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Doctor insights on: Can You Still Have A Heart Attack While Taking Plavix

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Dr. Creighton Wright
1,182 Doctors shared insights

Myocardial Infarction (Definition)

Myocardial Infarction means some of the heart muscle dies because of insufficient oxygen supply. Most often this occurs because the coronary artery is blocked by plaque & clot. Other causes include tears in the artery wall, extremely high oxygen demand (eg, rapid arrhythmia, heart valve disorder, or severe systemic illness.) Prompt treatment can minimize heart damage & ...Read more


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A stroke/heart attack patient with chronic erosive gastritis. One DES. Taking Plavix (clopidogrel). 3 more stents and asprin to be added in the future. Suggestions?

A stroke/heart attack patient with chronic erosive gastritis. One DES. Taking Plavix (clopidogrel). 3 more stents and asprin to be added in the future. Suggestions?

Work with an integra: Tive medicine doctor to get the lifestyle and mind/body/spirit connection going to prepare for better health. Many things wrong here that need to be corrected now that could help the success of future procedures. 3 more stents is a lot, and indicates the level of need for prevention and treatment to ensure longevity. Looking globally and each organ system is important! ...Read more

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What should my concerns be if I have RA and have been given a reclast (zoledronic acid) injection? Dexa scan -2.6 take zocor, plavix currently RA not active-not taking meds for it, have had methtrexate or embril in past, due to heart attack have lost w

What should my concerns be if I have RA and have been given a reclast (zoledronic acid) injection? Dexa scan -2.6 take zocor, plavix currently RA not active-not taking meds for it, have had methtrexate or embril in past, due to heart attack have lost w

Weel: Weel for what I can understand you hade rheumatoid arthrtis that was treated with embrel and Methotrexate, and at this time you are in remission.
Congratulations on your acomplishment on the weight loss and the excersice program. Taht a winner
you don t have to be wrried or concern about the Reclast (zoledronic acid), pt wit RA have a higher risk of developing osteoporosis, and are the ones that need to be treated.
As far as the side effects, is like with every medication, or any activity in life. And the risks are undersurveillance and known, and accepted by the authorities in the department of health as adecuate for use. So you received Reclast (zoledronic acid), because there was an indication that justifies its use, and the likelihood of an adverse effect is low. There is no interaction between the Reclast (zoledronic acid) and the rheumatoid artjhrtis. ...Read more

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How can I prevent stomach bleeding whole taking Plavix, (clopidogrel)aspirin or similar? I have erosive gastritis and a DES after a heart attack.

How can I prevent stomach bleeding whole taking Plavix, (clopidogrel)aspirin or similar? I have erosive gastritis and a DES after a heart attack.

Ppi: It's very important for you to take Plavix in the first few months post heart attack. I'm not sure if you have had any intervention including heart Cath and stent placement. But the concern I have is that u need to be on protective therapy for your stomach like PPI. I recommend to f/u with cardiologist on how long u need plavix and adaptor in but mean while u need PPI like protonix, nexium (esomeprazole). .. ...Read more

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I think my unintended weight loss, stomach pain and loss of appetite may be caused by Plavix, (clopidogrel) which I've been taking for 7 months after a heart attack and a DES in LAD. I was already taken off Aspirin. What should I do?

I think my unintended weight loss, stomach pain and loss of appetite may be caused by Plavix, (clopidogrel) which I've been taking for 7 months after a heart attack and a DES in LAD. I was already taken off Aspirin. What should I do?

Drug effect: Though possible, given recent published data you should stay on dual antiplatelet agents for up to 3 years after such a stent, fortunately there are a variety of drug options available, As stopping aspirin did not apparently resolve your symptoms then you should go back to it, see your cardiologist re other drug options. Also it is CRITICAL that other causes of weight loss be fully evaluated by an MD ...Read more

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After a heart attack I had 6 stents placed in my right coronay artery. Is it plavix (clopidogrel) forever now?

After a heart attack I had 6 stents placed in my right coronay artery. Is it plavix (clopidogrel) forever now?

