Doctor insights on:
Massage And Heart Stents
No, sorry...: The best approach to blocked arteries is prevention & picking your parents carefully. Failing that, aggressive lifestyle changes and judicious use of appropriate medications to achieve targets based on compelling objective clinical trials data are your next best option. If significantly blocked arteries remain, then angioplasty ± stents, or bypass surgery. Massage rx will not open blockages. ...Read moreSee 1 more doctor answer
Coronary artery calcification...I take adalat (nifedipine) blood pressure ok but heart rate high 110 at rest ..feel heaveness on chest and shortness of breath.help?
Need examination: That is an abnormal resting heart rate and for someone your age & history of coronary artery calcification as you state- if this is entirely new for you in terms of symptoms then, your next move should be an ER facility. You are welcome to write to me with other questions if you'd like at: www.healthtap.com/drsaghafi but I don't think that should delay getting seen now. ...Read more
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 moreSee 1 more doctor answer
No: They are often performed at the same time, but the angiogram is much safer, just injecting liquid dye into the artery (a diagnostic procedure). The stent is a therapeutic procedure that is higher risk of complications (death, bleeding, heart attack, and stroke). ...Read moreSee 1 more doctor answer
Cause/Effect- No BUT: ....plenty of association studies exist which have shown that people who practice transcendental meditation do have less arteriosclerotic changes, have lower blood pressures, and more efficient pumping actions of their heart. No less an organization than the American Heart Association states that practicing meditation can reduce risk of heart disease. ...Read moreSee 1 more doctor answer
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
Dad had coronary stents and now he has severe chest pain and dyspnea his cardiac contractility function is 32 % is he in need of open heart surgery ?
Ask docs: Sounds like you want to check with his cardiologist. I would also advise to see a second opinion cardiologist to feel comfortable about decisions. ...Read more
63 you male 6000mg a day for severe muscle spasms. Have had 2 heart attacks and 8 stents and cad. Any problems with this medicine and dose?
Which medication?: 6000mg a day for any of the medications you list is a very LARGE amount that should not be taken for very long since other complications can occur. You need to speak with your doctor about getting that dosage under better management. ...Read more
Healthy?: I assume you want to know about the risks, in the right hands cardiac catheterization and angioplasty are very safe procedures. We typically quote a risk of death or stroke or possibly heart attack at less than one in one hundred thousand, other minor issues like bleeding from the access site or infection in the site are more common, but still not very common at all. ...Read more
Parsley tea? is it safe for someone with coronary artery disease, heart attacks(2), and on warfarin and Plavix (clopidogrel) treatments? I have a valve replacement
Probably, but:: Medscape interactions database states: "parsley increases effects of warfarin by pharmacodynamic synergism. Minor or non-significant interaction. Theoretical interaction." Based on this I would recommend safe but suggest limiting perhaps to 1 cup a day.No interaction with Plavix (clopidogrel) reported. ...Read more
Catheter Angiography of Heart for Mitral Valve
Prolapse. Cardiologist said all Artery's are very good .
would this mean the Carotid Artery's also?
Very likely: There is a good correlation between coronary artery disease and carotid artery disease - almost 60% . So a normal coronary artery is likely to indicate a low probability of carotid artery disease. If you absolutely need to know you can get a simple carotid artery ultrasound .( this is a non invasive simple test) ...Read more
Can severe anxiety and panic attack lead to heart attack with physical signs and symptoms like chest pain?I have normal 2d echo with doppler , ECG resu
It's possible: In most cases, the arteries are damaged if a patient has a heart attack, but that does not always mean a patient needs a stent or there is heart damage. However, these patients still need aggressive medical treatment w aspirin, statin, blood pressure meds, and maybe plavix (clopidogrel). ...Read moreSee 1 more doctor answer
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