Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

137 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

How can i avoid to get the second heart attack?

I just Had a Heart attack in August of this year at the young age of 34. How do I deal with all this? Im 35 now.I just turned 35 in september but in August of this year I had a heart attack. I had 4 blocked autries and so therefor I had to have a bypass done. I cant believe at 34 years of age I had to have open heart surgery . My question is How do I go on knowing that at anytime I could have another heart attack. I came so close to dying that it was unreal. Im suffering from deppresion because of it so I would love to hear from anyone that has some advice.
Sat, 12 Dec 2009
Report Abuse
Question is related to
Diseases and Conditions ,  
Medical Procedures
  User's Response
's  Response
It is very rare for an individual to have significant coronary disease and require a bypass surgery, like you have, at such a young age. No wonder you are anxious about the whole matter. First a word about cholesterol - It doesn't help to have crackpots talking about cholesterol conspiracies and such. I have no doubt the person who wrote that believes it and means the best for you, he's just misguided and doesn't understand enough to know what he doesn't understand. And yes, I visited the web links he had. I largely agree with the assertions that are made. It is just not the whole story. (Like you can eat absolutely anything you want if you eat a 1000 calorie diet per day and your cholesterol levels will be great...but truthfully most people don't do that) You also have to ask yourself why these guys are so desparate that you buy into their theory and why they need to type in CAPITAL letters? Cholesterol lowering medications HAVE been shown to reduce the formation of new arterial plaquing, stabilize plaques that already exists, and with intensive enough treatment, even reverse plaquing, which in sum reduces the incidence of additional acute cardiac events. Each case is individual and treatment is best tailored to the patient's needs. I have seen first-hand many patients that have benefitted from optimized hyperlipidemic treatment. Cholesterol that is typically measured on routine lab studies are MARKERS for the components that actually comprise plaques. Specialized tests can be run to evaluate sub-particles that are the actual components...and treatment can be tailored to address those abnormalities if they exist. Usually you can use the marker test to quickly evaluate rough cholesterol status. I have taken care of a lot of people after they have had an open heart procedure. It is very common that depression sets in after the procedure. It is often a combination of things that causes this - including your body healing, the time it takes to recover, the realization of your mortality and plenty of other factors - but it is real. If you are not being treated already for depression then you probably ought to be. Finally the last piece of advice I might offer is to review your lifestyle. I might be willing to bet you have all of the risk factors for coronary disease - diabetes (and probably therefore overweight), high blood pressure, high cholesterol, positive family history, and smoking. It has taken 30 years for you to adopt the lifestyle you have. It will not be easy to "unlearn" it all, but it is possible and by the way your life depends on it. I believe that if you get serious about improving what you can improve, take your medications and stop smoking (if you do), then your risk profile and therefore your likelihood for future disease is greatly diminished. It is not an easy job, but it is do-able. Good luck.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in

doctor1 MD

how Can we avoid heart attack ?

doctor1 MD

what causes them and how can they be avoided!?

doctor1 MD

Is this true; Hi All, read this:- 1 Let’s say it’s 7.25pm and you’re going home (alone of course) after an unusually hard day on the job. 2 You’re really tired, upset and frustrated. 3 Suddenly you start experiencing severe pain in your chest that starts to drag out into your arm and up in to your jaw. You are only about five km from the hospital nearest your home. 4 Unfortunately you don’t know if you’ll be able to make it that far. 5 You have been trained in CPR, but the guy that taught the course did not tell you how to perform it on yourself. 6 HOW TO SURVIVE A HEART ATTACK WHEN ALONE? Since many people are alone when they suffer a heart attack without help, the person whose heart is beating improperly and who begins to feel faint, has only about 10 seconds left before losing consciousness. 7 However, these victims can help themselves by coughing repeatedly and very vigorously. A deep breath should be taken before each cough, and the cough must be deep and prolonged, as when producing sputum from deep inside the chest. A breath and a cough must be repeated about every two seconds without let-up until help arrives, or until the heart is felt to be beating normally again. 8 Deep breaths get oxygen into the lungs and coughing movements squeeze the heart and keep the blood circulating. The squeezing pressure on the heart also helps it regain normal rhythm. In this way, heart attack victims can get to a hospital. 9 Tell as many other people as possible about this. It could save their lives!! 10 A cardiologist says If everyone who gets this mail kindly sends it to 10 people, you can bet that we’ll save at least one life. 11 Rather than sending jokes, please..contribute by forwarding this mail which can save a person’s life…. 12 If this message comes around you ……more than once…..please don’t get irritated……U need to be happy that you are being reminded of how to tackle….Heart attacks….AGAIN… From: DR.N Sivakadakshm,                          (Senior Cardiologist)

Recent questions on  Cardiac surgery

doctor1 MD

My father age 74 undergone heart bypass surgery in Godbole heart hospital thane on 2nd Jan 2011. He used to complain chest pains and gases in the night in the month of December and diagonised with heart blockages. After heart surgery he was discharged from hospital after successful operation and went to Andheri at my brother s place. At that time he had 101 fever and started having diarhea for so many times that he could not walk. He didnt want to have water or any food at that time. We admitted in Andheri hospital, and found that he is having infection with WBC went as much as 35K, Dr treated him with antibiotics and also dialysis since his urine output reduced due to dehydration. After 7 days his diarhea stopped, urine output increased and WBC count came to 10K. Again after 2 days he startted having diarhea with 100 fever, then dr consulted gastroentologist. He was of the opinion that this is due to antibiotic effect. Still my father had the diarhea and could not walk. So dr. Suggested colonoscopy. Blood culture, stool culture came negative. Just checking 1 what could be the reason of this? Anything related to operation? Infection? 2 He was very active before operation and sometimes had constipation 3 Will he be able bare colonoscopy and will it help

doctor1 MD

Hi I had sever mitral',valve reguritation in june when was pregnant, my last heart scan showed the leaking had slowed/stopped, I am due another heart scan next week, but these last few days been experiencing bad circulation in my feet when i get out of bed, have always had in my hands but never my feet,'will this be due to my heart problem?

doctor1 MD

Hello, I am a 39 year old female. I received my second ever kenalog shot for allergies over a week ago. The one previous was a year prior to that. In the past 3 days I have been experiencing heart palpitaions the entire day and night. I have had palpiations for years now, but only once in a while. The palpitions I am now experiencing are continuous. I had been tested about five years ago and was told I had tricuspid and mitral valve regurgitation. Several years later a different doctor sent me for testing and it showed no regurgitation. It doesnt make sense to me. My question is do you think it is possible the palpitations are caused by the kenalog? I was put back on Singulair as well but stopped taking it to see if that was the culprit. I am uneasy with this feeling and it is stressing me out more so worrying about it. Thank you in advance.

doctor1 MD

My 89 year old father just had a triple bypass and valve replacement. He lost kidney function after the surgery. They are now wanting him to go to a long term acute center, I m guessing because his heart rate registers low in the upper 40 s to mid 50 s. how long can I expect him to last on dialysis

doctor1 MD

I had a triple bypass 2weeks ago ...I have a new low grade but constant pain lower left side ..not sick to stomach been having bowel movements

doctor1 MD

My aunt (61 female) has recently been diagnosed with AORTIC VALVE STENOSIS and has been advised to undergo corrective surgery outside our state (J&K) and preferably in XXXXXXX Need to know about the prognosis and the treatment options. Also if you...

doctor1 MD

Shortness of breath often I am 82 years old and my valve is wearing out (according to the Dr) is valve replacement an option