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Coronary Artery Blockage
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Coronary Artery Blockage

After undergoing a coronary angiography, my mom was told that 4 of her arteries are blocked at 50%, and the remaining 3 over 75%.  
The doctors advise bypass surgery.  She has had 3 strokes in the last 10 years (2 most recently in '06 and last month) and  has had diabetes over 35 years.  What are her chances of surviving the surgery? Can medication help her at this point or is too late for that?
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367994 tn?1304957193
It would be difficult to suggest a regimen contrary to what a doctor has recommended as the doctor has more relevant information available to aid making an assessment.

Apparently, stent implants have been ruled out due to the disease involves two or three coronary arteries and those patients are generally considered for bypass surgery.  The 50% blockages may not be an issue, but the 75% may be problematic. Depending on symptoms (angina pectoris) medication could relieve chest pain by opening the vessels to adequate blood flow to oxygen deficit heart cells, but often an individual with diabetes do not have angina with their blocked arteries so that presents the inability to determine the effectiveness with medication...would require a stress test visualize the blood perfusion with stress.

EECP that is approved by AHA/AAC and insurance underwriters, and it is a procedure that is non-evasive and usually recommended for patients that may be a high risk for surgery.

Surviving surgery depends on your mother's current constituation, concomitant health issues, health history (prior strokes may be an issue), age, etc.  You may have to trust the doctor's judgement!.  

Thanks for sharing, and if you have any further comments or questions you are welcome to respond.  I wish your mother well going forward.

Ken  
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976897 tn?1379171202
Her general health and heart functionality are key factors to her survival.
Her chances will be very good if her general health is ok and her heart is functioning within normal parameters. I'm surprised that she isn't on medication already for her heart, such as beta blockers. What symptoms is she having? such as chest pains, shortness of breath etc?
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