The information on this website is not intended for diagnosis or treatment. Please consult your physician for health concerns.

+90 850 321 50 00

CABG Indication Algorithm

Coronary artery bypass grafting versus PCI selection algorithm: SYNTAX score and Heart Team approach.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kardiyoloji department. Book Appointment →

What is CABG Indication Algorithm?

Coronary artery bypass grafting (CABG) is the surgical revascularisation method of choice for selected patients with multivessel coronary artery disease or significant left-main disease.

The Heart Team approach evaluates lesion complexity with SYNTAX/SYNTAX II score, additional risk factors and patient preference to determine the optimal revascularisation strategy.

Symptoms

Stable angina (with optimal medical therapy)
Effort-related chest pain (CCS class III-IV)
Heart failure due to ischaemia (HFrEF + viability)
Acute coronary syndrome (in selected NSTEMI/STEMI)
Left ventricular dysfunction (EF <35%)

Risk Factors

Diabetes mellitus (CABG advantage)
Multivessel disease (3-vessel)
Left main coronary disease
High SYNTAX score (>33)
Mechanical complications (in concomitant valve disease)

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Symptomatic CAD with multivessel disease on coronary angiography
  • Significant left main lesion (>50%)
  • Pulmonary oedema or arrhythmia in moderate-high risk
  • Heart Team consultation request

Treatment Methods

01
On-pump CABG (with cardiopulmonary bypass; standard)
02
Off-pump CABG (OPCAB; appropriate for select patients)
03
Total arterial revascularisation (LIMA + RIMA + radial)
04
BIMA - bilateral internal mammary artery (in young patients)
05
Hybrid revascularisation (LIMA-LAD + PCI)
06
Postoperative dual antiplatelet (in selected ACS patients)
07
Cardiac rehabilitation (mandatory)
08
Aggressive secondary prevention (statin, BP, DM control)
09
Annual follow-up (echo, ECG, troponin)

Which Department to Visit?

You can visit our Kardiyoloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Kardiyoloji Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

Book AppointmentContact Us

Related Health Topics

Other articles from the same department you may want to explore.

Hypertension (High Blood Pressure)

Kardiyoloji

Hypertension is a condition in which blood pressure readings remain above 140/90 mmHg; early treatment helps prevent serious complications.

Coronary Artery Disease

Kardiyoloji

Narrowing of the coronary arteries due to atherosclerosis can cause chest pain (angina) and heart attack.

Heart Failure

Kardiyoloji

Heart failure is a chronic cardiac condition characterized by shortness of breath, leg swelling, and fatigue.

Heart Attack (Myocardial Infarction)

Kardiyoloji

A heart attack is a medical emergency; because heart muscle is lost by the minute, immediate intervention saves lives.

Atrial Fibrillation

Kardiyoloji

Atrial fibrillation is a common arrhythmia characterized by an irregular heartbeat and increased risk of stroke.

Heart Palpitations

Kardiyoloji

Palpitations are usually due to benign causes, but underlying cardiac rhythm disorders must be ruled out.

Heart Valve Diseases

Kardiyoloji

Valve stenosis or regurgitation increases the workload of the heart and, over time, can lead to heart failure.

Aortic Aneurysm

Kardiyoloji

Aortic aneurysms are often silent; early diagnosis allows treatment before rupture (a life-threatening tear).

Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.