My father is 53 yrs old. He ha
  My father is 53 yrs old. He ha

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My father is 53 yrs old. He had been diagnosed with Coronary artery disease ,TMT positive,Diabetes Mellitus CT Coronary Angiogram showed High calcium score,Single Branch Vessel disease.His heart was said to be very healthy so far. A 100% blockage and 80% blockage of the arteries had been detected and collateral ways have been formed.He has not faced any symptoms of Angina so far.At the long run , anything can happen which is very sure.Could you please suggest what should be done - Bypass or Angioplasty and is it an emergency which needs to be right away?

1 Answers

blockage more then 75% has to be opened according to American and European recomendations. The thing that collaterals are formed and he doesn't have symptoms, on the one hand is good, it's not an amergency situatuon, but on the other hand as some diabetics can't feel pain as hard as healthy people, the real clinical picture can hide and so better not to loose time!. As for the choice between bypass surgery and angioplasty, there are some criteria (number of vessels blocked, which vessels are blocked, risk of thrombosis and so on...), according to which the cardiologist-surgeon decides which one is better for each patient.

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