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A member asked:

what is the treatment and prognosis for someone with a combination of carotid occlusion/stenosis and occlusion/stenosis of the basilar artery?

2 doctor answers3 doctors weighed in
Dr. Bennett Werner
Cardiology 44 years experience
Surgery: The brain gets its blood supply from 2 carotid arteries and 2 vertebral arteries that combine to form the basilar artery. These 4 vessels are the only sources. The vertebrals and basilar are generally not approachable by surgery so the carotids are often operated to improve circulation if there is >70% stenosis. Antiplatelet drugs are also used.
Dr. Tracy Berg
General Surgery 32 years experience
Depends: Artery disease in the neck vessels (carotid/basilar) is associated with risk for stroke. Your doc, vascular provider can best assess all the associated factors and give you a risk assessment. Treatments vary from medical management, nicotine cessation, stenting, surgery and combinations of them all.

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A 21-year-old member asked:

With coronary artery disease am I more susceptible for having a heart attack?

2 doctor answers4 doctors weighed in
Dr. Ankush Bansal
Internal Medicine 17 years experience
Yes: However, if you control your weight, blood pressure, cholesterol, and diabetes (if applicable), then you're managing your coronary artery disease and likely preventing a heart attack from occurring. Basically, follow a healthy lifestyle, take all meds prescribed, and follow up with your doctor as recommended. Then you significantly reduce your chance of heart attack.
CA
A 24-year-old member asked:

Can a low dose aspirin help my coronary artery disease?

2 doctor answers4 doctors weighed in
Dr. Charles Jost
Cardiology 36 years experience
Yes but: An Aspirin daily can decrease the risk of heart attack by up to 50%. It is a good idea to speak with your doctor before you start an Aspirin regiment since I do not know your entire medical history.
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A 28-year-old member asked:

Can you tell me the difference between congestive heart failure and coronary artery disease?

2 doctor answers5 doctors weighed in
Dr. Mark Rasak
Cardiology 33 years experience
Disease vs symptom: Coronary artery disease is cholesterol build up in the coronary arteries. CHF is a symptom complex of shortness of breath . Unable to lay flat . Waking up short of breath and decrease exercize tolerence. It usually occurs when blood backs up in the lungs as a result of the heart not working efficiently. CHF is not a diagnosis as there are many causes and a source should be found.
A 38-year-old member asked:

What is the difference between angina, coronary artery disease, and heart disease?

2 doctor answers7 doctors weighed in
Dr. Charles Jost
Cardiology 36 years experience
Symptom, Disease: Angina and angina equivalents are symptoms of cad: coronary artery disease - which is often pooled with other heart aliments and described as heart disease. Heart disease could potentially encompass other conditions such as congestive heart failure, chf, atrial fibrillation or flutter, af, kinds of cardiomyopathy, bundle branch block, and valve disorders and potentially more.
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A 45-year-old member asked:

Is there a significant difference between getting arteries from your arm for heart bypass instead of veins from your leg?

2 doctor answers7 doctors weighed in
Dr. Samuel Hahn
Cardiology 28 years experience
Maybe better: There is debate in cardiovascular surgery whether radial arteries have better long term results than saphenous vein grafts. Assuming the surgeon is experienced in handling the radial artery, the results are at least as good as vein grafts and maybe better over the long run.

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Last updated Jun 15, 2018
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