Is the case of Multivessel disease for total surgical revascularization  emergency?
Patient: Cardiology: 54 yrs old, x heavey smoker, parkinsonism on carbidopa with NSTEMI anterior T inversion.  LAD: tight 80% ostial and 90% mid segment lesions LCX: tight 80% OM 1 lesion Ramus: non critical 50% proximal lesion RCA: totally occluded from proximal segment with ante and retrograde flow from LCA. RCA is graftable distally  Conclusion: Multivessel disease for total surgical revascularization Excellent systolic functoin   Please advise on the intervention and the urgency of the situation Doctor: the report suggestive of tripple vessel disease.the treatment is off course CABG(surgical revascularization).no doubts in treatment option.but urgency depends on your symptoms.. if you were already on antiplatlets and stations and u developed NSTEMI then u should go for surgery early..if this NSTEMI is recent and you were not on drugs then treatment will depend on your functional status..if u can do your all household activities without chest pain and heaviness and you started your medicine then you can wait ..but this is your choice. nothing is absolute