No: You should rely on your cardiologist's direction about how long to take plavix (clopidogrel). There are many variables and it's a high-stakes matter. It depends on whether your stents are bare metal or drug-eluting. There is another alternative platelet drug called effient. Note that a genetic test is available to see if Plavix (clopidogrel) is likely to be effective for you. Make sure you are treating the cause. ...Read more

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I had a heart attack 5 years ago and I am 39 years old. Is it ok to take cialis? I take plavix, (clopidogrel) but no nitrates.

I had a heart attack 5 years ago and I am 39 years old. Is it ok to take cialis? I take plavix, (clopidogrel) but no nitrates.

Treatments: Treatments for erectile dysfunction (ed), including cialis, should not be used in men for whom sexual activity is inadvisable as a result of their underlying cardiovascular status. Patients who experience symptoms upon initiation of sexual activity should be advised to refrain from further sexual activity and seek immediate medical attention. In other words, be sure that your heart can keep up with other organs.

Pde5 inhibitors, including cialis, are mild systemic vasodilators. This means that blood vessel "pipes" can become wide open and drop your blood pressure.
Patients with left ventricular outflow obstruction (e.g., aortic stenosis and idiopathic hypertrophic subaortic stenosis) can be sensitive to the action of vasodilators, including pde5 inhibitors. Consult a cardiologist to evaluate your heart with an echocardiogram if any other physician has concern that you could have one of these above mentioned conditions.

Cialis was not studied and is not recommended in patients who have recently suffered a heart attack (within 90 days) or stroke (within 6 months), or patients with uncontrolled hypertension, hypotension, uncontrolled arrhythmias, heart failure (new york heart assocation [nyha] ≥class 2 in last 6 months), unstable angina or angina occurring during sexual activity. This means that a patient should be refrain from using Cialis until after a safe period of time has lapsed after a heart attack.

Potential drug interactions: Cialis can potentiate the hypotensive effects (lowering of blood pressure) of alpha-blockers, antihypertensives or substantial amounts of alcohol (≥5 units). Cialis is not recommended in combination with alpha-blockers for the treatment of benign prostatic hyperplasia (BPH) symptoms because efficacy of the combination has not been adequately studied and due to the risk of blood pressure lowering. Caution is advised when Cialis is used as a treatment for ed in men taking alpha-blockers. Cialis for once daily use provides continuous plasma tadalafil levels. Therefore, daily use of Cialis must require daily attention to avoiding the above mentioned drugs that can interfere with blood pressure.

Pde5 inhibitors such as viagra, cialis, or Levitra (vardenafil) are generally safe and effective if used wisely and with common sense. ...Read more

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What is the danger in riding thrill rides with a stent? I had a heart attack in 2002 and one in 2003. I do not currently have a cardiologist. I had a stress test in 2010 and all was fine. He actually said you'll live to be 83. I am on plavix, (clopidogrel

What is the danger in riding thrill rides with a stent? I had a heart attack in 2002 and one in 2003. I do not currently have a cardiologist. I had a stress test in 2010 and all was fine. He actually said you'll live to be 83. I am on plavix, (clopidogrel

Stents: Stents implanted greater than one year have allowed a new endothelial lining to cover the inside of the stent. This "carpet lining of new cells" protects the stent from further clotting. Anti-platelet medications such as plavix, (clopidogrel) effient, or brillinta afford continued protection from stent and natural coronary artery clot events.

Immediately after stent deployment, the metal cage is scaffolded within the arterial pipe. This means that the stent is permanently fixed. Not even a surgeon can readily move the stent.

Thrill rides increase heart rate and blood pressure due to excitement and fear. This effect increases stress on the heart muscle, possibly limiting oxygenated blood flow. Stents are not affected by gravity or speed conditions. But heart attacks can, and do, occur from other non-stented coronary plaques.

A recent stress test, controlled blood pressure, aggressively lowered cholesterol levels, non-smoking status, and daily assertive exercise are the keys to preparation for any thrill ride safety.

Ask your personal cardiologist to review the above and comment on your cardiac safety before attempting any thrill ride. A heart attack could ruin a vacation. ...Read more

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My hands ankles feet and wrists are swollen and sore no known reason for this sometimesmy hands or fingers go to sleep heart attack in 03 high blood psi I take plavix topril Lipitor (atorvastatin), protonix, soriatane

My hands ankles feet and wrists are swollen and sore no known reason for this sometimesmy hands or fingers go to sleep heart attack in 03 high blood psi I take plavix topril Lipitor (atorvastatin), protonix, soriatane

In: In light of your cardiac history, you should be evaluated by your cardiologist as some of these symptoms may indicate impaired heart function. If this is not a heart issue I am sure that your cardiologist will be able to make an appropriate referral to an appropriate specialist. ...Read more

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An 89 yr male had heart attack 1mth after stroke he is in Afib taking clopidogrel aspirin. Hospital doctor wants to give a third anti-Coagulation, Risk?

