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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can cardiac issues occur after undergoing treatment for thyroidectomy, stroke and bowel obstructions?

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Dr. Bhanu Partap

Cardiologist

Practicing since :2010

Answered : 2256 Questions

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Posted on Mon, 6 Aug 2018 in Hypertension and Heart Disease
Question: I have a cardiac history that includes two MI’s the first was in 2000 at age 53 with a total blockage of the LAD. I have permanent damage,to the heart muscle, but it doesn’ go all the way through. I had a second MI in 2014, caused by a blood clot that blocked the right coronary artery. The damage from that one cleared up within a year. Chest X ray report shows lungs are clear; no pneumothorax; costophrenic angles are sharp; Cardiomediastinal silhouette within normal limits except for a calcified and mildly tortuous aorta; atherosclerotic calcification; degenerative changes of spine and hips. EKG measurements:intervals axis, rate 62 P: 50; PR: 147 QRS: 31; QRSD: 85 T: 43; QT; 420; QTc 477. Interpretive statements: Sinus rhythm; Probable left atrial enlargement; left axis deviation. Sorry, I tried to upload the files and couldn’t. Hope the info makes sense. I have peripheral veinous insufficiency, an some slight evidence of small vessel disease. I also had a stroke during an angiogram in 2000. My blood pressure has been low since the last MI, but in the past few months it has been up tp 172 over 75, primarily when I have been in highly stressful situations. Normal is 110 over 65. I have had surgery four times since September, three of them major under general anesthesia. I have a history of bowel obstructions and had four between May and January. One of the surgeries was emergency surgery to clear a blockage. I may have to undergo a thyroidectomy in the near future. How has all this affected my heart, and what are the chances I might have another cardiac event? I also have evidence of minor small vessel disease. My cholesterol is 96. With all the illnesses, including two kidney infections and 8 other UTI’s and the surgeries, I have been less active since the end of September. I am now back to hiking 4-6 miles at a time but have a ways to go my strength back. My concern is for my heart health. My brother had an MI with the blockage in his LAD. My other brother dies of a cerebral hemorrhage. Do you have any suggestions for preventive measures beyond diet and exercise? I eat a healthy diet and am getting exercise again.
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Answered by Dr. Bhanu Partap 38 minutes later
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

Brief Answer:
Please refer to the detailed answer below

After going through the detailed medical history provided by you and your attached reports I can very well understand your concern for your health and I would like to tell you that there are few important points in your case history

1. Genetic factors

2. Age

3. Multiple comorbidities

Out of these the most important is your genetic makeup which is making you susceptible for vascular diseases. As your brothers also had problems with vascular events so that means you have a string family history that can cause stroke, MI or other vascular diseases. In short you are prone to atherosclerosis.

The key factor for living a healthy or I would rather say a near normal life us to follow strict healthy lifestyle which you are already doing and it's good to know. Apart from that be very regular with the medicines prescribed.

Other than lifestyle modifications and regular follow ups with your doctor there is no other sure short way of preventing events.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Bhanu Partap 2 hours later
Does this mean that even if I follow strict guidelines, I could have another MI or other cardiac/vascular event anyway? Another factor I neglected to mention is mild traumatic brain injury from a subdural hematoma resulting from a car crash in 2015 that left me with mild cognitive impairment, much of which I have partiallly recovered. I function in some areas between the and three standard deviations below my previous capacity, which was quite high, I have an MS degree and was at the top of my class and now have short term memory issues and executive function deficits. I was in another serious crash, too. Both accidents involved significant blood loss, and treatment was delayed due to the remoteness of emergency assistance. I have had more health problems in the last three years, and they seem to be increasing. Based on these factors, what do I have to look forward to in terms of life expectancy?
doctor
Answered by Dr. Bhanu Partap 57 minutes later

To be very transparent Yes the possibilities are there but its lot lesser if you dont follow all those precaution like healthy lifestyle habits. These practices will slow down the rate of progression of the disease inside the blood vessels there by preventing complications.

What i would like to suggest you is instead of thinking negative and get depressed we all should think positive and live the present like its the last day that makes our lives lot easier and stress free.

So just maintain the good habits and enjoy life without any stress. When we think positive only positive happens, its a law of positivity.
Above answer was peer-reviewed by : Dr. Kampana
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Follow up: Dr. Bhanu Partap 18 hours later
Your analysis corroborates what I expect. I continue to live a very active life and take the setbacks as they come. I bounce back quickly. I have kept myself in excellent physical condition through exercise and diet. The increasing frequency of events is interfering with my lifestyle. This has been a long siege, lasting from May to now. I ‘m aware that the odds are not great for longevity, so I have decided to make the most of the time I have. I try not to worry about what I can do nothing about and to take control over what I can. You have been very helpful in terms of information and putting things into perspective. Thank you for you expertise and for the pep talk.
doctor
Answered by Dr. Bhanu Partap 1 hour later
It's my pleasure and honor to help someone in need.

Kindly close the discussion and rate the answer.

Hope I have answered your query. Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Nagamani Ng
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