posted by Gary Davenport, SWITZERLAND, September 15, 1997
My father-in-law (56) is to be given an angioplasty. He has recently developed low blood pressure, although he is physically very fit. Cardiogram showed a narrowing of artery. Now the options for him are Angioplasty or Bypass. Question is why has this come so suddenly? Why can't he continue to use Nitro plasters? What sources of information are open to us to learn more about this topic or alternatives?

• This question so basic cardiologists may not answer it. Symptoms/heart attack often brought on by narrowing (plaque) of 50% which is too small to cause symptoms until plaque itself ruptures and causes blood clot inside artery. This clot then blocks the artery. The disease is usually progressive over a long period of time, so it is not limited to just one problem area of plaque.
Probably PTCA, if an alternative, is preferable to postpone CABG since your dad is only 56 and will probably need CABG at some point in the future.

Recommend books by Dr. Dean Ornish, USA, "Reversal of Heart Disease", etc.; also see previous topic in this category.
Marshall Maglothin, The Heart Center, Akron General Medical Center, Ohio, USA, April 20, 1998
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