1. Medical management i.e. diuretics, antihypertensive, to control high cholesterol, for keeping the blood thin etc.

2. Percutaneous transluminal coronary angioplasty (PTCA)

3. Coronary Artery Bypass graft surgery. (CABG)

• If we see in today’s life everybody can’t afford for these treatments (Angioplasty & Bypass). There are some class of patients which can not take these treatments are as follows.
  
  A) Whose economical condition is weak. i.e. poor can not afford these treatments.
  
  B) Physically unfit patients i.e. absence of physical fitness of body for such operations. Doctor reject to do these operative procedures.
  
  C) There are also such type of patients who have both money as well as physical fitness but they don’t want to have surgery.
  
  Then where they should go ?
  
  D) Also there is one class of patients who have done bypass or Angioplasty but after some years some of these patient’s complaints i.e. chest pain, heaviness of chest, breathlessness on exertion, Left Shoulder pain. For that they take the opinion of related doctors. The doctors suggest for ANGIOGRAPHY-
  
  Class 1) Which is done by few patients again. And few are still afraid (scared) of it (Angiography).
  Class 2) Those who have carried out / done Angiography again & if they face any complication, doctor suggest them to have surgery again i.e. angioplasty / bypass & by seeing to this Class-1 & Class-2 patients starts searching for some other alternatives, so that they are relieved from their complaints.

ALSO SOME IMPORTANT STATEMENTS OF SOME FAMOUS DOCTORS ABOUT THESE PROCEDURES (ANGIOPLASTY / BYPASS).

1. Dr. Bimal Chhajer = Issue III – Inventor of SAAOL programme 1995 AT AIIMS new Delhi says that I was not actually treating the patient but only stepping up medication as his disease progressed. The blockages in his arteries were increasing and I was having false sense of satisfaction that he was getting better.

I decided upon not undertaking maintenance therapies. The maintenance therapies had not proven to be sufficient in arresting the progress of disease.

2. Dr. Howard H Wayne :- M. D. F. A. C. C. – Issue-IV fellow American College of Cardiology & American College of Physicians says, “Nearly 400,000 people undergo coronary bypass surgeries each year. The majority of these surgeries are not only wasted effort, but may materially accelerate the disability & shorten the patients life span.”

 PREVENTION & CONSERVATIVE MANAGEMENT OF CAD
Alternative system to address the root cause & attain functional stability