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Hi I am 64, retired person, have undergone cabg 13 years ago. In dec 14, I experienced angina again. Ecg, tmt and ct angiogram confirmed that there are new blocks in the grafts. I have been advised to take vasodilators with other routine medicines. Another surgery or angioplasty were ruled out. My query is how long should I survive on vasodilators. Wouldn't I become resistant to this drug after some time. Is second surgery possible in my case. Is there no other option at all. For your kind information I walk 40 minutes daily without any significant pain though I feel some discomfort initially for a few minutes. I carry sorbitrate tablets always with me. Will this tablet help in an emergency. I would be grateful for your kind advice. With best regards.
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Dear exact advise would not be possible without seeing your angiography cd, but whatever you have mentioned means you have now diffuse blockages in your grafts. Since a repeat angioplasty or bypass surgery is ruled out, there is a non-invasive modality called eecp, which can help you. This is a modality which helps in recruiting collateral arteries, in the patient, which are natural bypass arteries. You can contact us for the same. Dr. Nishith chandra, md, dm, fscai, director interventional cardiology, fortis escorts heart institute, new delhi
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