American Heart Association

Treatment of Coronary artery disease is the most researched subject in the medical field.
American Heart Association prescribes guidelines for treatment taking into account all the available research evidence.
We give a brief overview of the guidelines for public to understand the Evidence based approach to the treatment of coronary artery disease which cannot be managed medically and needs Intervention

Evidence for 3 vessel coronary artery disease CABG(Bypass Surgery) is the Gold standard

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Evidence for 2 vessel coronary artery disease still CABG is the Best Treatment

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Evidence for 2 vessel coronary artery disease CABG is Useful

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Evidence for Single vessel disease still CABG is good for Long term benifit

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In coronary artery disease with LV dysfunction CABG is good treatment

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The recommendation from the American Heart Association is that for a complex coronary artery disease both Cardiologists and Cardiac Surgeon should discuss the case as a team and take a decision with the patient after informing all the Pros and Cons.

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In the survivors of sudden Cardiac death both CABG and Percutaneous stenting are equally good

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From the above evidence it is clear that CABG( Bypass Surgery ) is indicated as the first line of treatment for most of the coronary artery disease which needs intervention.
Superior benefits of CABG( Bypass Surgery) over Percutaneous stenting!

1.

There is no foreign material in the coronary arteries

2.

Patients own arteries or veins are used as conduits to do the bypass.

3.

CABG( Bypass Surgery) protects against the development of proximal lesions in the coronary arteries.

4.

Long term patency of the grafts, reducing the need for repeat revascularisation.

Myths and Fears about Cardiac Sugery.

1.

Patients are afraid about Infection risk which is almost nil nowadays with latest asceptic techniques in Operating theatres and Intensive care wards

2.

Patients are worried about getting back to active life after cardiac Surgery. Within 6 to 8 WEEKS patients are back to normal life. Patient start to walk home after 5 days of surgery.

3.

PAIN, is very much manageable after cardiac surgery with simple Paracetamol 4 times daily.

4.

Longivity, After Bypass surgery you will have a normal life span.