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Suggest Treatment After PTCA Stenting
HI sir,
my self Kiran and i am from Bangalore. On Jan 25th , 2014 PTCA+ stentnig performed to me in one hospital. i was discharged after 5 days and was told to review in two weeks i.e. Feb 13th. But i am unable to get the appointment with the same doctor till Feb 24th. can you suggest me , how to proceed with medication and can I go to another hospital for review.
my self Kiran and i am from Bangalore. On Jan 25th , 2014 PTCA+ stentnig performed to me in one hospital. i was discharged after 5 days and was told to review in two weeks i.e. Feb 13th. But i am unable to get the appointment with the same doctor till Feb 24th. can you suggest me , how to proceed with medication and can I go to another hospital for review.
Mon, 28 Sep 2015
Greetings. Welcome to HCM and thank you for your question. I read your query.
Well, yes, of course, you can go to another hospital or doctor for review and control. I am glad that you have followed doctor's advice with a great discipline. The procedure of percutaneous transluminal coronary angioplasty (PTCA) with stent placement requires a good discipline by the patient and careful controls, at least for the first 6-12 months, period during which, the probability for within stent narrowing is the highest. In our clinic's experience, we recommend to post-PTCA and stent patients that clopidogrel 75 mg should be taken once daily for at least 6 months (in cases of bare metal stents) and 12 months (in cases of drug-eluting stents); to discontinue smoking, if they are smokers; and periodical controls with a cardiac stress test after 1, 3 and 6 months from the procedure. Also, if the stent was placed in a terrain of acute myocardial infarction, an echocardiogram is required three to six months from the procedure, to evaluate if there is any gain in left ventricle function after the urgent procedure.
Wish you all the best. I hope I was helpful with my answer.
My regards,
Dr. Meriton
Well, yes, of course, you can go to another hospital or doctor for review and control. I am glad that you have followed doctor's advice with a great discipline. The procedure of percutaneous transluminal coronary angioplasty (PTCA) with stent placement requires a good discipline by the patient and careful controls, at least for the first 6-12 months, period during which, the probability for within stent narrowing is the highest. In our clinic's experience, we recommend to post-PTCA and stent patients that clopidogrel 75 mg should be taken once daily for at least 6 months (in cases of bare metal stents) and 12 months (in cases of drug-eluting stents); to discontinue smoking, if they are smokers; and periodical controls with a cardiac stress test after 1, 3 and 6 months from the procedure. Also, if the stent was placed in a terrain of acute myocardial infarction, an echocardiogram is required three to six months from the procedure, to evaluate if there is any gain in left ventricle function after the urgent procedure.
Wish you all the best. I hope I was helpful with my answer.
My regards,
Dr. Meriton
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