Doctor insights on:
Stents For The Heart
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
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
Can cardiac ablation for atrial fibrillation cause damage to the coronary arteries close to the ablation site
Yes but it's rare: The coronary arteries, most specifically a branch of the left circumflex artery run directly beneath a structure called the left atrial appendage. Ablation in that region, or just behind it puts rf energy near that artery. However, the artery has very high flow (relatively speaking) and is thus protected from damage the majority of the time. ...Read moreSee 1 more doctor answer
Not bad: The average national mortality rate for CABG is less than 2%. Other more serious complications occur less than 10% of the time. ...Read more
Is there ensurance of no heart attack after bypass surgery of heart for 80% blockage on all vessels?
Possibly: Although there are three main coronary arteries, these arteries themselves may have significant branches that themselves may need bypassing. So 4 grafts do not necessarily treat all the major arteries, but will treat the 4 that are blocked. ...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
What are reasons to get heart bypass surgery rather than angioplasty with a stent to open the arteries?
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
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
Smoking is #1: Also obesity, sedentary lifestyle, high cholesterol, high blood pressure, stress, diabetes, obesity, male gender, age, and family history. You can change all but the last three, so do it! quit smoking and get off your butt! treat the diseases and take time of/meditate/do yoga. This is hugely important, heart disease is the world's #1 killer. ...Read more
Several: Depends on what vessel? A graft an unbypassed native artery whatever is thought to be instrumental to the angina symptom how long since the bypasses? If the bypases are open and generally perfusing the major coronaries the risk should be quite low. If not, the usual risks of dissecting, clotting, embolizing a vessel or graft are there. The general list is; death bleeding, recurrence, stroke. ...Read moreSee 1 more doctor answer
GSV: Usually the great or small saphenous vein in the thigh or calf, respectively. Many places are using arteries from the chest muscle also. ...Read more
Numerous: Treatment depends on the extent of the problem. Exercise and a low cholesterol diet may have a role in prevention of cad. If CAD is present, low dose Aspirin (81 mg daily) can reduce risk of heart attack 50%. Cholesterol meds (statins) also lower risk 20-30%. If it is symptomatic (angina) medicines such as nitroglycerin, beta-blockers, and sometimes calcium channel blockers can be used. ...Read moreSee 1 more doctor answer