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Doctor insights on: Circumflex Coronary Artery Stent

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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.?

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. ...Read more

Dr. Jeffrey Wint
1 Doctor shared a insight

Artery (Definition)

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


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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?

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?

Medical management: Sounds like you have a significant cardiac history. You need to really modify your lifestyle and optimize it. Good diet, exercise, no smoking and careful follow-up with you PMD and cardiologist ...Read more

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How effective is a coronary stent for treating coronary artery disease (CAD)?

How effective is a coronary stent for treating coronary artery disease (CAD)?

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. ...Read more

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Does every person with coronary stent implants die from coronary artery disease?

Does every person with coronary stent implants die from coronary artery disease?

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. ...Read more

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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?

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 ...Read more

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How does the rate of restenosis of coronary arteries compare with medical therapy over stents?

How does the rate of restenosis of coronary arteries compare with medical therapy over stents?

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. ...Read more

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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?

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. ...Read more

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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?

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. ...Read more

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Which is more severe: stents or quadruple coronary artery bypass?

Which is more severe: stents or quadruple coronary artery bypass?

Severe: Generally the more disease the more likely we are to do bypass rather than multiple stents. This is not a universal truth however. ...Read more

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I have coronary ramus artery occlusion. The md wants tomanage it medically rather than putting a stent. Your opinion?

Stent: You should ask your doctor to explain the therapy of CAD and when procedures like stenting are indicated and not indicated. The presence of the occluded ramus does not necessarily imply stenting is indicated. ...Read more

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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. ...Read more

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How many different types of coronary arteries stents are there, do they use seperate stents in diabetics?

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. ...Read more

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Hi doctors, was just wondering what is coronary artery disease and how does drug eluting stents help?

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. ...Read more

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I have 5 coronary artery stents. On average, how long will they remain effective?

I have 5 coronary artery stents. On average, how long will they remain effective?

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. ...Read more

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How much blockage must there be of coronary arteries to be recommended for bypass surgery versus just getting stent?

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. ...Read more

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Can Triple vessel coronary artery disease treated with angioplasty and placement of stents?

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. ...Read more

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My dad is 60 he had a heart attack involving 3 coronary arteries with a total of 9 blockages. He had stents put in. Any ideas on his life expectancy?

My dad is 60 he had a heart attack involving 3 coronary arteries with a total of 9 blockages. He had stents put in. Any ideas on his life expectancy?

Good prognosis: If his left ventricular function is normal and if he follows the instructions of his doctors (no smoking, statin, dual anti-platelet therapy, blood pressure control, good diet, exercise), he can live a normal life expectancy and pass on at home in his sleep at a very advanced age. ...Read more

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How do physicians guide catheter in artery so they can reach coronary arteries when implanting stent?

X-ray: They place the catheter into the artery through the skin. They they step on a pedal which turns on an x-ray machine. That is called fluoroscopy. They can see the catheter so they advance it until it reaches the part of the aorta just above the heart. They then turn it so that it is in the direction of the artery that they want to inject. So in summary, they watch the catheter as they advance it. ...Read more

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Can fasting clear your coronary arteries?

Can fasting clear your coronary arteries?

No: Unfortunately only sustained significant drops in cholesterol count seem to do that. A fast here and there would have no significant effect on existing coronary plaque. ...Read more

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How do the coronary arteries get their name?

How do the coronary arteries get their name?

Description location: Left main gives off left anterior descending & left circumflex & the right coronary artery. ...Read more

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How can the coronary arteries become blocked?

How can the coronary arteries become blocked?

Atherosclerosis: A process that begins at birth. It can progress due to smoking, high blood pressure, diabetes, high cholesterol and in those with a family history. Know your risk factors and be proactive in treating them. ...Read more

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What do the coronary arteries provide to the body?

What do the coronary arteries provide to the body?

Blood supply: Blood supply (and thereby oxygen, nutrients) to the heart. ...Read more

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My friend has blocked coronary arteries. What are the possible causes?

My friend has blocked coronary arteries. What are the possible causes?

Atherosclerosis: Far and away the most common reason for this is build up of plaque in the arteries, called atherosclerosis. This is caused by a combination of high blood pressure, smoking, high cholesterol, and aging. Reducing these risk factors (we can't do anything about age except exercise!) helps prevent this from happening. ...Read more

Dr. Milroy Samuel
2 Doctors shared insights

Coronary Artery (Definition)

Coronary artery is the name given to the blood vessels that supply the myocardium. The word coronary was coined by the first anatomists that noticed that if you remove all muscle from the heart the remaining vessels resemble the shape of a corona or crown. ...Read more


Dr. John Landi
2 Doctors shared insights

Stenting (Definition)

In general, a stent is a metal tube used to keep a vessel open. Stents can be placed in a huge number of places, including blood vessels, bile ducts, even in the colon ...Read more