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Understanding My Coronary Artery Disease and Symptoms - #45085
1. Coronary Artery Disease (CAD) Diagnosed as Acute Inferior Wall Myocardial Infarction (IWMI). Angiography findings indicate multiple blocked arteries: LAD (Left Anterior Descending Artery): Distal LAD diffusely diseased. LCX (Left Circumflex Artery): Diffuse disease, around 80–90% blockage. RCA (Right Coronary Artery): Mid RCA showing 80–90% blockage. OM branches (Obtuse Marginal): Diffuse disease. 2. Chest Pain (Angina) Patient reports ongoing chest discomfort on exertion. 3. Comorbid Conditions Type 2 Diabetes Mellitus (T2DM) HbA1c noted around 7.0 (approx. from notes). Hypertension (High Blood Pressure) Dyslipidemia (High cholesterol levels) 4. Cardiac Symptoms / Clinical Signs Dyspnea (breathlessness) Pulse: 76 bpm BP: 129/72 mmHg Troponin-I: Elevated (suggesting heart muscle injury). Blood parameters: WBC ~5533 TCL ~12300 Hemoglobin ~10.7 g/dL (slightly low) 5. Recommended Investigations 2D Echocardiography Chest X-ray ST Thallium test ECG monitoring Additional cardiac evaluations as needed 6. Impression Evidence of triple-vessel disease with multiple high-grade blockages. Management likely requires urgent cardiology intervention—possibly angioplasty or bypass surgery, depending on surgical evaluation.
How long have you been experiencing chest pain or discomfort?:
- 1-4 weeksWhat triggers your chest pain or discomfort?:
- No specific triggersHow would you describe your overall energy levels?:
- Moderate, occasional fatigueDoctor-recommended remedies for this condition
Doctors' responses
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…
Hello Abhilash, Your reports show triple-vessel coronary artery disease which means three major arteries of the heart have 80–90% blockages, and you’ve recently had an Inferior Wall Myocardial Infarction (IWMI).
This is a life-threatening situation. 👉What This Means Clinically LAD, LCX, RCA all show severe and diffuse blockages. Your troponin is elevated → damage to the heart muscle.
The presence of diabetes, high blood pressure, cholesterol and anaemia additionally raises the risk level. Chest pain on exertion is a sign of continued angina.
👉Why This Is Serious
The heart is not getting enough blood due to multiple very tight blockages. This situation cannot be handled by Ayurveda alone.
You are in need of an urgent cardiology treatment — the majority of patients with this angiography pattern are suggested: CABG (Bypass surgery) OR Multi-vessel angioplasty (PTCA) based on surgeon assessment.
👉What Ayurveda Can Support — Safely Once cardiology has stabilized the patient, Ayurveda can help but not give emergency care substitute. Ayurvedic objectives: –Reduce vascular inflammation –Regulate lipid metabolism –Reduce angina attacks –Strengthen heart muscle –Help diabetes & cholesterol control
✅ Safe supportive Ayurvedic medicines
1 Arjuna tablet 1-0-1 twice a day 2.Punarnavadi Mandur 1-0-1 for mild anaemia & swelling
✅ IMMEDIATE LIFESTYLE CHANGE
Small, frequent meals No oil, fried food, or red meat After doctor clearance, start walking 5–7 min twice daily ½ tsp ghee with warm water at night to reduce vata-pitta imbalance Do not fast Do not drink cold water
The first-line treatment for your condition is cardiology intervention (bypass/angioplasty) as you have a serious triple-vessel heart blockage.
Ayurveda will support you during the recovery phase, strengthening and long-term cardiac care when you are medically stable.
Warm Regards Dr Snehal Vidhate
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.
Take hridyavaranaras 1tab bd, lipomap 1tab bd, Arogya vardini vati 1tab, varanadhi kashayam 20ml bd,avoid meat, spicy,oily, fastfood take easily digested food
Dr RC BAMS MS
Can we skip bypass surgery due to artery blockages
HELLO !!
You have triple-vessel coronary artery disease with 80–90% blockages in RCA, LCX, and OM branches, plus diffuse disease in LAD.
