Cabg

CABG (Coronary Artery Bypass Graft), otherwise known as bypass surgery, is a surgical procedure done to open partially or entirely blocked artery of the heart. It is done when the blood vessel of the heart gets narrow due to plaque buildup, which is known as atherosclerosis.

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My father felt numbness on the right side and has been asked to change his blood thinners. Is it advised to change blood thinners?

Query: Hello doctor, This query is about my father. He had suffered a right side hemiparesis about 16 years back and was admitted in a hospital. He recovered well and also started driving. Though his right side is now more sensitive to weather changes and sometimes he feels tingling or stiffness. He also u...  Read Full »


Dr. Ashok Kumar Choudhary

Answer: Hello, Welcome to icliniq.com. I read your query and understand your concerns. First of all I do not think there is something wrong or right in the current or prior treatment. From my personal expertise, I found combination of Aspirin and Clopidogrel more tolerable to the patient while the side ...  Read Full »

What is the treatment for severe recurrent chest pain?

Query: 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 ...  Read Full »


Dr. Isaac Gana

Answer: 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 ...  Read Full »

What is the risk of postponing an angiography?

Query: Hi doctor, I am a 45 year old male. My height is 184 cm and weight is 97 kg. I have breathlessness on exertion. I get some pain in my throat while walking, but not always. I had a TMT test which was positive. I did TMT for 6.3 minutes and stopped due to breathlessness. The ECG showed ST depression o...  Read Full »


Dr. Muhammad Majid Hanif

Answer: Hi, Welcome to icliniq.com. I welcome you and want to assure you do not worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns.  Read Full »

For heart block, which is better - bypass or stent?

Query: Hi doctor, My brother-in-law went for angiography, and he has two blockages 60% and 80%. Now, his doctor saying that it is urgent to get an operation and they will fix two stents. What will you suggest? Is it fine to go with a stent? Will it work lifetime? Or shall we opt bypass?  Read Full »


Dr. Nageswara Rao

Answer: Hi. Welcome back to icliniq.com. If he does not have diabetes, then he can go for stents. Angioplasty cannot guarantee for lifetime. Angioplasty works well for a decade. Sometimes, a patient condition may not fit for CABG. Even CABG (coronary artery bypass grafting) also cannot give a lifetime gu...  Read Full »

Is angioplasty or by-pass surgery advisable for my grandfather?

Query: Hi doctor, My grandfather is 82 years old. He has diabetes as well as Alzheimer's. He had a heart attack before 15 days. Doctors are confused whether to go in for angioplasty or bypass considering his age and diabetic history. He had congestion in the lungs and had breathlessness and sleeplessness...  Read Full »


Dr. Rishu

Answer: Hi, Welcome to icliniq.com. I have gone through all your grandfather's details (attachment removed to protect patient identity). Angioplasty above the age of 80 is not a good option. The patient is a subject for CABG (coronary artery bypass graft). Ejection fraction of the patient is 35% only,...  Read Full »

My father was suggested surgery for heart blockage. Kindly give your opinion.

Query: Hello doctor, My father have been advised for a heart operation, as heart blockages found in the medical examination. I am attaching the report (scan copies). I need a second opinion from your side. Please help and advise further.  Read Full »


Dr. Rishu

Answer: Hi, Welcome to icliniq.com. I have gone through all the reports of your father (attachment removed to protect patient identity). He has got a triple vessel disease and all the three major coronary arteries are critically blocked. The main problem before giving a suggestion is that you have not...  Read Full »

Should my friend opt for heart surgery?

Query: Hi doctor, My relative has got heart attack some days before. I have his reports. We need a second opinion about surgery whether he should go or not. His presenting complaint includes chest pain and high blood sugar. He is under diabetes medicine.  Read Full »


Dr. Rishu

Answer: Hi, Welcome to icliniq.com. Kidney function tests of your relative are deranged (attachment removed to protect patient identity). His serum creatinine levels and potassium levels are high. What do you mean by surgery? Is that open heart surgery or stenting? However, the surgery c...  Read Full »

Can a heart attack patient be treated without bypass surgery?

Query: Hi doctor, My uncle recently got a mild heart attack, which occurred for the first time in a country where he is staying. So he was admitted to a hospital. The doctors there have suggested to get a bypass surgery done for him. But he and his family want the treatment to be done in their own country...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to icliniq.com. Thanks for the query. There are three options for treatment in general. 1. CABG (coronary artery bypass graft). 2. PCI (percutaneous coronary intervention). 3. Only medicines. CABG will be best in your uncle's case because all the three vessels and the left main a...  Read Full »

What are the treatment options for coronary artery disease?

Query: Hi doctor, My father is diagnosed with coronary artery disease and triple vessel disease with LM. I have attached the angiogram report for your reference. Is the CABG only solution or partial stenting may work? Or is it fine to give only the medication as there are not much clinical symptoms? His TM...  Read Full »


Dr. Muhammad Majid Hanif

Answer: Hi, Welcome to icliniq.com. I have carefully reviewed your health query and feel sorry for your father's health issues. It is a concerning disease process. I never recommend to leave it as such and do nothing much for an advanced coronary artery disease. He has got triple vessel involvement and...  Read Full »

Can we schedule CABG in a patient with severe anginal pain?

Query: Hi doctor, My father was suffering from stable angina, so he had an angiography 10 months before in which he was told that he had three arteries blocked and was suggested CABG. But he was afraid, now he suffers from severe angina pain with little activity and sometimes while resting or sleeping. H...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. I have seent he attachment. (attachment removed to protect patient identity). Yes, he will need bypass surgery, but no need to worry. His medicines need to be optimized and anti-anginal drugs need to be added. Along with Aspirin, Clopidogrel and statin like Atorva...  Read Full »

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