When to schedule CABG in a stable angina patient with pain?

Question

Hi doctor,

My father was suffering from stable angina, so he had an angiography 10 months before in which he was told that he had three arteries blocked and was suggested CABG. But he was afraid, now he suffers from severe angina pain with little activity and sometimes while resting or sleeping. He consulted his cardiologist and he gave him the date for surgery next month. But his chest pain is making him so much scared that until next month he will be able to survive or not Please advise what should he do?

Answer 1

Hello,

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I have sent the attachment. (attachment removed to protect patient identity). Yes, he will need bypass surgery, but no need to worry. His medicines need to be optimized and anti-anginal drugs need to be added. Along with Aspirin, Clopidogrel and statin like Atorvastatin or Rosuvastatin he should be on beta-blockers like tablet Metoprolol XR 25/50 mg once a day, nitrates like Nitroglycerin 2.6 or 6.4 two times a day. If not responding to 2.6, take tablet Naproxen 5 mg twice a day, Trimetazidine 35 mg twice a day, and Ranolazine 500 mg twice a day. So these are all medicine which will help in reducing angina and probability of any complications. So we need to modify according to his current medicine, so let me know his current medicine. I hope this helps.