- male
- 66 Years
- 14/08/2025
My father is 66 and has been diagnosed with triple vessel coronary artery disease with 90% stenosis in his right coronary artery and 70-80% blockages in his LCX and LAD. He chews tobacco and occasionally smokes, plus he has diabetes and slightly high blood pressure. Doctors suggested either angioplasty or bypass surgery which option would be better for him given his condition?
Answered by 1 Apollo Doctors
For a 66-year-old with triple vessel coronary artery disease, 90% stenosis in the right coronary artery, and 70-80% blockages in the LCX and LAD, plus risk factors like tobacco use, diabetes, and high blood pressure, bypass surgery (CABG) is likely the better option compared to angioplasty with stenting
Dr. Kamran Suggests...
Consult a Cardiologist
Answered 14/08/2025
0
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I'm experiencing this dull pain on the left side of my chest, kind of between the center of my left chest rib and going up towards my left shoulder. It's been happening for about 3 days now, and it gets worse when I lean forward or round my shoulders, but sometimes when I stretch my left shoulder back, it feels a bit better for a while. I dont think its acidity because I dont have issues with that, and Ive never had high blood pressure or heart problems. What could be causing this pain?
Based on your description, the dull pain you are experiencing on the left side of your chest that worsens with certain movements could be musculoskeletal in nature. It may be due to muscle strain or inflammation in the chest wall or shoulder muscles. I recommend taking a muscle relaxant such as **Cyclobenzaprine** 10mg twice a day for a few days to help relieve the pain and discomfort. Additionally, applying a topical pain relief gel containing **Diclofenac** to the affected area can also provide relief. Remember to avoid activities that worsen the pain and try to maintain good posture to prevent further strain. If the pain persists or worsens, it is advisable to consult a healthcare professional for further evaluation and management.
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Should I consider getting a CT angiogram even though my ECG, ECHO, TMT, and chest X-ray have all come back normal? I'm experiencing some chest tightness and occasional shortness of breath, though its just for a moment. My cholesterol levels are a bit high, with LDL at 154 and HDL at 36. I weigh 108 kg, and my blood pressure is at 13075. My dad had bypass surgery back in 2018, so I'm wondering if having a CT angiogram is something I should look into given my symptoms and family history.
Considering your symptoms of chest tightness, shortness of breath, high LDL cholesterol levels, and family history of bypass surgery in your father, it may be prudent to further investigate the possibility of coronary artery disease. A CT ANGIOGRAM can provide detailed imaging of the blood vessels in your heart and help assess for any blockages or narrowing that may not be detected by the tests you have already undergone. In your case, a CT ANGIOGRAM may be recommended to rule out any significant coronary artery disease.
Answered by 1 Apollo Doctors
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.