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Page: Indications for CABG
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Several treatments for coronary artery disease exist. They include:
* medical management (statins, antihypertensives, smoking cessation, tight blood sugar control in diabetics),
* percutaneous coronary intervention (PCI) and
* CABG surgery.
Both PCI and CABG are more effective than medical management at relieving symptoms, e.g. angina, dyspnea, fatigue.
CABG is the preferred treatment when there is:
* disease of the left main coronary artery (LMCA). LMCA disease is associated with sudden death; therefore, lesions of the LMCA are sometimes referred to as widow makers.
* disease of all three coronary vessels (LAD, LCX and RCA) and one or more of the following:
o diabetes mellitus,
o left ventricular dysfunction (i.e. low ejection fraction) and
o diffuse disease not amendable to treatment with a PCI.
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