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you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check whether the facility holds accreditation; some facilities abroad might lack it","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Some facilities and healthcare professionals abroad might lack accreditation or certification.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C3","text":"Confirm how your aftercare will be coordinated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check that you can put your treatment questions to the treating 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clinician","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheet/59/medical-tourism-travelling-for-treatment","host":"travelhealthpro.org.uk","quote":"Medical advice from an administrator, a travel agent, or member of a sales team is not acceptable.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"The clinic or hospital does not offer a written contract","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheet/59/medical-tourism-travelling-for-treatment","host":"travelhealthpro.org.uk","quote":"A written contract from the clinic or hospital should be provided.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"You cannot ask the treating clinicians your questions about your 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breathlessness","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/departments/heart/patient-education/hvti-resources/who-to-call-after-surgery","host":"my.clevelandclinic.org","quote":"Your heart is beating very fast (more than 150 beats per minute), especially if you are short of breath.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Irregular heartbeat or skipped beats","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/departments/heart/patient-education/hvti-resources/who-to-call-after-surgery","host":"my.clevelandclinic.org","quote":"You feel an irregular heart beat - fluttering feeling in your chest or skipped beats.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Incision red, swollen, warm, or opening up","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/departments/heart/patient-education/hvti-resources/who-to-call-after-surgery","host":"my.clevelandclinic.org","quote":"Your incision is red, feels warm to the touch, is swollen or starts to open.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W5","text":"Clicking sound in the breastbone","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/departments/heart/patient-education/hvti-resources/who-to-call-after-surgery","host":"my.clevelandclinic.org","quote":"You hear a clicking sound in your breastbone (sternum).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor can review the x-rays and scans done abroad","document":"x-rays and 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leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":42,"max":90,"unit":"days","qualifier":"Desk or light work after sternotomy CABG; heavy manual work takes longer, depending on sternal healing."},"complication_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Any major postoperative complication in hospital, mostly atrial fibrillation; death, stroke, or dialysis each under 3%."},"contraindications":["Unsuitable coronary anatomy, such as tiny diffuse vessels without targets","Severe irreversible 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coordinated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check that you can put your treatment questions to the treating team","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Treatment advice comes from a sales team member or travel agent, not a clinician","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheet/59/medical-tourism-travelling-for-treatment","host":"travelhealthpro.org.uk","quote":"Medical advice from an administrator, a travel agent, or member of a sales team is not acceptable.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"The clinic or hospital does not offer a written contract","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheet/59/medical-tourism-travelling-for-treatment","host":"travelhealthpro.org.uk","quote":"A written contract from the clinic or hospital should be provided.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"You cannot ask the treating clinicians your questions about your treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Chest pain or pressure","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/departments/heart/patient-education/hvti-resources/who-to-call-after-surgery","host":"my.clevelandclinic.org","quote":"You have chest pain or pressure/angina.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Very fast heartbeat, especially with breathlessness","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/departments/heart/patient-education/hvti-resources/who-to-call-after-surgery","host":"my.clevelandclinic.org","quote":"Your heart is beating very fast (more than 150 beats per minute), especially if you are short of breath.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Irregular heartbeat or skipped beats","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/departments/heart/patient-education/hvti-resources/who-to-call-after-surgery","host":"my.clevelandclinic.org","quote":"You feel an irregular heart beat - fluttering feeling in your chest or skipped beats.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Incision red, swollen, warm, or opening up","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/departments/heart/patient-education/hvti-resources/who-to-call-after-surgery","host":"my.clevelandclinic.org","quote":"Your incision is red, feels warm to the touch, is swollen or starts to open.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W5","text":"Clicking sound in the breastbone","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/departments/heart/patient-education/hvti-resources/who-to-call-after-surgery","host":"my.clevelandclinic.org","quote":"You hear a clicking sound in your breastbone (sternum).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor can review the x-rays and scans done abroad","document":"x-rays and scans","source":{"url":"https://travelhealthpro.org.uk/factsheet/59/medical-tourism-travelling-for-treatment","host":"travelhealthpro.org.uk","quote":"Travellers should ensure they have copies of all overseas medical records, including x-rays and scans, before departure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge 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medicines","name":"Medicines for coronary heart disease","source":{"url":"https://www.nhs.uk/conditions/coronary-heart-disease/treatment/","host":"nhs.uk","quote":"if your symptoms cannot be controlled using medicines, interventional procedures or surgery may be needed","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"on-pump-cabg","name":"On-pump CABG via median sternotomy","how_it_works":{"text":"A bypass machine pumps blood during the operation","source":{"url":"https://my.clevelandclinic.org/health/treatments/24106-cardiopulmonary-bypass","host":"my.clevelandclinic.org","quote":"The machine pumps the blood back into your body through a tube connected to your aorta.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"off-pump-cabg","name":"Off-pump CABG (OPCAB)","how_it_works":{"text":"The heart keeps beating while the surgeon attaches the bypass vessels","source":{"url":"https://www.cedars-sinai.org/health-library/tests-and-procedures/o/off-pump-coronary-artery-bypass-surgery.html","host":"cedars-sinai.org","quote":"Your heart will keep beating during the surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"minimally-invasive-direct","name":"Minimally invasive direct CABG (MIDCAB)","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"techniques":[{"id":"on-pump-cabg","name":"On-pump CABG via 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LAD.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Smaller incision, often shorter recovery."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your symptoms can be controlled with medicines","name":"Medicines for coronary heart disease","source":{"url":"https://www.nhs.uk/conditions/coronary-heart-disease/treatment/","host":"nhs.uk","quote":"if your symptoms cannot be controlled using medicines, interventional procedures or surgery may be needed","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-11","next_check_at":"2027-02-09"},"travel":{"status":"ok","items":[{"id":"V1","item":"visa","audience":"uk","volatile":true,"text":"UK passport holders can visit Kazakhstan without a visa for up to 30 days for business or 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passport must be valid for at least 30 days from arrival and have at least one blank page","source":{"url":"https://www.gov.uk/foreign-travel-advice/kazakhstan/entry-requirements","host":"gov.uk","quote":"To enter Kazakhstan, your passport must be valid for at least 30 days from the date you arrive and have at least one blank page.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V4","item":"medicines","audience":"all","volatile":false,"text":"Carry prescription medication into Kazakhstan in its original packaging, together with your doctor's prescription","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Kazakhstan.html","host":"travel.state.gov","quote":"Always carry prescription medication in original packaging, along with your doctor’s 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coordinateur médical personnel","kind":"content"},{"text":"Découvrez les Meilleures Cliniques pour Votre Pontage aorto-coronarien au Kazakhstan : 1 Options Vérifiées et Prix","kind":"content"},{"text":"Aperçu de pontage aorto-coronarien au Kazakhstan","kind":"content"},{"text":"Obtenez une évaluation médicale pour Pontage aorto-coronarien en Kazakhstan : Choisissez le meilleur spécialiste dans le domaine","kind":"content"},{"text":"Histoires vidéo des patients de Bookimed","kind":"content"},{"text":"Partager ce contenu","kind":"content"},{"text":"Obtenez une consultation gratuite","kind":"content"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[]}