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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

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Is There Any Medication To Treat Blockages While Having 90% Block In LAD And 2 Other Blocks In Circumflex?

My mother is 60 years old and recently had a heart attack. Angio was done and was reported that she has 90% block in LAD and 2 other blocks in Circumflex. She was asked to opt for bypass. Is there any medication which can avoid bypass and reduce the blocks through medicines?
Wed, 31 May 2023
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General & Family Physician 's  Response
Hi,

Most of the times, if LAD is blocked, with one or two other arteries blockage, then CABG is the best option, if no other contra-indication for surgery is there. CABG in LAD is done with left internal mammary artery graft and this graft generally patent life long. Also, in patients with heart failure, the survival rate is much better with this type of graft. Therefore, CABG, seems the best option in your case.

Still, if you are not ready for a surgical procedure, then general measures with proper low fat diet, moderate amount of daily exercises, preventive lipolytics, blood thinners, coronary dilators as well as treatment of any co-morbidity like hypertension, diabetes or heart failure etc. may be needed. However, the ultimate treatment protocol is to be structured by your cardiologist, who will also like to evaluate your medical condition time to time and also, if there is any need to change the treatment protocol, which may suit you.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Satnarain Bansal, General & Family Physician
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Internal Medicine Specialist Dr. Dr diwashish biswas's  Response
Hi,

It's important to follow the advice of your mother's healthcare provider regarding the recommended treatment for her blockages. In cases where there are severe blockages in the coronary arteries, bypass surgery may be the best option to improve blood flow to the heart.

While medication can help manage symptoms and prevent further blockages, it may not be able to completely reverse or remove existing blockages. Medications such as aspirin, beta-blockers, statins, and ACE inhibitors can be used to manage symptoms and reduce the risk of further heart events. Your mother's healthcare provider can determine the most appropriate medications based on her individual needs and medical history.

It's important for your mother to make lifestyle changes as well, including adopting a heart-healthy diet, exercising regularly, quitting smoking, and managing any other health conditions such as diabetes or high blood pressure. Ultimately, the decision regarding bypass surgery or other treatments should be made in consultation with your mother's healthcare provider, taking into account her overall health and medical history.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Diwashish Biswas, Internal Medicine Specialist
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Note: For further queries related to coronary artery disease and prevention, click here.
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Is There Any Medication To Treat Blockages While Having 90% Block In LAD And 2 Other Blocks In Circumflex?

Hi, Most of the times, if LAD is blocked, with one or two other arteries blockage, then CABG is the best option, if no other contra-indication for surgery is there. CABG in LAD is done with left internal mammary artery graft and this graft generally patent life long. Also, in patients with heart failure, the survival rate is much better with this type of graft. Therefore, CABG, seems the best option in your case. Still, if you are not ready for a surgical procedure, then general measures with proper low fat diet, moderate amount of daily exercises, preventive lipolytics, blood thinners, coronary dilators as well as treatment of any co-morbidity like hypertension, diabetes or heart failure etc. may be needed. However, the ultimate treatment protocol is to be structured by your cardiologist, who will also like to evaluate your medical condition time to time and also, if there is any need to change the treatment protocol, which may suit you. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Satnarain Bansal, General & Family Physician