Management Options for Coronary Artery Disease and Comorbid Conditions - #45078

May I know what is the age of the patient?? N when cag was done ? N how is the condition of the patient presently?? Is still getting chest pain/ breathlessness?? Has 80-90 percent lesion is der in 2 vessels I would suggest you to go for cabg/ angioplasty according to cardiologist advice n later for cardiac support you can take ayurvedic support

The reports which you have shared clearly shows that blockage is in three major heart vessels along with diabetes, BP and cholesterol At this state, the first priority is to remain under regular Cardiologist care because such blockages often require medical procedures like angioplasty or CABG, which they have already advised, and it is better to follow their advice for long-term safety Ayurveda will work alongside the Cardiology plan, but not as a replacement

Your symptoms of chest, discomfort, breathlessness, and moderate fatigue match, the reduced blood flow seen in your findings The raised Trop I shows the heart as already gone through some strain Slightly low haemoglobin and diabetes around HB A1C with seven makes the blood heavier and inflamed which increases angina …

From Ayurvedic side, you can start on Arjuna ksheera pak 1 teaspoon with 300 ML water plus hundred ML milk boil until hundred ML drink twice daily on empty stomach and one hour before dinner Hridyamritha vati Arogyavardini vati One tablet twice daily after food with warm water Triphala churna 1 teaspoon with warm water at night

These are mild supportive and generally safe with allopathic cardiac medicines, but it doesn’t mean that it is a replacement for either angioplasty or CABG

Once you share your present, BP diabetes, cholesterol, and cardiac medicines, which you’re taking, so can adjust the doses accordingly

Avoid oily fried bakery items, heavy food, Redme, cold drinks, and La dinner Prefer like simple war meals, cooked vegetables, and drink warm water throughout the day Take short or slow walk if you’re totally comfortable, I mean,if no breathlessness or no angina during walking… Avoid sudden exertion, climbing states, too fast or lifting heavyweight…

1.Hridyarnava rasa 1 tab twice daily with water after meals 2.Arjunarishta 20 ml with 20 ml water twice daily after meals 3.Amalaki churna 1/2 tsp twice daily with water or honey 4.Tab Liposem 2 tab twice daily with water after meals

- Lifestyle & Diet - Favor light, easily digestible foods: green vegetables, barley, oats, moong dal. - Avoid heavy, oily, fried, and spicy foods. - Limit salt and sugar intake. - Include cooling foods like pomegranate, amla, and coconut water.

- Stress & Mind‑Body Practices - Gentle yoga (avoid strenuous postures). - Pranayama: anulom‑vilom (alternate nostril breathing), bhramari (humming breath). - Meditation for stress reduction.

There’s no other alternative to CABG, you have to undergo the procedure. Ayurveda however can support post CABG. Since there is 70-80% occlusion already and no medicine could help to clear the occlusion. These medicines will help you in recovery post CABG procedure

Medicines: 1 Arjuna Ksheerapaka – 50 ml twice daily after food (prepared fresh with milk or warm water base). 2 Hridayarnava Rasa – 1 tablet twice daily after meals with lukewarm water. 3 Prabhakar Vati – 1 tablet twice daily after meals. 4 Arogyavardhini Vati – 1 tablet twice daily after meals with lukewarm water. 5 Ashwagandha Churna – 3 g at night with warm milk or water. 6 Lipid Care or Medohar Guggulu – 1 tablet twice daily after food with warm water.)

Dietary Recommendations: Prefer easily digestible food: Moong dal soup, boiled vegetables, green gram khichri with ghee in moderation. Avoid heavy, oily, fried, red meat, dairy cream, refined sugar, and bakery items.Use small amounts of desi ghee and cow’s milk.Drink warm water infused with Arjuna bark or Tulsi daily.Include garlic, turmeric, and small amounts of ginger in food.Maintain controlled salt intake.

Lifestyle Advice: Avoid overexertion, anger, and late nights.Practice gentle Pranayama (Anuloma Viloma, Bhramari) twice daily for 10-15 minutes.Take slow evening walks post meals as tolerated.Maintain proper bowel clearance.

