Doctor insights on:
Right Coronary Artery Stent Placement
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
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
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?
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?
Can I ride a roller coaster 3 years after having a heart attack due to blockage of the right coronary artery and getting stents implanted?
Enjoy ride: Hope you are not doing the tallest and fastest roller coaster. ...Read more
Can a thrombosis of right coronary artery just lie there dormant not doing anything or nor causing harm?
No: A thrombosis, or blood clot, does not "lie dormant". A thrombosis of the RCA would develop rather suddenly as a biochemical response to a cholesterol-based, calcium-coated plaque that "cracks". Just as when skin is cut, platelet blood cells and other chemicals come together to "heal" the break in the plaque by creating a thrombosis (clot) that can then block blood flow to cause a heart attack. ...Read more
My doctor told me I have 70% right coronary artery blockage. How did he measure the percentage of blockage?
See below: An anomalous right coronary artery is one that is in a different location from its usual anatomic position. It can be different in two ways: 1) where it comes off of the aorta, 2) how it gets to the parts of the heart it is supposed to supply. This can be a benign condition that's nothing to worry about, but its important to followup with your doctor to check if the location of the artery is safe. ...Read more
If the blockage is in the right then right. If in the left left.
Sometimes both and difficult. ...Read more
Can an abnormal right coronary artery lead to any problems? What if you have symptoms during exercise such as chest pain/shoulder pain?
Possibly: If the right coronary artery arises from the pulmonary artery instead of the aorta, the blood flowing through it is low on oxygen, and can cause cardiac symptoms. This almost always presents in infants and children. In later life, coronary artery problems are due to atherosclerosis, and the symptoms are typically angina. If you have any questions, see you primary physician or cardiologist. ...Read more
Right dominant: It means normal anatomyGet a more detailed answer ›
What could cause a high (1100+) right coronary artery score and yet after a angiogram, they find no blockage?
Great question: An angiogram is showing plaque buildup that is impacting blood flow within the lumen of the vessel but before you have that happen you can get atherosclerotic buildup within the wall of the vessel that grows outward. This can be seen by CT but can appear very minimal on an angiogram. However if you have a CT with high calcium score I recommend medical therapy for coronary disease (statin, aspirin) ...Read more
What happens if your posterior descending arterial branch of the right coronary artery diffuse proximal 60 to 80%?
Depends: Many people walk around with significant blockages without knowledge or harm. If the person described has angina or evidence of ischemia on testing, a percutaneous intervention should be considered. Otherwise, forget it - but treat the underlying arteriosclerosis: statin, aspirin, Mediterranean Diet, exercise, ideal body weight, no smoking, good BP control. ...Read more
Recently I had angioplasty for the second time and I still have a 45% blockage in my right coronary artery. Now what?
Discuss with: Your cardiologist who knows your medical history and exam and is in the best position to answer this question for you. ...Read more
I have unstable angina and a 100% blocked right coronary artery. Had an angeoplasy done and the doctor did nothing after but said may just use meds?
Situation specific: There's data that suggests in certain scenarios medical management is equivalent to interventions like stenting. But that's a blanket statement and the reality is, it's very situation specific. Best to talk it over with your trusted cardiologist. ...Read more
http://www. Hopkinsmedicine. Org/healthlibrary/conditions/cardiovascular_diseases/anatomy_and_function_of_the_coronary_arteries_85, P00196/
If a body had a thrombosis of right coronary artery at post-mortem, is that a sign of a DEFINITE heart attack?
What's mean mild coronary artery disease involving the left anterior descending and the right coronary artery? It's something to worry? Heart attack?
MDs visual judgement: I would be quite wary of the assessment, likely based on a coronary angiogram. Get a copy of all the images, on a cdrom from hospital, &closely examine yourself. Do not settle for someone else's interpretation, its not their body/heart. Any narrowing (stenosis) means advanced atherosclerosis with previous plaque ruptures; clots which have fibrosed/not-cleared; narrowed the opening of the artery. ...Read more
Possible 70% block in right coronary artery told CT angiography has high rate of false positives? Scared to have a heart cath especially if artifact
Congestive heart failure I was diagnosed with CHF and a 80 percent block of the right coronary artery my ejection fraction is up to 55-60 from 25-30 I still get tired and short of breath not getting answers from my doctor could that be from the block any
That: That is great news that your ejection fraction (ef) has improved that much, as that is directly correlated with your overall long term prognosis. You clearly are still symptomatic though. If you find that your shortness of breath continues, it is certainly possible that the stenosis in your right coronary artery is the culprit, although without knowing more information it is hard to say definitively. My best advice to you is to find a physician that will answer your questions and communicate with you so that you may understand your care. Heart disease is complex and involves the interplay of many factors, and an excellent relationship with your cardiologist can be the most important one. ...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?
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
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
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
Absolutely: This is a well recognized complication of angiograms and stenting. Your doctor would have discussed this with you in the informed consent portion of your procedure. ...Read more
How many different types of coronary arteries stents are there, do they use seperate stents in diabetics?
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
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
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
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
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
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
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
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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