coronary artery disease

[abhishek33]

Sir plz HELP me..my dadz age is 66 years.he is asymptomatic bt i insist him to go for TMT test...ST depresion wz der...positive within 3 mntz bt hz gt no fatigue or brthlessness..we wz advsd for angiography in the angio der is 90 %blkge in prxml left anterior dscdng artery..50% mid and distal lad stenosis..95% distal lft crcmflex artery discrete stenosis90%prxml OM1 discrte stenosis 40 %prxml RCA stenosis...90% at two brnches of circumflex while one of brnch of crcmflex is normal.
      In the RCA der is non sgnfcnt blkges as per reprt.he is RCA dominant.
       We r advsd with CABG...plz guide me whthr we shld go fr CABG or nt...he wz smoker in past...as he is symtmless how cn we prcd for d CABG
        PLEASE HELP ME WITH YOUR VALUABLE FEEDBACK...

[abhishek33]

Sir i hv got secnd opinion bt d srgnz are sng to go for bypass while doctrz prctsng preventive medicine not in fvr of bypass.bng a medical student m totaly cnfsd...

[CCFHeartMD27]

The decision to undergo coronary artery bypass surgery should never be taken lightly, particularly when the patient does not have symptoms, per se.  You should seek a second opinion for your father's care.  Consider seeing a cardiologist at another institution. Be sure to bring any images of angiograms as well as the stress test results.  You're doing the right thing to make sure that your father's care is well-tailored to him!