This means: Your heart is not getting enough blood supply Any exertion makes the heart complain → chest pain (angina) Breathlessness happens because the heart muscle is struggling Troponin elevation shows heart muscle damage Diabetes + high cholesterol + hypertension = faster artery narrowing Hemoglobin is low → less oxygen reaching the heart Blockages of this level cannot be reversed with herbs or diet alone
Ayurveda cannot remove blockages, but research shows it can help with:
Reducing inflammation Improving endothelial (blood vessel) function Supporting cardiac rehab Improving energy, breathlessness, sugar control, and lipid profile
Ayurveda must be used ONLY ALONGSIDE cardiologist care, not instead of it.
✅ SAFE AYURVEDIC INTERNAL MEDICINES
(Based on research articles)
1. Amapachana (first 5 days) Amapachana Vati – 1 tablet twice daily after food for 5 days 2. After Day 6 – Internal Medicines (6–8 weeks) (All are SAFE for CAD + diabetes + hypertension) Punarnavadi Kashayam – 15 ml with equal warm water twice daily Drakshadi Kashayam – 15 ml twice daily after meals Arjuna Ksheerapaka – 100 ml once daily Guduchi Ghan Vati – 1 tablet twice daily Lipidom Tablet (Kerala Ayurveda) – 1 tablet twice daily Shilajatwadi Vati (No Suvarna) – 1 tablet at night Nisakathakadi Kashayam – 15 ml with equal water twice daily (for diabetes support)
✅ EXTERNAL PROCEDURES (AT HOME, SAFE FOR HEART PATIENTS) Warm water foot bath – 10 minutes daily Gentle Abhyanga (oil massage) with Dhanwantharam Thailam for legs only (avoid chest) Steam inhalation (plain water) for breathlessness Left-side sleeping to reduce nighttime breathlessness
✅ YOGA / BREATHING (VERY SAFE ONLY) Absolutely no strenuous yoga. Anulom-Vilom – 5 minutes Bhramari – 10 rounds Sukshma Vyayama – gentle joint movements 5–10 min slow walking twice daily (Avoid Kapalbhati, fast Surya Namaskar, strong pranayama — dangerous in CAD.)
✅ INVESTIGATIONS (VERY IMPORTANT) To repeat every 2–3 months: HbA1c Lipid profile Troponin (if pain worsens) ECHO Creatinine, BUN Hemoglobin Thyroid profile
❌ DO NOT DO (VERY IMPORTANT) No ghee therapy, no strong panchakarma No heavy oils on chest No skipping cardiac medicines No long fasting No vigorous yoga Do not stop antiplatelet or statin medicines
🌿 You are dealing with a serious heart condition, but you are not alone. Ayurveda cannot remove blockages, but it can strengthen your heart muscle, support your circulation, reduce inflammation, stabilise diabetes, and improve your energy and breathlessness safely. With Ayurvedic support + strict cardiology care, your quality of life can improve significantly. I will guide you gently and safely.
Warm regards, Dr. Karthika
Can we avoid bypass surgery CABG?
HI SIR, i understand ur concern, but With the reports you shared, multiple arteries blocked 80–90% in LAD, LCX, RCA + symptoms + diabetes + previous MI + low haemoglobin + breathlessness this is classified as high-risk triple-vessel disease.
👉 In this specific condition, bypass surgery is usually NOT optional it is life-saving. 👉 No Ayurvedic, herbal, diet, yoga, or home remedy can open 80–90% blockages.
Why is surgery recommended medically? (Scientific explanation) When 3 major arteries are severely blocked, the heart muscle is not receiving enough blood.
If this continues: Risk of another heart attack becomes very high Risk of heart failure increases Risk of sudden cardiac arrest increases Medicines alone cannot push blood past a 90% block Angioplasty is usually not possible because all arteries are “diffusely diseased,” not single straight blocks
That’s why cardiologists advise CABG as the safest treatment.
🌿 What Ayurveda CAN do :
Ayurveda cannot remove the blockages, but it can support the body AFTER surgery by helping with: Strength Blood sugar control BP stability Post-operative recovery Stress reduction Digestive strength Long-term heart protection
So your treatment plan becomes: 👉 Cardiology for life-saving procedure 👉 Ayurveda for long-term heart health Both work together.
