What is the treatment for severe recurrent chest pain?

Q. Is it safe to undergo a bypass surgery at 70 years of age?

Answered by
Dr. Isaac Gana
and medically reviewed by Dr. K Shobana
This is a premium question & answer published on Aug 22, 2017 and last reviewed on: Jun 08, 2023

Hello doctor,

My dad who is 70 years old, recently had a severe chest pain which started three weeks ago. Since it was of a recurring type, we visited a hospital for a check-up. They initially conducted ECG and then, a 2D echo, after which they said there is a problem but, a minor one and that we need to do a coronary angiography to get a detailed picture. After doing that they suggested a bypass. I am apprehensive about the suggestion since minor problems do not require a bypass (CABG). I am attaching the reports. Can you please go through them and suggest the most suitable option?

#

Hello,

Welcome to icliniq.com.

I understand your concern. I have gone through all the test reports (attachment removed to protect patient identity). There is a significant evidence of blockage of multiple vessels, which are over 70 and 90 % blockages. In the case of a coronary artery disease that involves multiple vessels with over 70 % blockages, CABG (coronary artery bypass grafting) is indicated. I advise you to discuss further with your cardiologist. Wishing your dad a quick recovery.

Hello doctor,

Thanks. But, is CABG safe considering his age? Also, will there be a complete recovery after the surgery? Will he be back to normalcy again?

#

Hello,

Welcome back to icliniq.com.

Honestly speaking, major surgeries always carry a major risk, especially in older patients. But, based on his reports, there are not many options available. His recovery will depend on his general health condition and other ailments.


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