<s>[INST] My brother who is just 44yrs of age had confirmed heart attack last week, and has been told that he needs to go for open heart surgery since one artery is completely blocked and other two are half,  is there any other way in ayurveda arteries start working perfectly fine [/INST] Hello thanks for posting at Chat Doctor. I wish to inform you that there is no treatment in Ayurveda that can treat blockages in the heart arteries. Your brother is young and has blockages involving all the three arteries of the heart (triple vessel disease). He is prone to cardiac complications if surgery is not done. Any cardiac episode like a heart attack can decrease his heart pumping function and will considerably affect his quality of life. Please do not waste time looking for alternative Ayurveda treatment because it is simply not going to help. I have seen patients do very well after bypass surgery. Open-heart surgery is very well tolerated by patients, and they usually have a good quality of life. A bypass graft remains patent for 15-20 years. I have also seen patients who were reluctant to undergo a bypass surgery when it was the right time and later suffer. My opinion is to go ahead firmly with the decision of a bypass surgery. Wishing him good health. Regards </s>