Doctor insights on:
Circumflex Coronary Artery Stent
Life expectancy of a 59-year-old male, type 1 diabetic after receiving a right coronary artery stent, while having the other side of heart scarred.?
Difficult to sat: Risk assessment over 5 years as described is well validated. Predicting lifespan is challenging. Aggressive management of risk factors in close coordination with your doctors and specialists is crucial.See 1 more doctor answer
Arteries are defined as blood vessels which carry blood away from the heart (to either the body or lungs). Arteries: higher pressure, thicker walls, stretch (pulse) with each heart contraction & deliver blood to the arterioles which control the flow to individual capillaries. Veins are blood vessels which carry blood from capillaries back to the heart (body to right heart; ...Read more
What do you recommend if I had an angioplasty two years ago and now he has a stent in his coronary arteries and also he takes Lipitor (atorvastatin) 20 every day?
Stent: When treating an obstructed coronary artery with a stent is the appropriate treatment, the stent if properly placed and without complications is usually 90-95% effective at relieving the symptoms associated with the obstructed artery. Stenting is not necessarily appropriate for all patients and treatment needs to be individualized. Discuss with your cardiologist.
No: Atherosclerosis can occur in any arteries in the body. The most prevalent are cardiac, extremity, and cerebral. In addition, people die from their co- morbidities, such as lung problems, cancer, etc. If you have coronary atherosclerosis, you have a higher chance of dying from that, but not exclusively from that.
I am 61 years old, I have undergone angioplasty (single stent) for right coronary artery 3 years ago. Can I exercise daily for 30 minutes on a treadmill?
I am 45 years old. CT coronary angiography reveals short segment stenosis in mid circumflex. No stenosis in the rest of the coronary arteries with LVEF of 51%.how dangerous is this n how can this be treated. Kindly help?
Degree of stenosis?: Is the stenosis in the mid circumflex of mild, moderate, or severe degree? Would you happen to know the TIMI score of that lesion? (It's a rather technical question, so you Cardiologist will know perhaps but you may not). If it is TIMI score of more than 3, causing symptoms or EKG changes, then it can be "reopened" using angioplasty or a stent. Talk to a Cardiologist about it. The EF is little low
Not sure: I am not sure what is meant here. If there was no stent or balloon angioplasty to begin with, the term "restenosis" is sort of irrelevant here. On the other hand, if one is talking about treating in-instent restenosis with medical therapy; if the patient is asymptomatic, there is no reason to not try medical therapy for a while at least.
I have 3 bare metal stents in my right coronary artery. How often should these be checked by a cardiologist and how is the check done?
Based on symptoms: Scar tissue can occur around the stent. You will feel the same type of symptoms the you had prior to the stent. Your cardiologist can determine what type of testing you need to assess that. If no symptoms we usually perform a stress test every 2 to 3 years.See 1 more doctor answer
Is it safe to undergo MRI if I have two bare metal stents in coronary arteries? What precautions if any do technicians take when performing MRI?
Likely not a problem: All MRI technologists or associated staff members should be able to assess whether an MRI is safe for you. There are exhaustive lists of potentially problematic internally implanted devices, that all reputable MRI facilities regularly reference. Just ask the staff.See 1 more doctor answer
Severe: Generally the more disease the more likely we are to do bypass rather than multiple stents. This is not a universal truth however.
I have coronary ramus artery occlusion. The md wants tomanage it medically rather than putting a stent. Your opinion?
Angioplasty coronary arteries (2 stents) in April 2015, is it safe to use cross trainer for 30 min for cardio & light strength training 4/5 times/week
Ask Cardiologist.: The person that is the best qualified to determine the "safeness" of your exercise routine would be your cardiologist. It makes perfect sense that he/she should be involved in this decision.
How many different types of coronary arteries stents are there, do they use seperate stents in diabetics?
Different stents: Broadly there are three categories: bare metal stents, drug eluting stents and biodegradable stents. Data on biodegradable stents in diabetics is still evolving. Data about drug eluting stents in diabetics is most promising. Hence we use it in diabetics very commonly.
Hi doctors, was just wondering what is coronary artery disease and how does drug eluting stents help?
Fatty buildups: In young, healthy individuals the inner lining of the blood vessels is clean and smooth. Overtime, for many reasons, the inner surface of the heart blood vessels (coronary arteries) may start becoming bumpy/lumpy or blocked due to fat (cholesterol) deposits called "atherosclerotic plaque". Stents help unblocking the arteries by getting the plaque out of the way so that more blood flow is available.
Coronary stents: The rate of recurrence of blockage with either drug eluting or bare metal stents at 4-5 years is about 1-2%. If you control your coronary artery risk factors such as high cholesterol, diabetes or high blood pressure, and take antiplatelet medications such as Plavix (clopidogrel) or Aspirin as directed by your physician, you may minimize the chance of reocclusion.See 1 more doctor answer
How much blockage must there be of coronary arteries to be recommended for bypass surgery versus just getting stent?
Not about degree: It is not about the degree or percentage of blockage. It is about the location or number of areas that have disease. There are also other factors that play a role such as history of diabetes or poor heart function. Most commonly: if the left main artery or all three of the major coronary artery's have significant blockage then surgery is recommended.
My 60 y dad had coronary stent placement in LAD artery for incidental finding of coronary block (80%)at 53 yr of age. Am I at risk for CAD in future?
Angioplasty: The treatment of multivessel disease depends on many factors. If you have triple vessel disease you should discuss your status with your cardiologist and ask the options open to you.See 1 more doctor answer
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