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Year : 2019  |  Volume : 7  |  Issue : 4  |  Page : 137-140

Asymptomatic triple vessel coronary artery disease: A treatment dilemma

Senior Consultant in Internal Medicine and Diabetes and Editor in Chief, APIK Journal of Internal Medicine API Karnataka Chapter, Bangalore, Karnataka, India

Correspondence Address:
Dr. M Premanath
Prem Health Care, 671, Nrupatunga Road, M-Block, Kuvempunagar, Mysore - 570 023, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/AJIM.AJIM_41_19

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Coronary artery bypass graft (CABG) is the treatment of choice in patients of diabetes with triple vessel disease (TVD). If the patient has TVD but is asymptomatic, the dilemma is whether to continue with medical management or to opt for revascularization. The patient in this case report was absolutely asymptomatic despite risk factors of diabetes, resistant hypertension, and TVD. Since his left main coronary artery was involved, he underwent CABG to prevent sudden cardiac death.

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