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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Another Heart Bypass After Five Earlier Bypasses Advisable?

i have a five heart bypass 1996,17 years ago.ijust turned 65 now.recently igot a new doctor.he told me that i can t be fix anymore cause i got only two main valve left,i went for second opinnion to special cardiologist the anwer is the same. the first doctor prescribe me a ranexa 500 mg. the ather doctor prescribe me isosorbide 60 mg.and iam taking lisinopril and nitrostat. they said no more surgery for me.ijust live with my medication.is ther any more out ther to help me insted of living day by day.
Mon, 29 Jun 2015
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Cardiologist,  's  Response
Sir I consider that you have symptoms of angina / chest pain, the reason of you going to your doctor. I would like to say that The number of grafts is not a contraindications of another bypass surgery, also many closed grafts can be opened via angioplasty. However any comment on that will be only after I see the angiography film. But considering that you have taken two opinion and both are for conservative medical management, maybe the risk of procedure and the success of procedure would be less. In this senerio optimisation of medication is best. Apart from ranolazine, other drugs helping you to get relief is nicorandil, trimetazidine . Optimisation of beta blocker dose, ivabradine and nitrates. To bring it to your notice that isosorbite and nitrostat are similar drugs and taking both will not help. As the problem you face needs a more detailed discussion and review of report, do follow up with us or your doctor if symptoms persist. Regards
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Is Another Heart Bypass After Five Earlier Bypasses Advisable?

Sir I consider that you have symptoms of angina / chest pain, the reason of you going to your doctor. I would like to say that The number of grafts is not a contraindications of another bypass surgery, also many closed grafts can be opened via angioplasty. However any comment on that will be only after I see the angiography film. But considering that you have taken two opinion and both are for conservative medical management, maybe the risk of procedure and the success of procedure would be less. In this senerio optimisation of medication is best. Apart from ranolazine, other drugs helping you to get relief is nicorandil, trimetazidine . Optimisation of beta blocker dose, ivabradine and nitrates. To bring it to your notice that isosorbite and nitrostat are similar drugs and taking both will not help. As the problem you face needs a more detailed discussion and review of report, do follow up with us or your doctor if symptoms persist. Regards