The decision regarding the treatment whether urgent PTCA or CABG is required or the procedures are required later or not at all can be made by observing an important component in CAG namely development of collaterals. This particular so-called natural bypass is not taken at the moment by any cardiologist or cardiothoracic surgeon throughout the world.
After analyzing cases when there is a total cut off of the vessels, the patient has not developed any urgent symptomatology because of the development of collaterals noted in CAG is the observation which will be very much useful in developing countries like India where the resource is limited and also when there is no possibility of going for the procedures because of lack of money or physical restriction or viability question related to myocardium. This observation can be used to develop drugs which will help to develop natural…
