Patient's Query
Hello doctor,
My father, who is 62 years old, had a heart attack two months ago. He was admitted to the hospital and given first aid. His angiography was done four days later, and the diagnosis was single-vessel disease with 90 percent stenosis in the mid-LAD (left anterior descending artery). The doctor has prescribed 20 days of medication, after which they will decide on the next course of action—either placing a stent (angioplasty) or continuing medication for a longer period. Currently, he is resting at home and feeling better, with no pain or any noticeable complaints. I am attaching the angiography report, along with the diagnosis and prescribed medications.
How do you assess the situation? Is the current treatment plan appropriate? Can medication alone improve or resolve the issue? Is delaying angioplasty risky? Does angioplasty (stenting) have a limited lifespan or potential side effects? If angioplasty is necessary, how soon should it be done? Additionally, could you recommend any specific stent for long-term benefits?
Please help.
Hello,
Welcome to icliniq.com.
I have reviewed your health query regarding your father and understand the sensitivity of the situation. Yes, he is out of danger now. The first 48 to 72 hours after a heart attack are critical, as there is a risk of life-threatening arrhythmias. The current course of treatment seems appropriate, and it is not delaying anything. It is wise to give the medication a chance to see if it helps. However, if there is no improvement after completing the prescribed course, delaying stent placement would be a serious mistake.
The doctors are using the latest and best stents for patients, and the results have been promising. As with any medical intervention, angioplasty and stent placement carry risks, such as the potential rupture of heart vessels or even a chamber of the heart. Additionally, there is a possibility of re-stenosis, which is the re-narrowing of the same vessel.
I hope this helps you.
Thank you.
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Answered byDr. Muhammad Majid Hanif
Medically reviewed byDr. K. Shobana
Same symptoms don't mean you have the same problem. Consult a doctor now!
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