is sufficient.

Hope this addresses your concern.

Thanks and regards.

Hello,

Welcome back to icliniq.com.

I understand your query.

ECG should be done if there is chest pain or discomfort, shortness of breath, dizziness, loss of consciousness, blood pressure drop, epigastric pain, left shoulder or arm pain, sudden sweating, and palpitations. Blood pressure should be controlled with medicines.

Hope this addresses your concern.

Kind regards.

Hello,

Welcome back to icliniq.com.

You are always welcome to ask further queries.

Regards.

Hello,

Welcome back to icliniq.com.

I understand your concern.

He can walk as much as he can. Keep his leg slightly raised during sleep to let swelling gravitate against gravity. If there is no wound, he can wear compression stockings. Had he previously had any swelling issues in his leg?

Revert with answers for better understanding.

Regards.

Hello,

Welcome back to icliniq.com.

I understand your query and concern.

He can walk briskly and can do other aerobic exercises as well. He can slowly do isometric exercises too, if the sternal wound is healed and there is no pain in the sternum. Swelling of the leg may be only on the incision site, or the whole leg swells. Usually, mild swelling resolves in two to three months. If swelling is moderate or more, then a Doppler ultrasound of leg veins should be done to exclude DVT (deep vein thrombosis). Compression stockings should be worn.

Hope this answers your query.

Kind regards.