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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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HIgh BP, Heart Disease, COP, Had Artery Blockages. Works For Charcoal Plant. What Is The Solution?

my husband works in a charcoal plant hard manual labor. he has high blood pressure and heart disease and copd and 2 yrs ago survived a massive heart attack where 3 major arteries were 100 percent clogged they got him stable and gave him 3 stents. today he hasnt been feeling well and checked his bp and it was 151/ 110 and he is already on bp meds but he left for a 12 hour shift a few minutes ago it is a very hot factory in a small town and we dont even have an ER it is at least 20 min away do u think he is in danger i have no home phone and i couldnt call his doctor
Fri, 26 Jul 2013
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  User's Response
Overall his status is highly risky. I suggest the following :
1. Consult the primary cardiologist , who stented him, regarding the high BP, after stenting , it should be around 110/70 mm of Hg, whatever measure you do to control it. He must be put on some ACE inhibitor drug first to control his BP, as it would help his damaged heart for remodelling too, provided he is not an asthmatic, other choose one drug from the ARB group.

2. Is he taking antiplatelets, statins and beta-blockers regularly??. Aspirin, Clopidogrel, atrorvastatin and propranolol are examples of these medications for him for regular use lifelong, because he is a heart attack survivor.

3. Get his lipid profile, base kidney function, liver function, ECHO, ECG and if possible TMT test done, to review his status atleast once per year.

4. If his TMT get positive anytime, he should perhaps think about the heart bypass surgery option to revascularize his heart, because this is more viable option for him at this status of post stenting, if the heart surgeon finds him fit.

5. Last but not the least, Diet and excercise. I would suggest a vegetarian diet if not vegan. He can take some essential omega 3 fatty acid pills in addition to the routine multivitamin pills, to suppliment his nutritional status. Exercise is very important, 5-8 km walk daily would be enough, if his BMI is in the normal range, but answer to exercise lies more with the cardiologist who works up his current health status.

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HIgh BP, Heart Disease, COP, Had Artery Blockages. Works For Charcoal Plant. What Is The Solution?

Overall his status is highly risky. I suggest the following : 1. Consult the primary cardiologist , who stented him, regarding the high BP, after stenting , it should be around 110/70 mm of Hg, whatever measure you do to control it. He must be put on some ACE inhibitor drug first to control his BP, as it would help his damaged heart for remodelling too, provided he is not an asthmatic, other choose one drug from the ARB group. 2. Is he taking antiplatelets, statins and beta-blockers regularly??. Aspirin, Clopidogrel, atrorvastatin and propranolol are examples of these medications for him for regular use lifelong, because he is a heart attack survivor. 3. Get his lipid profile, base kidney function, liver function, ECHO, ECG and if possible TMT test done, to review his status atleast once per year. 4. If his TMT get positive anytime, he should perhaps think about the heart bypass surgery option to revascularize his heart, because this is more viable option for him at this status of post stenting, if the heart surgeon finds him fit. 5. Last but not the least, Diet and excercise. I would suggest a vegetarian diet if not vegan. He can take some essential omega 3 fatty acid pills in addition to the routine multivitamin pills, to suppliment his nutritional status. Exercise is very important, 5-8 km walk daily would be enough, if his BMI is in the normal range, but answer to exercise lies more with the cardiologist who works up his current health status.