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What Precautions Should Be Taken After PTCA With Stent?
i had heart attack in March 2000. PTCA performed. Deployed stent BARD XT 3.0 x 15 mm a proximal LAD shown long segment 90% stenoisis involving th origin of medium sized diagonal. In July 2010, I got repeat angiogram done a my regular tread mill tst carried inJan 2010inicated mildly poitive cmment from my doctor, although i noticed no much changes in my health. The angiogram diagnoised as Patent Stent, dital LAD showsdiffusewith 70% stenosis and major diagonal 50-60%stenosis. The following meicins are prescribed - Angigem Cd 90, Clopidogril 75, Nitrocontin 2.6 mg, pentodac 40mg., ecopirin 75, losarH ,Atorvastatin 20. Can you throgh some light on my health and precautions to be taken doctor.
Fri, 23 Oct 2015
Hello. Welcome to HCM and thank you for your question. I understand your concern.
Stent occlusion (total blockage) and intra-stent stenosis (narrowing within the implanted stent) are two very well-known situations. The highest probability of the latter to happen occurs within 6 or 12 months after implantation, depending whether it is a bare metal stent or a drug eluting stent. A stent found patent 10 years after implantation has a very low, negligable probability of blocking. The treadmill, back in 2010, was mildly positive, probably because of the new stenoses that were developed in your coronary arteries, throughout years. The therapy looks fine and appropriate to me. If the symptoms, such as angina, shortness of breath, fatigue, develop, then this means that the new stenoses, not found on 2000, have made progress and narrowed the coronary arteries further more. If this is the case, you should consult your cardiologist about having another coronary angiogram and the possibility of another stent in another artery which is producing the symptoms. If you do are symptom-free, then adhere to your therapy and a cardiac stress test twice a year is a reasonable approach.
I hope I was of help. Take care.
Kind regards,
Dr. Meriton
Stent occlusion (total blockage) and intra-stent stenosis (narrowing within the implanted stent) are two very well-known situations. The highest probability of the latter to happen occurs within 6 or 12 months after implantation, depending whether it is a bare metal stent or a drug eluting stent. A stent found patent 10 years after implantation has a very low, negligable probability of blocking. The treadmill, back in 2010, was mildly positive, probably because of the new stenoses that were developed in your coronary arteries, throughout years. The therapy looks fine and appropriate to me. If the symptoms, such as angina, shortness of breath, fatigue, develop, then this means that the new stenoses, not found on 2000, have made progress and narrowed the coronary arteries further more. If this is the case, you should consult your cardiologist about having another coronary angiogram and the possibility of another stent in another artery which is producing the symptoms. If you do are symptom-free, then adhere to your therapy and a cardiac stress test twice a year is a reasonable approach.
I hope I was of help. Take care.
Kind regards,
Dr. Meriton
I find this answer helpful
hello,
I have gone through your query.Thsnka for using HCM.
you have developed progression of blocks in arear other than stented part.Any block less that 70% can be managed with medication.YOU must take proper care in following ways.
1.Take regular medicine without a single break.
2.you must walk daily for 30 min .I would like to know your LVEF to give you proper exercise prescription.
3.avoid fatty and fast food.Take lots of green vegetables and fruits.
4.Avoid stress
5.Maintain regular follow up with frequent check with your treating physician.
My best wishes
Dr.Rajesh Teli,MD.
I have gone through your query.Thsnka for using HCM.
you have developed progression of blocks in arear other than stented part.Any block less that 70% can be managed with medication.YOU must take proper care in following ways.
1.Take regular medicine without a single break.
2.you must walk daily for 30 min .I would like to know your LVEF to give you proper exercise prescription.
3.avoid fatty and fast food.Take lots of green vegetables and fruits.
4.Avoid stress
5.Maintain regular follow up with frequent check with your treating physician.
My best wishes
Dr.Rajesh Teli,MD.
I find this answer helpful
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