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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Prognosis After Inserting Five Stents At An Old Age?

in 2006 i had 5 stents inplanted. i am 79 yo. i have been taking plavix all this time. i am also taking lipitor and high blood pressure medication with very good results. being checked every 6 months.Never had a heart attack. what is my long term prognosis ?
Wed, 17 May 2017
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Pulmonologist 's  Response
Hello
Welcome to HCM.
The long term prognosis of angioplasty with 5 stents with preserved heart pumping function is good. But as you mentioned you must be checked up regularly every 6 months. The more the number of stents the higher is the risk of restenosis (stent narrowing). However since your body has adapted these stents for this long, I suppose the chances of restenosis are less. A stent usually remains patent for 10-15 years. I suppose you are undergoing a treadmill test or stress test every year which is very essential.
Also, since you have completed more than 10 years with these stents, I recommend you go for a check angiography to see whether the stents are patent. Treadmill tests have a sensitivity of 67% , so some amount of heart blockages can get misdiagnosed. That is the reason i am asking for a invasive test. It is recommended for patients with more than 10 years with stents irrespective negative treadmill tests.
Overall, the prognosis is good.
wishing you good health
Regards
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What Is The Prognosis After Inserting Five Stents At An Old Age?

Hello Welcome to HCM. The long term prognosis of angioplasty with 5 stents with preserved heart pumping function is good. But as you mentioned you must be checked up regularly every 6 months. The more the number of stents the higher is the risk of restenosis (stent narrowing). However since your body has adapted these stents for this long, I suppose the chances of restenosis are less. A stent usually remains patent for 10-15 years. I suppose you are undergoing a treadmill test or stress test every year which is very essential. Also, since you have completed more than 10 years with these stents, I recommend you go for a check angiography to see whether the stents are patent. Treadmill tests have a sensitivity of 67% , so some amount of heart blockages can get misdiagnosed. That is the reason i am asking for a invasive test. It is recommended for patients with more than 10 years with stents irrespective negative treadmill tests. Overall, the prognosis is good. wishing you good health Regards