Doctor insights on:
Colonoscopy After Coronary Stent
Is it safe to stop effient 5 days before colonoscopy? Cardiac md ok but we are concerned. Stemi 10/2013, complicated. Re clotted 20 min after stent
I have cardiac arrhythmia & chronically low potassium. I need to have a colonoscopy & I was wondering if there is a safe bowel cleanse??
Low K: 20 M from Louisana has arrythmias and low K. Needs colonoscopy asks about "safe" bowel cleanse. ANS: low K can kill you so tell your bowel team and ask them as they know you best. I specialize in low K problems. What is the cause of low K n u? ASK about starting DASH DIET ASAP as way to stop low K now. I specialize in low K. Can provide u second opinion consult. ...Read more
Good for long lesion: Xience prime very good for long lesions and will become an important option for physicians treating this critical disease. ...Read more
Coronary stent: Success rate is pretty good, which depends upon the experience of the operator. Procedure is minimally invasive. Complication rate is. ...Read more
Smoking in CAD: Secondary prevention guidelines emphasize smoking cessation for good reason. One's chance of a future cardiac event is worsened by continuing to smoke. Since someone with a stent already knows that they are at higher future risk (they are compared with someone without CAD history) then doing everything possible to reduce thy risk (like quitting smoking) is important. ...Read more
Not long!: Patients who undergo this procedure without complications can safely fly within a week or so. Please make sure your cardiologist is involved in this decision. There are nuances to every cardiac procedure. If you had a large bruise in te groin, developed leg swelling, heart rhythm abnormalities during or after the procedure, you certainly want to wait a while. ...Read more
44 yr m.On 15th may gone through coronary angioplasty with inserrtion of one stent. What precautions should I tk. Can I lead normal life nw?
Different life: Do you have an acute coronary episode (heart attack)? Or the coronary artery disease discovered by stress test due to angina? Anyway you should go through a program call cardiac rehabilitation. Your life have to change. Weight reduction, exercise program, diet, LDL less than 100 possibly even less than 70mg/dl, top smoking, diabetes control, BP less than 130/80 etc. Close follow with cardiology. ...Read more
Yes: To be accurate, you have coronary artery disease, usually caused by buildup of cholesterol affecting the blood flow to the heart muscle. Without treatment this can lead to a heart attack. The stent is placed to keep the blocked portion of the artery open and improve blood flow. You may notice less angina or other symptoms afterwards. ...Read more
61 yr old hypertensive male has total occlusion of right coronary andom. Stenting of om1 done. Ejection fraction is 45-50%. Is CABG indicated for rca?
Likely no: The damage that could have been done from the occluded rca has already happened, and the vessel can't get worse than totally occluded, so, provided that anginalsymptoms symptoms are controlled there is no need to do anything. Overtime, compensation typically occurs for an occluded vessel in the form of progressive collateral circulation. ...Read more
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
How many of the most stent in the coronary blood vessels which used? What risk if the use of stent exceed the limit?
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. ...Read more
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?
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
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?
Can only Plavix be taken after coronary stenting? I have erosive gastritis, take Protonix (pantoprazole) 40mg and a DES in LAD post heart att. Need 3 more DES or BMS.
There may be options: Plavix (clopidogrel) is a platelet inhibiting drug. The purpose of the medication is prevention of future myocardial infarction and death following acute coronary syndromes and prevention of stent thrombosis. There are other medications besides Plavix (clopidogrel) that are platelet inhibitors ...Read more
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
Ever since I had a coronary heart vessel stent put in Feb '14 I have had notable shortness of breath when walking, going up stairs, singing. Related??
You need an evaluation by your Cardiologist sooner than later. Make an appointment today. If symptoms are increasing in intensity go to the nearest ER.
It may be as simple as a medication adjustment.
It may be as serious as a stent thrombosis or other complications. I noticed that you did not mention any antiplatelet medications or other heart medications.
Go to Doctor today! ...Read more
Is it possible to take only Plavix (clopidogrel) and not Aspirin after coronary stenting? I have erosive gastritis and DES in LAD after heart a, need 3 more stents.
Anti platelet Rx: We use dual antiplatelet therapy for at least 6 months to minimize stents occluding after placement. Usually either aspirin or plavix (clopidogrel) is continued later if no contraindication to that. The erosive gastritis is a significant problem and the appropriate step (s) in this case need to be considered with risks and benefits to the treatments by those with the most information about the patient. ...Read more
I had a stent placed in april '12 and have had a cough since. In the last 3 months it has become productive, but clear. I take no cardiac meds.
Stent, no meds, cough:
Nonresolving cough needs evaluation. Common causes include sinus drainage or esophageal reflux.
More worrisome causes would include lung pathology including cancer or pulmonary embolism.
Most patients who have stents placed should be on an ace inhibitor like Lisinopril - this can cause chronic cough.
Aspirin and statins are also good post-stent meds; surprising that you are not on these. ...Read more
Yes: Early stage renal failure would be generally classified as stage I or II. With pre-procedure hydration, and careful dye use during procedure, as well as post procedure IV fluid flushing and close watch of renal function a stent can often be placed with minimal risk of worsening renal function. ...Read more
Xray showed one of the wire of cardiac stent is ruptured. What are the complications? Is there anything that can be done?
Stent fracture: Stents are small tube-shaped devices implanted into blocked arteries to hold them open. Most are metal; recently other materials have been tested. Occasionally some of the metal struts fracture; this could not be seen on a plain Xray. "Rupture" means something different and is not likely to apply here. Most of the time stent fracture does not cause trouble. For personal advice consider a consult. ...Read more
Just had a cardiac cath & dr said just minor 50% blockage & no stent needed. Confused 50% to me is a lot so what would be my next step to make 50% a 0%?
- Talk to a doctor online
- Coronary stent removal
- Right coronary artery stent placement
- Sweating after heart stent
- Effects of smoking after a stent
- Is a sauna dangerous after stent?
- How to exercise after a stent?
- Pain after heart stent
- Blood clot after stent
- Circumflex coronary artery stent