Doctor insights on:
Drug Eluting Stent
Can : Form restenosis at about 9 months so need to be checked. After that they can last several years. Need follow up. Make sure to take your blood thinner. ...Read more
See below: The highest risk of restenosis is during the first month after stent placement. The risk of restenosis of drug eluting stents is about 10% vs bare metal stents of about 30%. After one year restenosis is much less common. Risk factors for restenosis include diabetes, small vessels stented, long lesions stented and multiple stents placed. ...Read more
Stent 02-11-2013. Three different generic plavix (clopidogrel). Anxiety after starting plavix (clopidogrel). Last one gave reaction. Could switching to brand plavix (clopidogrel) be better?
Possible: But another medication such as Effient may be a better alternative. Did you receive a drug eluting stent or was it bare metal? ...Read more
HX Nstemi Aug10,distal LAD occlusion,med therapy Crestor20mg,Toprol (metoprolol) XL 100 mg ,Plavix75mg ,Nov13 ,TC100LDL60HDL35TG60 LpPLA244 Lpa50 recommendations?
What's your Question: Looks like your numbers are pretty good with a good drug regimen. See your cardiologist, looks like he is doing a good job! ...Read more
2 main ones: The 2 main problems with stents after placement are: 1) stent thrombosis where the stent clots off abruptly causing heart attack and risk of death, and 2) renarrowing of the stent. Renarrowing occurs in 5% of medicated stents and approximately 20% of unmedicated stents. ...Read moreSee 1 more doctor answer
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
Depends on location: Stents are used to treat various amounts of blockage. There are locations that develop restenosis more than others after treatment with balloons and stents. Medicated stents are designed to prevent this restenosis. In smaller vessels such as heart vessels there is a proven benefit. In larger, peripheral vessels no benefit has been shown compared to regular stents. So it depends. ...Read moreSee 1 more doctor answer
An important tool: CLopidogrel reduces the incidence of both heart attack and stroke. TI helps by reducing the 'stickiness" of platelets which are essential for clot to form. IT is one of several drugs, including aspirin, that can function in this way. Patients who have not have stents can take either of these with good results. Patients with stents usually take both aspirin and clopidogrel for at least 3-6 months ...Read more
After 1 year on plavix (clopidogrel) and aspirin for 2 stents for LAD will a patient usuaaly discontinue the plavix (clopidogrel).(diabetic also)?
More potent: Plavix (clopidogrel) now has competitor drugs. Effient (prasugrel) is more potent at inhibiting platelets, which prevents clots, but this also leads to higher bleeding risk (double-edged sword). Ticagrelor is another agent with proven benefits similar to Plavix (i.e. Heart attack risk reduction), and seems to be more potent without increasing bleeding, but verdict is out still. ...Read moreSee 1 more doctor answer
↓ Blood Clotting: Plavix (clopidogrel) inhibits platelets (usually the first step in blood clotting) from becoming activated: sticking to tissue, attracting other platelets to stick & activating the 12 clotting proteins (which act in a chain reaction) to form thrombin which polymerizes & ties everything together into clots. Plavix (clopidogrel) has no affect on blood viscosity; it is an anti-coagulant; it does not thin blood viscosity. ...Read moreSee 1 more doctor answer
Liver activation: Plavix (clopidogrel) is a pro-drug which is inactive. upon oral administration, Plavix (clopidogrel) is activated in the liver to become the active drug, injection of Plavix (clopidogrel) will bypass the liver activation of phase of the drug. clinical studies of Plavix (clopidogrel) were done with oral administration, there are however other medications used in the hospital setting that are injectable, however used in the setting of heart attacks ...Read more
Heart vessel therapy: Percutaneous transluminal coronary angioplasty (PTCA) is the opening of blocked heart arteries with a balloon. An artery is stuck and a wire is passed in the system until reaching the heart arteries. A balloon is passed over the wire to the area of blockage and inflated. The blockage is flattened but it can return. So most patients actually get stents placed. Stents require blood thinners. ...Read moreSee 1 more doctor answer
Whether New oral anticoagulant drugs (pradaxa 150 2x/day) may be combined with anti-platelet drugs (Plavix (clopidogrel) 75 mg/day)?? i'm in Af also CAD??
Yes: be carful about bleeding because there is no antidote for these new agents. ...Read more