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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Shortness Of Breath Inspite Of Placement Of Stents?

My brother had a heart attack 1 month ago still is suffering from severe shortness of breath had 4 stents put on his right side of the heart was just told on friday his heart is working at 35% I know this is very serious what are his chances for long term survival. Bypass surgery? He is 58 a smoker 250 lbs 5'9 hasn't seen a doctor in 10 years
Thu, 29 Dec 2016
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Cardiologist 's  Response
Hi
35% is a critically lower jection fraction but post ptca things are going to improve as blood supply is again maintained to heart , there are medicines like ace inhibitor, trimetazidine and spironolactione which prevent cardiac remodeling and hence helpds to improve the ejection fraction , hower if things worsen AICD can be given.Chances of survival are from 10 years to 30 years depends on medication , life style modification and patency of stents., by pass surgery at a ef of 30% has five year survival rate of 70%
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What Causes Shortness Of Breath Inspite Of Placement Of Stents?

Hi 35% is a critically lower jection fraction but post ptca things are going to improve as blood supply is again maintained to heart , there are medicines like ace inhibitor, trimetazidine and spironolactione which prevent cardiac remodeling and hence helpds to improve the ejection fraction , hower if things worsen AICD can be given.Chances of survival are from 10 years to 30 years depends on medication , life style modification and patency of stents., by pass surgery at a ef of 30% has five year survival rate of 70%