Patient has history of three-vessel coronary artery disease with previous bypass surgery

The patient has a documented history of coronary artery disease affecting all three major coronary arteries (left anterior descending, left circumflex, and right coronary artery), and has undergone coronary artery bypass graft (CABG) surgery in the past.

This phrase is used to document significant prior cardiac history, which may influence current presentation and management. It indicates a history of complex and severe coronary artery disease.

Used when documenting the patient's past medical history relevant to their current cardiac presentation. It's important to note the date of the bypass surgery, if known.