It's a bit difficult to answer this question, particularly since I don't think that "heart block" is actually what you're describing. When cardiologists talk about heart block, they usually are describing an electrical phenominon in which signal from the atria does not travel down to the ventricles, resulting in a very slow heart rate, it is treated with a pacemaker.
What you're talking is probably coronary artery disease, and without seeing the angiogram, I can't be sure, but there are times when stents are appropriate, and times when a CABG (Coronary Artery Bypass Graft - bypass surgery) is the way to go. Stents are much easier to put in that a bypass, and there are many fewer side effects, but sometimes if too many are required to fix the disease (as may be the case if all three coronary arteries are partially occluded) then the risk of developing a clot in a stent starts to rise quite a bit. In addition, there are blockages in certain places (like the left main coronary artery) which are often treated by surgery rather than stents because of the risk of forming a clot in the stent.
Only your cardiologist and cardiothoracic surgeon can tell you the risks and benefits for you specifically for both types of procedures, and you should speak to them, but there are definately cases in which open heart bypass surgery is the better option.
2006-10-28 02:45:35
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answer #1
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answered by The Doc 6
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2016-05-19 02:14:03
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answer #2
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answered by ? 3
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A lot depends on the coronary vessels which are blocked as well as the no. of blocks.
Coronary angioplasty is a procedure done where a balloon like device is used to open up the block and sometimes a stent is kept at the site to keep the vessel patent.
In Coronary artery bypass grafting a part of another vessel in the body replaces the damaged coronary vessel.
The procedure should be decided only after discussing all the pros and cons with a cardiologist and cardiac surgeon.
Though both procedures have a high success rate they may not give a permanent cure as it depends on a lot of factors like presence of other diseases(diabetes,hypertension), levels of cholesterol., lifestyle etc.
2006-10-28 09:02:09
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answer #3
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answered by ladydoc 2
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First of all shreeks9 is COMPLETELY wrong. He is explaining a angioplasty, not a bypass.
Angiogram-a catheter(tube) is put up your femoral artery (in your leg) to look for blockages in the heart.
Angioplasty-the same catheter puts a stent in the blacked vein. This is like a little hollow baloon that holds the vein up
Bypass-little pieces of veins are taken from your leg. The blocked piece of vein in your heart is removed and the vein from your leg is put in. This is a lengthy procedure, but not as risky as it used to be.
My father had triple-bypass last year. The surgery lasted 6 1/2 hours, he wasin the ICU one night, was discharged 4 days later, and was back to work part time in a month and full thime in less that two months.
2006-10-28 12:06:26
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answer #4
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answered by frankie3919 2
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A doctor from Pune has developed 100% herbal ayurvedic capsule known as Rudved. This is being prescribed successfully since 2002 and he has cured more than 6000 patients. No bypass, no angioplast, no stent and no chelation. Maximum time taken for a 100% blockage patient is 6 months. The cost of Rudved is Rs. 1250.00 per bottle of 30 capsules. Contact subbie19@mtnl.net.in for more details.
2006-11-02 22:23:54
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answer #5
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answered by Anonymous
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dude....as of now angioplasty is the only other alternative to a bypass.its a process where a wire mesh(stent) is sent into the area of block and balooned to open up the block.Entire procedure is done thru a tiny insertion and the person can get back to his or work within a couple of days.each stent costs about 40 thousand bucks,and depending on the number of blocks u will be needing as many stents.and as of now there are no permanent remedies against heart blocks,they can reappear at any time,a healthy lifestyle always helps.
cheers
shreeks
2006-10-28 00:09:51
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answer #6
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answered by shreeks9 1
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Bypass is always the last option. Angioplasty is the first option (balloon Technique as some call it) as it is less invasive and after the use the balloon they then place a stent where the blockage was to help with the integrity of the vein wall. Presently my father has 7 stents in him and if you need any other questions answer you can email me.
2006-10-30 07:34:03
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answer #7
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answered by Mike 6
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Besides angioplasty with or without stenting and bypass, a very reasonable option is aggressive medical therapy. Such therapy should consist of aspirin a day, atorvastatin 40-80 mg once a day, metoprolol 25 - 50 mg twice a day. Adding clopidogrel to above therapy may provide additional benefit. There is an ongoing trial in the US (COURAGE) which is testing such aggressive medical therapy to angioplasty and bypass surgery.
2006-10-30 05:14:46
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answer #8
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answered by mukherd 2
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Most of the time if there are 3 or less blockages they will do angioplasty when they do the angiogram. If there are more than 3 blockages they do bypass surgery. Also keep in mind that angioplasty is not necessarily a permanent fix.
2006-11-04 12:41:52
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answer #9
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answered by Nurse K 2
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Arjunaristha is the best medicine in Aurved for such trouble. Harde and Cinnamon are also used to clear the blockage. Prajapita Brahmakumari had carried out study on such patient. One should visit before going for surgery.
2006-11-04 01:12:06
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answer #10
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answered by Natvarsingh 2
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