HomeAnswersCardiologyheart attackIs angioplasty or by-pass surgery advisable for my grandfather?

My grandfather had heart attack. Please suggest a suitable treatment for him.

Share

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Rishu Sharma

Medically reviewed by

Dr. K. Shobana

Published At January 25, 2017
Reviewed AtJune 5, 2023

Patient's 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 when admitted to the hospital. Herewith I have attached his laboratory reports. Please suggest a suitable procedure.

Answered by Dr. Rishu Sharma

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, and the lesion is very complex to cross. It is better to go for a planned CABG than to try angioplasty and to abort the procedure at that time due to inability to cross lesion. However, the option to go for minimally invasive by pass surgery should be considered rather than open heart bypass. MICS stands for minimally invasive coronary artery surgery. It is a new technique of performing coronary bypass for CAD (coronary artery disease). In this technique, the heart is approached through the side of the left chest with a small 4 cm incision. The chest is entered between the ribs without cutting any bones and by splitting the muscle. Advantages of MICS are no bones get cut, blood loss is almost negligible, infections are reduced, and the procedure lasts only 4 hours, unlike the conventional heart surgery that takes 14 hours. It is very good for old age patients.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Rishu Sharma
Dr. Rishu Sharma

Cardiology

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Ask your health query to a doctor online

Cardiology

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy