- Male
- 61 Years
- 20/02/2025
My mom was diagnosed with chest pain on December 7, 2018. She's in the hospital, and the doctor did an angiography and is suggesting a bypass. I'm really worried and just want to know if the bypass is absolutely necessary and how long we can safely delay it. She's had blood pressure for about 10 years and diabetes for the last 4 years. Could you please advise?
Answered by 1 Apollo Doctors
"Hi Nirav, based on the information provided, if your mother has been diagnosed with chest pain and the doctor has recommended bypass surgery after performing Angiography, it is likely that the bypass surgery is necessary to improve blood flow to the heart. Given her history of high blood pressure and diabetes, it is important to follow the doctor's recommendation in a timely manner to prevent any further complications. I would recommend discussing any concerns or questions about the timing of the bypass surgery with the treating physician to determine the best course of action. In the meantime, it is important for your mother to continue taking her prescribed medications for blood pressure and diabetes as directed. For chest pain relief, she can take medications like Aspirin and Nitroglycerin as prescribed by the doctor. It is important to follow the doctor's advice regarding the dosage and frequency of these medications. Regular follow-up appointments with the doctor are also essential to monitor her condition and make any necessary adjustments to her treatment plan. If you have any further questions or concerns, feel free to ask. Take care."
Dr. Shubham Suggests...
Consult a Cardiologist
Answered 04/07/2025
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AI powered Health Chatbot
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Understanding the Need for Bypass Surgery
- Bypass surgery is often recommended after angiography if significant blockages are found, especially in patients with chest pain, hypertension, and diabetes.
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Factors Influencing the Decision
- Long-standing hypertension and diabetes can worsen heart disease, increasing the urgency for surgery. Angiography results help assess blockage severity.
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Risks of Delaying Bypass Surgery
- Delaying surgery may increase the risk of heart attack or worsening symptoms. It's crucial to weigh these risks with your healthcare provider.
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Possible Alternatives and Interim Management
- Temporary management might include medications and lifestyle changes, but these should be discussed with a cardiologist.
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Importance of Personalized Medical Advice
- Decisions should be based on individual health status and made in consultation with your mom's cardiologist and cardiac surgeon.
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Recommended Next Steps
- Discuss concerns with the healthcare team to understand risks and benefits. Monitor symptoms closely and seek immediate care if they worsen.
Recommended next steps
Consult a Cardiologist
Answered 10/09/2025
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More Cardiology Health Queries
View allI've been dealing with chest pain for the past three months that comes and goes, and it often spreads to my left shoulder, arm, and even my jaw. Sometimes I get dizzy too. I had COVID before, and now I'm also experiencing some breathing issues since last week. I saw a cardiologist, and the ECG, trop test, and chest X-ray all showed nothing unusual. I had an echo and a TMT done today. Can you help me understand what's going on? What could be causing my symptoms if all these tests are normal?
Based on your symptoms and the tests you have undergone, it seems like you may be experiencing symptoms of angina or coronary artery disease. Since your ECG, troponin test, chest X-ray, echo, and TMT are normal, it is important to continue monitoring your symptoms and follow up with your cardiologist for further evaluation. In the meantime, you can take medications like Aspirin 75mg once daily to help reduce the risk of heart attack, and medications like Atorvastatin 20mg once daily to manage cholesterol levels. Additionally, Nitroglycerin sublingual tablets can be taken as needed for chest pain relief. It is also important to make lifestyle changes such as maintaining a healthy diet, regular exercise, quitting smoking (if applicable), and managing stress to improve your overall heart health. If your symptoms persist or worsen, please consult your cardiologist for further evaluation and management.
Answered by 1 Apollo Doctors
I'm really worried about my heart's LVEF, which is at 34%. I'm 48 years old and not dealing with sugar, blood pressure, or obesity. I'm trying to understand what I can do for treatment and how this might impact how long I can live. Can you provide some guidance on this?
With an LVEF of 34%, it is important to focus on medications that can help improve heart function. One common medication used is Carvedilol, which is a beta-blocker. The recommended dosage for Carvedilol in this case would be 6.25mg to 25mg twice daily. Additionally, an ACE inhibitor like Lisinopril can also be beneficial. The typical dosage for Lisinopril would be 5mg to 40mg once daily. It is difficult to predict an exact survival time as it depends on various factors such as overall health, adherence to treatment, and lifestyle choices. However, with proper medical management and lifestyle modifications, individuals with an LVEF of 34% can live for many years. Regular follow-ups with a cardiologist are essential to monitor progress and adjust treatment as needed.
Answered by 1 Apollo Doctors
Could you explain what the echo report indicates? The patient already has two stents due to previous blockages, and I'm concerned about what that means for their current condition.
Based on the information provided, the echo report is likely showing the status of the heart and blood flow after the stent placement. It helps to assess the heart's pumping function, valve function, and any residual blockages in the coronary arteries. The patient may be prescribed medications such as Aspirin and Clopidogrel to prevent blood clots and maintain stent patency. Regular follow-up with a cardiologist is important to monitor the heart's condition.
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.