An 89 yr male had heart attack 1mth after stroke he is in Afib taking clopidogrel aspirin. Hospital doctor wants to give a third anti-Coagulation, Risk?

Anticoagulantion: An anticoagulation alone is enough. The only reason plavix might be needed is if there was a recent coronary stent. No need for all three, that would significantly increase bleeding risk ...Read more

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I had a heart attack 6 years ago and currently I take lisinopril, clopidogrel, ecotrin (aspirin) and metoprolol and atorvastatin at night. Can I take melatonin?

I had a heart attack 6 years ago and currently I take lisinopril, clopidogrel, ecotrin (aspirin) and metoprolol and atorvastatin at night. Can I take melatonin?

Yes, but. . .: While there's some debate regarding prolonged combined use of aspirin & clopidogrel, your combination of meds is pretty much standard of care despite mention of interactions at http://www. Drugs. Com/interactions-check. Php? Drug_list=243-0, 276-0, 705-0, 1476-0, 1548-0, 1615-0, tho luckily none w/melatonin. More important fact is for you to discuss all meds w/your prescribing doc or Family Doc. ...Read more

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Warafin clopidogrel aspirin given Hospital patient 89yrs has COPD stroke and heart attack will need limit Vegetables high chance of bleed? Correct?

Warafin clopidogrel aspirin given Hospital patient 89yrs has COPD stroke and heart attack will need limit Vegetables high chance of bleed? Correct?

Yes: We have to weigh the risk and benefit. It seems like the risk of recurrrnt stroke is high here. Suggest to stop Aspirin. This definitely needs a consultant for decision making ...Read more

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89 yr male, stroke and heart attack Why would the Hospital Doc need to add. A anticoagulant to asprin and clopidogrel instead of Dofetilide for Afib?

89 yr male, stroke and heart attack Why would the Hospital Doc need to add. A anticoagulant to asprin and clopidogrel instead of Dofetilide for Afib?

Anticoagulation prev: Anticoagulation prevents strokes in patients with atrial fibrillation but dofitilide which is antiarrhythmic does not prevent strokes. Patient who have history of atrial fibrillation who are at high risk for strokes should be kept on blood thinners for the rest of their lives to prevent more strokes ...Read more

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89 yr old in hospital on aspirin clopidogrel and warfarin for stroke and heart attack has had another stroke and blockage seen on Brain scan and swelling left side of brain how come while on so many thinners is it possible?

89 yr old in hospital on aspirin clopidogrel and warfarin for stroke and heart attack has had another stroke and blockage seen on Brain scan and swelling left side of brain how come while on so many thinners is it possible?

Yes, it can happen: For several reasons, the case isn't easy, and it seems that there is lot going on. I trust that the hospital and the treating doctors are doing their best, wish you all, the best ...Read more

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Father, 69, requires Cataract surgery in both eyes. He's on Dabigatran, Clopidogrel for Heart attack, Atrial Fibrillation, Vascular Stroke for 3 years. Had minor strokes in 2008 and 2009. Need advice on cataract surgery while on dabigatran, any risks?

Father, 69, requires Cataract surgery in both eyes. He's on Dabigatran, Clopidogrel for Heart attack, Atrial Fibrillation, Vascular Stroke for 3 years. Had minor strokes in 2008 and 2009. Need advice on cataract surgery while on dabigatran, any risks?

Dabigatran /cataract: Yes. Dabigatran can cause more bleeding during surgery, which could affect the surgery. Many times they have patients in the hospital on heparin 1 day before the surgery and then stop the heparin 3-4 hours before surgery and restart meds after surgery
This is an issue that has to be discussed with the cardiologist and surgeon especially since your father has had strokes f/u w/ cardiology ...Read more

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Father, 69, requires Cataract surgery in both eyes. He's on Dabigatran, Clopidogrel for Heart attack, Atrial Fibrillation, Vascular Stroke for 3 years. Had minor strokes in 2008 and 2009. Need advice on cataract surgery while on dabigatran, any risks?