✔️ When CABG might be avoided Only in rare cases: Blockages <70% Single-vessel disease Patient is completely stable No chest pain Stress test normal This is NOT your case. Your blockages are severe, symptoms present, and heart is already stressed.
You have 3 major heart pipes blocked almost 90%. No medicine can remove this. Surgery is recommended not because doctors want to operate but because this is the only way to safely give the heart blood again.
May I know what is the age of the patient?? N when a hip was done ? Had any/ angioplasty / surgery?? 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
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
Do bypass surgery best opinion my side
Hello You need to first take opinion from a cardiologist, skipping allopathy at this stage is not advisable. Ayurvedic medicine will help as supplement, a supportive treatment for organs, Start with Arjuna tablet 1-0-1 after food with water Ashwagandha churan 0-0-1tsp at bedtime with warm milk. Prabhakar vati 1-0-1 after food with water. Do slowly pranayam lom -vilom bhastrika bhamri 5-10mins daily twice.
In the context of coronary artery disease (CAD) with significant blockages, immediate medical intervention takes precedence. With evidence of an acute inferior wall myocardial infarction and triple-vessel disease, the priority should be seeking urgent cardiological care, potentially requiring angioplasty or bypass surgery. It’s vital to consult your cardiologist about the best management plan for these occlusions.
From an Ayurvedic perspective, although traditional treatments can support lifestyle modifications and preventive care, they are not a replacement for urgent medical treatment. Now, let’s consider what Ayurveda can offer alongside your primary treatment post-surgical or medical intervention.
For ongoing management of heart health and support of overall well-being, Ayurveda emphasizes dietary and lifestyle modifications that harmonize your dosha and promote heart health. Given your Type 2 Diabetes, high blood pressure, and dyslipidemia, maintaining a kapha-pacifying diet might be beneficial. Include foods like leafy greens, whole grains such as quinoa, and light, warming dishes. Avoid fatty, oily, and excessively sweet foods that can aggravate kapha.
Ayurveda suggests incorporating daily physical activities appropriate to your capacity, post-recovery. Gentle yogic practices focus on prāṇāyāma (breathing exercises) like Anulom Vilom, which helps to enhance cardiac function and relax mind.
Consider consulting an Ayurvedic practitioner for personalized recommendations on herbal supplements that support cardiovascular health. Herbs like Arjuna are traditionally utilized for heart health, though it’s essential to discuss any new supplement with your doctor as some can interact with heart medications.
Finally, routine practices for stress management such as meditation could play a role in overall cardiac care. Ensure any alternative treatments align with your ongoing medical care and always prioritize your cardiologist’s advice in medical emergencies or critical care scenarios.
Your condition with coronary artery disease, particularly with the identified inferior wall myocardial infarction and multiple blocked arteries, is indeed serious and necessitates immediate medical attention. The complexity of severe blockages in the LAD, LCX, RCA, and OM branches indicates that invasive procedures like angioplasty or bypass surgery could be required to restore adequate blood flow to your heart muscle.
Given your symptoms of ongoing angina, shortness of breath, and elevated Troponin-I levels, swift consultation with a cardiologist is essential. These symptoms might escalate unpredictably and could signal an impending cardiac event if not properly managed.
From an Siddha-Ayurvedic perspective, the aim is restoring balance and supporting systemic health without interfering with acute medical interventions. Lifestyle and dietary adjustments can assist alongside clinical treatments. First, maintaining glycemic control for your Type 2 Diabetes is crucial. Consider incorporating bitter gourd (karela) juice and fenugreek seeds (methi) soaked overnight—both know to support blood sugar regulation, into your routine. Ensure you coordinate these with your current diabetes management plan.
For hypertension and dyslipidemia, diet moderation is helpful. Avoid excessively salty, processed foods, and increase your intake of garlic and turmeric, which can naturally support cardiovascular health and reduce inflammation. Stick to light meals that are easy to digest, supporting the agni (digestive fire).
While these supportive steps can aid overall health, they do not substitute the urgent medical treatments needed for your current coronary condition. Please adhere closely to the urgent medical interventions advised by your healthcare providers.
Remember, Siddha-Ayurvedic measures here are adjunctive, complementing rather than replacing necessary traditional medical interventions, whose prompt application remains vital for immediate stabilization and long-term recovery.
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