Regular follow-up with cardiologist; do not discontinue prescribed allopathic cardiac drugs abruptly.Stress management through meditation or relaxing music.

Regards Dr. Gursimran Jeet Singh MD Panchakarma

The comprehensive nature of your condition indicates a need for immediate and focused medical intervention. As Ayurveda prioritizes holistic wellness and long-term health management, it’s imperative to address severe emergencies like yours with the urgency they require. Conventional medical treatment, such as angioplasty or bypass surgery, is critical for resolving the high-grade blockages presented by your triple-vessel disease.

In conjunction with modern medical interventions, adopting aspects of Ayurvedic principles can support overall health beyond the immediate crisis:

1. Diet and Nutrition: Prioritize a heart-healthy diet to aid in managing your Type 2 Diabetes and Hypertension. Incorporate fibrous foods, like vegetables and whole grains, while minimizing saturated fats and refined sugars. Ensure meal timing aligns with your body’s natural rhythms to support a stable agni (digestive fire).

2. Lifestyle: Gentle, restorative yoga asanas that encourage relaxation can be beneficial once your cardiologist permits. Pranayama such as Anulom Vilom may help stabilize the mind and support respiratory efficiency, but ensure it’s practiced only under guidance and after receiving a green light from your primary physician.

3. Herbal Support: Herbal formulations may offer long-term support post-intervention. Ingredients such as Arjuna (Terminalia arjuna) extract are traditionally recognized for heart health; however, this should be discussed with your cardiologist to ensure no interference with prescribed medications.

4. Stress Management: Mindfulness or meditation can reduce stress, often a contributor to cardiac strain. Even short, daily practices can make a substantial difference in overall well-being.

5. Diabetes and Cholesterol Management: Ayurvedically, herbs like Fenugreek (Methi) and Bitter Melon (Karela) are often employed to manage blood sugar levels. Again, confirm with your healthcare provider before use to avoid contraindications with diabetic medications.

Engage in regular follow-ups with your healthcare team to monitor progress and ensure an integrative approach continues to align with your evolving health needs. Immediate symptomatic issues, such as persistent angina or dyspnea, must be prioritized with urgent medical attention, potentially exceeding the scope of Ayurveda, underscoring the necessity of emergency healthcare services for acute conditions.

For what you’re describing, there’s no question that the immediate priority is to seek urgent and expert cardiological care. The coronary artery disease highlighted by the significant blockages in multiple vessels, especially with the acute history of myocardial infarction, necessitates considering interventional strategies like angioplasty or bypass surgery. Please ensure that a cardiologist evaluates without delay since these interventions can significantly improve outcomes in such cases.

From a Siddha-Ayurvedic perspective, complementing conventional treatment can help manage comorbidities like diabetes, hypertension, and overall cardiac support. Let’s discuss management areas we can address while maintaining medical supervision.

First, managing diabetes is key. Include fenugreek seeds in the diet; soak a teaspoon overnight and consume it in the morning to help moderate blood sugar levels. Ensure meals are balanced and avoid high sugary foods.

For hypertension, regular intake of garlic, either raw or in food, can help. It’s known to support vascular health. Consider Brahmi (Bacopa monnieri) in limited doses under guidance, as it aids in stress reduction and cognitive function, indirectly supporting blood pressure management.

Ensuring the Stambhana (moderation) of agni (digestive fire) is crucial. Small, frequent meals will aid digestion and help maintain energy levels. Pippali (long pepper) can be useful in stimulating digestion and metabolism–it’s often beneficial in small quantities.

Routine lifestyle practices like Pranayama and mild Yoga (as tolerated) can enhance oxygenation and support cardiac health, aligning with traditional exercises after confirming with your healthcare provider.

These recommendations should be integrated only after consulting healthcare providers, ensuring that they don’t interfere with any urgent treatments. Always be cautions of any signs of acute distress; these must be promptly addressed by emergency medical services.