Doctor insights on:
Chances Of Heart Attack After Bypass Surgery
What are the chances of a second heart attack 10 years after bypass surgery. Does the risk increase if you are an insulin dependant diabetic?
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
Is there ensurance of no heart attack after bypass surgery of heart for 80% blockage on all vessels?
At one operation, we fix all we can.
Some people persist with the same high risk behaviors.
Future blockage can occur in the native arteries or the grafts.
No guarantee, but good results. ...Read more
Yes: If there are multiple blockages or blockages near the origin of the main coronary arteries, then bypass surgery can redirect blood flow around the blockages so the remaining heart muscle stays healthy, even after a past heart attack. The goal is to prevent future heart attacks. ...Read more
There is not such a thing as "per-emptive" bypass surgery.
If you are worried about heart attack, you have to address risk factors, including: Smoking, hypertension, diabetes, high cholesterol, obesity and sedentary lifestyle.
Exercise and a prudent diet will help you more than anything else. ...Read more
What to expect after a massive heart attack coupled with paralysis for a patient who has had a bypass surgery in the past?
Heart attack: The prognosis from out here doesn't sound good at all. Talk to the patient's doctor who has the best knowledge of what's going on. ...Read more
My dad has heart disease, having had heart attack and triple bypass surgery a few years ago. Is heart disease hereditary? Should I be concerned?
Can be: Yes it can be but good healthy lifestyle; no smoking, aerobic exercise like walking 20-30min/day average, healthy normal weight, no excess drinking alcohol, for woman 12 oz beer or 6 oz wine or 1 shot liquor only /day. Get lipid profile, cvc cmp labs, see your dr for keg, do stress test if any chest pain see cardiologist ...Read more
I had bypass surgery quadruple bypass surgery about 4 months ago had chest pains about a week ago is there any way to test for heart attack after week?
Yes: Although post operative pain is common, if you have increasing pain a cardiac test may reassrure you about a heart attack. ...Read more
My husbands 3 main arteries are severely damaged. He's had a few heart attacks in the past and now he wants to have bypass surgery done. Can he travel.
Not right now.: I'm not confident that he should be traveling in this context. ...Read more
Is there any chance of heart not re starting once surgeon stops it in coronary bypass surgery for young patients?
Bypass surgery: ... Uses blood vessels from your body, like veins from your leg or arteries from your chest or arms, to route blood around blockages in the arteries that distribute blood to your heart (so the blockage is "bypassed"). Your doctor can go into more detail. ...Read more
3 coronaries bypasse:
The heart, in general has 3 major arteries
(left anterior, circumflex and right)
but there can be a lot of variation and branches like highways and streets to get the blood traffic distributed.
We bypass those with wrecks- stenosis obstructions.
3-4 is common on the average.
More is possible depending on the anatomy and disease. ...Read more
Define dangerous: It is major surgery. People who need it are already in danger, in danger of a heart attack, or a sudden life threatening rhythm disturbance. Every case is individualized; some patients (and mds) may opt for medical management. The best surgical results come from places and docs that have high volume (not a "factory"), not the occasional case. Can get info state by state re: success and complicatio. ...Read more
Not very: As expected, the first few days are rough and intravenous narcotics are given to relieve pain and promote sleep. By a week the pain is usually just soreness and easily controlled with oral meds. By a month, most people really don't have much pain or any at all. For some, the vein harvesting site in the leg stays sore longer than the chest. ...Read more
Improves blood flow: Bypass surgery is done for blockages in the heart arteries. Essentially we add more blood vessels to the heart to deliver blood to the areas blocked off. We go around the blockages (bypass). We're plumbers :). We put new pipe in by hooking up before and after the blockages. Unfortunately I can't go to home depot and buy pipe so we get it from veins in legs and arteries from breast bone and arms. ...Read more
CABG Surgery: Heart bypass surgery is for coronary artery atherosclerotic disease. Arteries and veins are used as bypass grafts to bring new blood supply into coronary arteries beyond these blockages. These operations are done usually with cardiopulmonary bypass via a sternotomy incision. Relief of angina, improved survival and heart function are the expected results. ...Read more
The answer is everything in moderation. The american heart association and butter busters are reasonable places to start.
Watch the salt (adjust to the natural taste of things), minimize the fats, if not off limits a bit of red wine is good, all combined with graduated exercise.
For more detail, ask your doctor about a nutritionist or for additional materials he/she may have prepared. ...Read more
Absolutely: You need to discuss with your cardiologist to assure all of the arteries are still open. ...Read more
There is no set age: However, as with any medical procedure, one must weight out the risks/benefit ration. As one gets on in age, the risks of undergoing this procedure increase, perhaps to the point where the risk of death outweighs any potential benefit. The doctor and patient must then explore all possible options. Also remember, some 80 year olds are healthier than others. ...Read more
Many vessels blocked: The two standard reasons for a coronary artery bypass operation are "triple-vessel" disease in which 3 or more of the primary or secondary vessels have significant blockages and "left-main" disease in which the main left coronary artery has a major blockage before it branches into the left anterior descending (lad) & circumflex arteries. There are other indications depending on the situation. ...Read more
Stainless steel wire: Wires are the most common way, but cables and steel plates are also used. ...Read more
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