Written by Padma Sundareson | 
Medically Reviewed by Dr. Sunil Shroff, MBBS, MS, FRCS (UK), D. Urol (Lond) on Aug 27, 2014

Medical Management of Coronary Artery Disease (CAD)

Initially Coronary Artery Disease (CAD) can be treated with tablets that can increase blood supply to the heart muscles either by dilating the blood vessels or making the heart pump the blood slowly but with more force. Aspirin or Anti-platelet therapy is given to keep the blood thin and prevent thrombosis. Medications are also given to reduce cholesterol/lipids levels in the blood and control diabetes and hypertension.

Angioplasty is an alternate invasive procedure to CABG, where the blocked arteries are opened up using a balloon catheter followed usually by metal ring like stent (resembles a coiled spring) to keep the opening from closing up again.

Patients with left main coronary artery stenosis or severe triple vessel disease (where all the 3 main coronary arteries have plaques) may not be eligible for a Percutaneous Transluminal Coronary Angioplasty (PTCA).

Patients on high dose medications who continue to experience symptoms create a need for surgical intervention to remove or by-pass the blockages. In certain situation as described above the patient may not be fit for PTCA due to the nature of the disease and it is then that CABG is recommended.


  1. Evaluation of indications for PTCA - (http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=Retrieve&db=PubMed&list_uids=9081904&dopt=AbstractPlus)
  2. Cardiothoracic & Vascular surgery in IndiaAchievements & future goals - (http://medind.nic.in/ibq/t05/i2/ibqt05i2p133.pdf)
  3. Coronary Artery Bypass Graft Surgery (CABG) - (http://www.medicinenet.com/coronary_artery_bypass_graft/page4.htm)
  4. Infant undergoes beating heart surgery - (http://www.dnaindia.com/report.asp?NewsID=1093376)
  5. Coronary Artery Bypass Surgery - (http://www.nlm.nih.gov/medlineplus/coronaryarterybypasssurgery.html#cat57)
  6. Clips versus suture technique: is there a difference? - (http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=Retrieve&db=PubMed&list_uids=11109037&dopt=AbstractPlus)


santosa Saturday, October 8, 2011

what is the dental management of patient with history of CABG ??

Urmil44 Wednesday, April 13, 2011

my child had a blockage in his volve by birth. his balooning has been done since he was at the age of 22 days. we are regularly going to dr. for periodically check up as and when suggested. My son is now 11 years old he has no problem except swetting as and when he runs very fast while playing or otherwise. He is living is having good health comparing to a normal child. I just want to clear my doube that in the long run can we have any problem relating to volve in future or he will be alright for ever.

Rowland Sunday, March 7, 2010

I had CABG 13 years ago (at age 69) and it resulted in a stroke that left me with hemiplegia. Now, my angina is returning, but I'm treating it with Seanol - which so far (2 months)has been successful. Rowland

artini Saturday, February 19, 2011

thank god..hope you be patient rawland and continue with healty rountine and life style.

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