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

184 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.

My husband had a heart attack, had angioplasty & does not take his medicine

My husband had a heart attack, had angioplasty- does not take his meds, and keeps smoking. What will happen ? Does anyone know the stats of how likely he will have another heart attack ?
Tue, 12 Jan 2010
Report Abuse
Question is related to
Diseases and Conditions ,   ,  
Medical Procedures
Medical Topics
  Anonymous's Response
's  Response

FYI...I am a 41 year old heart attack survivor with an angioplasty in July 2009.  After an angioplasty, if your husband is not on a regimen of blood thinners like Plavix, Aspirin or possibly even Coumadin, the body will attack the stent as something "foriegn" to it and start to form clotting.  Eventually, the stent will clog up, just as the artery did that caused the heart attack in the first place. 

I don't have the stats on this, but unfortunately, it is not a question of IF, but WHEN he will have his next heart attack.  I believe my Doctor said that not taking blood thinners would cause another blockage within 1 year; I would assume smoking, plus any unaddressed cholesterol issues (MEDS) would accelerate the timeline.   Interestingly, some people only need to be on blood thinners for the first year or so after a stent/angioplasty; the body eventually adjusts and actually will grow tissue around the stent to the point where the body no longer recognizes the stent as a foreign object.

If your husband is having issues with the medications, have him speak to his Doctor to make adjustments.

Smoking is obviously not good, but not taking the medications is truly the biggest concern.  Bottom line...It is his heart and it is truly a matter of life or death. 

  User's Response
Malavika's  Response
Well smoking hardens the artery walls. But he's had a heart attack and is at risk of another obviously. The first year after a heart attack is the riskiest and when you are most prone to having another. The lungs and the heart are a team. My FIL never quit after his 3 heart attacks and eventually developed emphysema. Eventually he died of it. What he has to be careful of is getting pneumonia or something as his immune system is compromised, his heart is weak, and he can develop congestive heart failure...basically your lungs fill up with water and you drown in your own fluids. These are all worse case scenarios....but a really bad cold can cause congestive heart failure...he may not even have a heart attack again but his heart weakens because he is not taking good care. Try to get him to do brisk walks if he is up to it and at least work his heart out if the doc says it's okay to do so.
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

Hi doctor, my dad had an heart attack 3 weeks back , had an angioplasty and a stent was put in LAD that was 99 percent blocked and now there r still 2 more vessels with branches that are 80 percent blocked ... My dad has diabetes from 25 years and hypertension from 10 years and also has kidney disease ( kidney function is 50%) .. He has no pain in chest no breathing problem no symptom at all , he is walking 30 minutes regularly and 2 days back eko was taken which showed 55% ejaction rate ... He is on plavix , aspirin , nitro and few more for blood pressure and cholestrol ... Now the question is what should be our next step , I visited few doctors and they all recommend bypass surgery where as one of the cardiosurgeon was not sure whther bypass will benefit more or risk more , ao he thought of taking medicine and healthy diet and exercise approach , plss i need ur advice whether he should or this major bypass surgery or just carry on with healthy lifestyle because he has no problem no pain nothing

doctor1 MD

My husband age is 57 years he had a heart attack on 2 March2011 and had a drug eluting stent put and was advised to have another stent in15 days but he does not want he is taking medicines can you suggest a good cardiologist who treat without putting stent

doctor1 MD

hi, my husband is 33 years old. he had a heart attack( first) 20 days back, and was treated with angioplasty( stent ) insertion. i want to know what would be his normal life expectancy , and is there a any chance of having another heart attack, even after taking precautions.

Recent questions on  Cardiovascular disease

doctor1 MD

For the past 4 days, my blood pressure has been running anywhere from 130/95 to 120/102. My blood pressure is usually normal (typically 120/78 or so). I have high cholesterol and a family history of heart disease & am 51. What I don t understand is the numbers being close together. My last reading was 119/102.

doctor1 MD

I am a 44 year old male with a family history of hyperlipidemia and heart disease. My father had a AMI at age 50 and expired. His father expired at age 51 with an AMi. Both were sudden death. I had a Cardiac CTA yesterday which revealed a calcium score of 252. The report revealed a 70-80% blockage to the middle of the LAD with about 50% occlusion on both of the ends. Seeing a cardiologist tomorrow. What do you think the treatment will be for this?

doctor1 MD

I recently had an ECG after an abnormal EKG. The ECG showed vent. rate 108bpm Sinus tachycardia, PR interval 158 ms, possible left atrial enlargement, QRS duration 88 ms , nonspecific ST abnormality, QT/QTc 368/493 ms, abnormal ECG, P-R-T axes 70 48 58 and prolonged QT. The cardiologist didn t seem very concerned and felt the abnormality was because of the medication I was taking - remeron for sleeping; I suffer from chronic insomnia. I have been on this medication for over two years and have never had any side effects or problems with it. In the past three-four months, however, I have been experiencing chest pains, some severe which is why I went to my physician to get the first EKG which showed a fast heart beat and was referred to the cardiologist for an ECG, EKG and a stress test. I was only on the treadmill for maybe 4 1/3 minutes before I experienced SOB and chest pains. They repeated the ECG and I was told it was abnormal and to discuss my medications with my psychiatrist and that I had nothing to worry about. When I see abnormal ECG, EKG and am taking nitro tablets with a family history of heart disease (father COPD, CHF and angioplasty; grandfather died of a heart attack), I have a tendency not to believe the doctor. I have not even been contacted by my physician for a follow-up visit. Should I be concerned. Cancer also runs in my family; my father died of colon, liver CA and I am breast cancer survivor. I d appreciate your comments. Should I seek another opinion? Thanks, Mary Kopco YYYY@YYYY I am a 61 y.o. white female, 137 lbs w/ hx of cancer (bilateral mastectomy and hysterectomy for CA of uterus), osteoporosis and osteoarthritis, high cholesterol (328), allergic to any statin drugs, being treated with Zetia 10 mg 1 x/day. Presently taking nitro tabs for chest pain, oxybutityn for overactive bladder, clonazepam 1mg 3x/day for anxiety and depression. I look forward to your response. Thank you.

doctor1 MD

hi my father was 76 and died of ischaemic heart disease and severe coronary atherosclerosis: heart hypertrophy and chronic congestive heart failure he was waiting for tests to be done with waiting lists 14 weeks i need to know if he could of been cured if he was seen sooner rather than later

doctor1 MD

How do I help my wife of 40 + years who has developed dementia in the last two, getting worse all the time: memory, mood etc. I try to do everything I can for her but she does not cooperate a good share of the time. She sits in a recliner all day...

doctor1 MD

i lack vitamin D & Vitamin B12 .how manage this two naturally ?

doctor1 MD

I had completed my routine blood check up 5 days back, I have attached my report. Please review my report & let me know on the actions that need to be taken, am currently consuming 125 mg of thyroxine