Father, 69, requires Cataract surgery in both eyes. He's on Dabigatran, Clopidogrel for Heart attack, Atrial Fibrillation, Vascular Stroke for 3 years. Had minor strokes in 2008 and 2009. Need advice on cataract surgery while on dabigatran, any risks?

Cataract surgery: While on anticoagulation therapy: this is a judgmental call amongst the ophthalmic surgeon and the anaesthesiologist. Generally for surgical procedures or spinal anesthesia, anticoagulaton needs to be discontinued before the surgery, as for Dabigatrean, 1-2 days prior to surgery and resumes after, while the clopidogrel needs to be withheld 5 days prior to surgery. Again refer to the treating team ...Read more

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Can a person still have a heart attack if they have low cholesterol?

Can a person still have a heart attack if they have low cholesterol?

Yes: Cholesterol is only one risk factor for having a myocardial infarction. It is certainly possible to have a myocardial infarction with having a relatively low cholesterol ...Read more

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I want to lose weight. But if I do, will I still have a heart attack? Heart problems? Anything? .

I want to lose weight. But if I do, will I still have a heart attack? Heart problems? Anything? .

Risks: Being overweight is only one risk for heart disease. Decreasing weight can decrease your risk. There are many other factors which can put your risk for heart attack, including cholesterol, blood pressure, diabetes, smoking, family history, etc. Congratulations on your goal to lose weight. It will definitely benefit you in the long run, decreased the risk for arthritis, diabetes, etc. ...Read more

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Is it possible to have no blockage and still have a heart attack?

Rare maybe?: Some with spasm but that causes blockage
some with dissection but that causes blockage
some with Cocaine but that causes spasm
most are atherosclerosis with blockage! ...Read more

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Can you have a normal EKG and still have a heart attack?

Can you have a normal EKG and still have a heart attack?

Yes: Today and until the beginning, and depending on the amount of damage. ...Read more

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Can someone still have a heart attack after the cardiologist saying that every test looks normal and there´s no evidence of heart disease?

Can someone still have a heart attack after the cardiologist saying that every test looks normal and there´s no evidence of heart disease?

Absolutely: No test detects everything; one may have a genetic predisposition, or one may use drugs that can cause a heart attack. Need more info if you want a more personalized opinion. ...Read more

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If you have a pacemaker, can you still have a heart attack / cardiac arrest?

If you have a pacemaker, can you still have a heart attack / cardiac arrest?

Yes: Pacemaker helps to control or regulate the rhythm (electricity) of the heart. Heart attack is related to blockages of the arteries of the heart (plumbing, if you want the analogy). Pacemaker will prevent the heart beating too slow but will NOT prevent blockages from developing or producing heart attacks ...Read more

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Can you still have a heart attack or go into cardiac arrest if you have a pacemaker?

Can you still have a heart attack or go into cardiac arrest if you have a pacemaker?

Yes: Both of these problems are due to issues not addressed by the pacemaker. A heart attack is generally due to a blockage and a heart artery, and cardiac arrest is usually due to an exceedingly fast heart rate where the pacemaker only fixes slow heart rates. A defibrillator is the device of choice to treat cardiac arrest. ...Read more

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Can you have overnight chest pain and still be having a heart attack?

Can you have overnight chest pain and still be having a heart attack?

Heart attack: Yes. Heart attacks can occur at anytime. If you have on going chest pain please see your pcp or go to the er. ...Read more

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Am I able to work after a heart attack 2 years ago still have hospital appoiments?

Am I able to work after a heart attack 2 years ago still have hospital appoiments?

Heart attack: The answer needs to come from the physicians with the most information about you and your status. There isn't adequate information here to make the judgment. ...Read more

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I am still experiencing constant adrenaline surges. Will they give me a heart attack.

I am still experiencing constant adrenaline surges. Will they give me a heart attack.

Probably not: It's unlikely that you will have a heart attack becauwse of these surges, but they should be treated. See you primary care physician and ask for a referral to an endocrinologist. ...Read more

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Heart great condition. Pain under left pec that comes and goes. Can I still develop angina/have heart attack?

