Dear Sir, my father-in-law ageing 62 is a diabetic patient, recently suffered from first myocardial infaction, after few days of treatment, he has undergone angiography, which shows 3 areas of blockage including 95% in major left coronary artery & other 2 in right sub coronary artery (75 & 80%). please advise
As left main is 90% blocked so PTC is to be done urgently, to prevent a major hearty attack as left anterior descending area and left circumflex artery arises from left main artery any blockage more than 75% is to be taken care of and should not be managed only by conservative therapy keep your father on esprit av 150/20 mg once tab allowing 2.5 mg twice tab molar XR 25 mg twice tab Eliza 0.25 mg 1 stab Imgur 30 mg once daily and plan an early PTC(stenting) to avoid any emergency life threatening solution thanks