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60-70% occluded RCA (Proximal)
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60-70% occluded RCA (Proximal)

I am 57 yr old male from India. I suffered ASMI in Jun-2003 and underwent CABG (LIMA to LAD and RIMA to D1). Since then I have been on strict medication (ACE inhibitors, Beta Blockers, Blood thinners, etc.) and diet. Last month after an acute coronary syndrome, I underwent coronary angiogram and was diagnosed with earlier patent grafts and 60-70% occlusion in the proximal RCA. What am I to do now, continue with medication or do I require a PCI? Pl. advise.  THIRU


This discussion is related to Feeling of thumping in the chest after taking antihypertensives and retiring to.
Avatar_dr_f_tn
Hello,
The exact treatment of your condition can be advised only after a complete medical checkup and correlation with test results.Percutaneous intervention is   coronary angioplasty and is usually not beneficial over taking appropriate medications for those with stable coronary artery disease. It is however beneficial in those with unstable disease. Your cardiac history, clinical findings and your general health condition need to be taken into consideration before taking any decision. It is best to discuss your doubts with your cardiologist and clarify them .Do keep me posted.
Best luck and take care!
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