Hi doctor,Please find enclosed reports of my father-in-law. He got severe heart attack yesterday. Now he is bit stable. Need your help on how to proceed further. Should we go for angioplasty or bypass operation? What is survival chances if we go for bypass? Right now he is not listening and insisting to go home. We are trying to convince him about treatment but it will take some time. Is it fine if we wait for a month or so if he is not ready now?
Hello. How much is his ejection fraction? Risk of the procedure depends on the ejection fraction. If it is fine, say more than 45 to 50 percent then the risk of life in such surgeries is 1 to 2 percent. The preferable and better option for him is bypass surgery as he is diabetic and it is little difficult to do stenting in the lesion described. Also, the longterm result would be better with bypass. Now, it should be as early as possible, because the lesion is critical and it is 95 percent. We cannot predict the future course, whether he will remain stable or get another heart attack due to it. Although, medicines work quite well to reduce such risk, but advisable to go earlier.  For more information consult a cardiologist online -->