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Doctor insights on: Heart Attack Stents Artery Plavix

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After a heart attack I had 6 stents placed in my right coronay artery. Is it plavix (clopidogrel) forever now?

After a heart attack I had 6 stents placed in my right coronay artery. Is it plavix (clopidogrel) forever now?

No: You should rely on your cardiologist's direction about how long to take plavix (clopidogrel). There are many variables and it's a high-stakes matter. It depends on whether your stents are bare metal or drug-eluting. There is another alternative platelet drug called effient. Note that a genetic test is available to see if Plavix (clopidogrel) is likely to be effective for you. Make sure you are treating the cause. ...Read more

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Dr. Amrita Dosanjh
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Artery (Definition)

Arteries are a type of blood vessels. We can divide blood vessels into 2 categories. Arteries are high pressure vessels which deliver (red) oxygen + blood out into the body. Veins on the other hand or low pressure vessels which return (dark) oxygent - blood from the body ...Read more


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What is the danger in riding thrill rides with a stent? I had a heart attack in 2002 and one in 2003. I do not currently have a cardiologist. I had a stress test in 2010 and all was fine. He actually said you'll live to be 83. I am on plavix, (clopidogrel

What is the danger in riding thrill rides with a stent? I had a heart attack in 2002 and one in 2003. I do not currently have a cardiologist. I had a stress test in 2010 and all was fine. He actually said you'll live to be 83. I am on plavix, (clopidogrel

Stents : Stents implanted greater than one year have allowed a new endothelial lining to cover the inside of the stent. This "carpet lining of new cells" protects the stent from further clotting. Anti-platelet medications such as plavix, (clopidogrel) effient, or brillinta afford continued protection from stent and natural coronary artery clot events. Immediately after stent deployment, the metal cage is scaffolded within the arterial pipe. This means that the stent is permanently fixed. Not even a surgeon can readily move the stent. Thrill rides increase heart rate and blood pressure due to excitement and fear. This effect increases stress on the heart muscle, possibly limiting oxygenated blood flow. Stents are not affected by gravity or speed conditions. But heart attacks can, and do, occur from other non-stented coronary plaques. A recent stress test, controlled blood pressure, aggressively lowered cholesterol levels, non-smoking status, and daily assertive exercise are the keys to preparation for any thrill ride safety. Ask your personal cardiologist to review the above and comment on your cardiac safety before attempting any thrill ride. A heart attack could ruin a vacation. ...Read more

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I am a 53 year old male, had a mild heart attack 2 years ago, have lupus also,arteries are too small for stent, i am smoking still, will meds work for?

I am a 53 year old male, had a mild heart attack 2 years ago, have lupus also,arteries are too small for stent, i am smoking still, will meds work for?

Heart disease: Most interventions (medical or surgical) today are based on medical evidence based on research and are used only if they have been shown to be effective. Please discuss your case with your cardiologist and ask her/him to direct to the evidence for whatever medications she/he is recommending. There are too many medications and each should be discussed in the context ...Read more

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What is likelyhood of having heart attack or angina after angioplasty (balloon) & stent placed on main artery?

What is likelyhood of having heart attack or angina after angioplasty (balloon) & stent placed on main artery?

Angioplasty/stent : Heart attack is not necessarily prevented by angioplasty or stent. We do treat the underlying disease aggressively as well as dual anti platelet therapy to prevent stent thrombosis. If you smoke it negates much of the treatment. Most people do well after angioplasty and stenting. ...Read more

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Suffered heart attack in 2006. Was 28. Stent in artery. Lost 15% of heart muscle. What is the average life span of a stent?

Variable: The stents in general last a long time! but the trauma and disease may lead to in-stent narrowing clotting, occlusion and need for more intervention or surgery. The continued research is to make the results last longer! ...Read more

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I had a heart attack 5 years ago and I am 39 years old. Is it ok to take cialis? I take plavix, (clopidogrel) but no nitrates.

I had a heart attack 5 years ago and I am 39 years old. Is it ok to take cialis? I take plavix, (clopidogrel) but no nitrates.

Treatments : Treatments for erectile dysfunction (ed), including cialis, should not be used in men for whom sexual activity is inadvisable as a result of their underlying cardiovascular status. Patients who experience symptoms upon initiation of sexual activity should be advised to refrain from further sexual activity and seek immediate medical attention. In other words, be sure that your heart can keep up with other organs. Pde5 inhibitors, including cialis, are mild systemic vasodilators. This means that blood vessel "pipes" can become wide open and drop your blood pressure. Patients with left ventricular outflow obstruction (e.g., aortic stenosis and idiopathic hypertrophic subaortic stenosis) can be sensitive to the action of vasodilators, including pde5 inhibitors. Consult a cardiologist to evaluate your heart with an echocardiogram if any other physician has concern that you could have one of these above mentioned conditions. Cialis was not studied and is not recommended in patients who have recently suffered a heart attack (within 90 days) or stroke (within 6 months), or patients with uncontrolled hypertension, hypotension, uncontrolled arrhythmias, heart failure (new york heart assocation [nyha] ≥class 2 in last 6 months), unstable angina or angina occurring during sexual activity. This means that a patient should be refrain from using Cialis until after a safe period of time has lapsed after a heart attack. Potential drug interactions: Cialis can potentiate the hypotensive effects (lowering of blood pressure) of alpha-blockers, antihypertensives or substantial amounts of alcohol (≥5 units). Cialis is not recommended in combination with alpha-blockers for the treatment of benign prostatic hyperplasia (BPH) symptoms because efficacy of the combination has not been adequately studied and due to the risk of blood pressure lowering. Caution is advised when Cialis is used as a treatment for ed in men taking alpha-blockers. Cialis for once daily use provides continuous plasma tadalafil levels. Therefore, daily use of Cialis must require daily attention to avoiding the above mentioned drugs that can interfere with blood pressure. Pde5 inhibitors such as viagra, cialis, or Levitra (vardenafil) are generally safe and effective if used wisely and with common sense. ...Read more

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A stroke/heart attack patient with chronic erosive gastritis.One DES.Taking Plavix (clopidogrel). 3 more stents and asprin to be added in the future. Suggestions?

A stroke/heart attack patient with chronic erosive gastritis.One DES.Taking Plavix (clopidogrel). 3 more stents and asprin to be added in the future. Suggestions?

Work with an integra: tive medicine doctor to get the lifestyle and mind/body/spirit connection going to prepare for better health. Many things wrong here that need to be corrected now that could help the success of future procedures. 3 more stents is a lot, and indicates the level of need for prevention and treatment to ensure longevity. Looking globally and each organ system is important! ...Read more

Dr. Creighton Wright
3,916 doctors shared insights

Heart Attack (Definition)

Heart attack is a life-threatening condition in which the blood vessels that supply the heart becomes occluded and thus the heart itself is not longer receiving any blood flow. Without this blood flow, the heart muscle dies and cannot pump blood to the ...Read more


Dr. Creighton Wright
1,137 doctors shared insights

Myocardial Infarction (Definition)

Myocardial infarction, or heart attack, is a condition where part of the heart muscle loses its blood supply due to calcification in and ...Read more