Hello. Welcome to HCM and thank you for your question. I carefully read your query. Due to not sufficient information provided, I will do my best in addressing your concern. If there was a discussion about stent implantation (not bypass surgery) then the recommendation offered to you by the doctor, probably was about the culprit artery of the heart attack to be ballooned (angioplasty) and stented. If a certain time passes from the moment of onset of chest pain (e.g. 6 or, maximum, 12 hours), it is estimated that a stented artery achieves very little benefits from reopening the total blockage. If this is the case, then a certain time had passed, and, since it was only a minor heart attack and did not severely impact the cardiac function, then further, proper, regular medical treatment was recommended. On the other side, if the doctors suggested bypass surgery (CABG - coronary artery bypass grafting), then this recommendation was not because of the heart attack, but because he probably has the three coronary vessels diseased and narrowed by atherosclerotic plaques. In this case, depending on the quantitative study of these blockages, we recommend the patient to undergo angioplasty + stent, or CABG. Always, after carefully measuring the risk/benefit ratio. If this is the case, and yet doctors recommended that he should continue on regular medical treatment, my opinion is that the perioperative risk for CABG was high, and the best recommendation, again, after carefully measuring the risk/benefit ratio, was to continue on regular medication. I hope this answers your question. Best regards. Dr. Meriton