Heart great condition. Pain under left pec that comes and goes. Can I still develop angina/have heart attack?

Yes: Always a possibility. Unfortunately symptoms are very poor discriminants. Talk to your doc about your symptoms. ...Read more

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Is one troponin t test within 7 hours of symptoms enough to rule out heart attack. It as neg but I'm still having symptoms. I read a series sb done.

Is one troponin t test within 7 hours of symptoms enough to rule out heart attack. It as neg but I'm still having symptoms. I read a series sb done.

NoEasyAnswerToThis: There are no hard & fast rules. Each case must be evaluated on its own. Yes, in certain circumstances one troponin 7 hours after onset of symptoms can rule out some heart damage;but not necessarily a'heart attack, ' per se. You can have a bad headache without having a stroke, right? Also depends on your personal story, family history, lifestyle, diet, activities, stress factors, smoking, drugs. Find a good doc ...Read more

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How could you have a heart attack but still have a healthy and strong heart?

How could you have a heart attack but still have a healthy and strong heart?

Small area: There are multiple small branches of the coronaries and if one goes down and a small amount of muscle is damaged, that is still a heart attack.
The remainder may be quite adequate particularly if subsequent behavior is improved! ...Read more

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My 32 yo brother had a heart attack and is still in a lot of pain. What can he do?

My 32 yo brother had a heart attack and is still in a lot of pain. What can he do?

Pain: He needs to discuss his symptoms with his doctor. There are multiple possibilities and he will need an explanation for what is going on. ...Read more

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Can you tell me how long after you've had a heart attack can doctors still diagnose that you had one?

Can you tell me how long after you've had a heart attack can doctors still diagnose that you had one?

Heart attack: A heart attack can be diagnosed acutely but also long after the actual event by imaging the heart damage with echocardiography, ECG and several other tests. ...Read more

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I had all signs of a heart attack 2 days ago my usual BP is 142/90 but it was 110/50 for most of day still low I'm very tired but am I 2late to test?

I had all signs of a heart attack 2 days ago my usual BP is 142/90 but it was 110/50 for most of day still low I'm very tired but am I 2late to test?

Get to a cards ASAP: No, not too late to test. But getting late to treat. There are serious, and sometimes fatal consequences for untreated heart attacks. You need to get seen right away. Either go to a clinic today or the er. ...Read more

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My dad had heart attack at 35 still alive, my mum has not heart problems Am I at risk I'm 30?

My dad had heart attack at 35 still alive, my mum has not heart problems Am I at risk I'm 30?

Yes: If your dad had a heart attack in his thirties, you need to be screened with a thorough cholesterol profile for Familial Hypercholesterolemia, which has an incidence of roughly 1/250 people and can place you at increased risk of premature vascular disease as well. The good news is that there are many treatments available, including some amazingly successful new ones. Good luck!! ...Read more

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Why would vitorin and crestor (rosuvastatin) still be sold when they do nothing to prevent a heart attack?

Why would vitorin and crestor (rosuvastatin) still be sold when they do nothing to prevent a heart attack?

Cholesterol: They have even effective at reducing serum cholesterol.
Thre are a number of factors that produce heart attacks in addition to that.
These drugs do not reduce smoking as an example. ...Read more

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Why are doctors still saying oh just eat a diet high in cholesterol to have a heart attack/stroke etc If 2015 USDA guidelines say it's of no concern?!

Why are doctors still saying oh just eat a diet high in cholesterol to have a heart attack/stroke etc If 2015 USDA guidelines say it's of no concern?!

Media distortion a: Hey, man. At age 25, you have more important things to be doing than troubling yourself and others over the weird politics of diet recommendations. At one time, the government listed butter as one of the seven essential food groups. Eat sensibly, stay fit, accept that real science is hard to do here, and that media accounts are always scrambled. See you at the gym. ...Read more

Dr. Creighton Wright
3,967 Doctors shared insights

Heart Attack (Definition)

A life-threatening condition in which the blood vessels that supply the heart becomes occluded and thus the heart itself is not longer receiving any blood flow. Without this blood flow, the heart muscle dies and cannot pump blood to the ...Read more


Dr. Mathew Chengot
338 Doctors shared insights

Plavix (Definition)

Plavix is a platelet inhibitor is a kind of anti-coagulation drug ...Read more