A stent is a small, expandable mesh coil made of metal. These meshes are used to open up and hold narrow passages. This rectifies the restricted flow of blood in the blood vessel caused due to the narrowing of the blood vessels. This is used in coronary artery disease, peripheral artery disease, deep vein thrombosis, etc.
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Recently, my father had second heart attack and a stent is placed. Please suggest your opinion.
Query: Hi doctor, My father is 62 years old and he had a second heart attack recently. The first one was before seven years and a stent is placed. Now again a stent is placed in the left circumflex artery. His recent ECHO report shows diastolic dysfunction of grade 1, with mild mitral regurgitation and tr... Read Full »
Answer: Hi, Welcome to icliniq.com. I feel sorry to hear about your father's health condition. When a person gets a heart attack, then it is necessary to follow a lifestyle modification, and medications are needed to be taken. He should eat a healthy diet like a Mediterranean diet. It is low in cholesterol,... Read Full »
I have been taking Effient after getting a stent for an occluded left circumflex cardiac artery. Why am I sweating so much after I stopped it for a few days to get a dental extraction?
Query: Hello doctor, About four or five years ago, a stent was placed in my 90 % occluded left circumflex cardiac artery. For four or six months before that, I had drenching night sweats and had to change clothes twice a night. After the procedure, the doctor prescribed Effient so blood would not clot. A f... Read Full »
Answer: Hello Welcome to icliniq.com. I thoroughly read your query and understand your concern. Sweating may occur in clogged arteries but not in the pattern you are having. Twice at night, time is unlikely for clogged arteries to cause these. Sweating in heart patients may occur with a coronary syndrome, s... Read Full »
How many stents are necessary for severe RCA disease?
Query: Hi doctor, My dad recently had chest pain, we took EKG and echo and it turned out as though he had a slight abnormality. We got the angio done the reports shows: LAD: Type III LAD has 50% proximal stenosis. Mid and distal has a mild diffuse disease. RI: Has 80% proximal stenosis. LCX: Non-domina... Read Full »
Answer: Hello, Welcome to icliniq.com. I passed carefully through your dad's medical history and tests and would like to explain that it is necessary to perform percutaneous coronary angioplasty followed by stents implantations in the right coronary artery in several segments (80% proximal stenosis, but ... Read Full »
My doctor recommended placing stent for 70 percent block, but I want ayurvedic treatment. Please advise.
Query: Hi doctor, I am suffering from diabetes and high blood pressure. A day back, I had an angiography due to diabetes and high blood pressure. One day before, l had angiography due to my two NYSE (healthcare index) having a block up to 70 percent. What should I do to cure it? My age is 37, and the docto... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hi, Welcome to icliniq.com. I understand your concern. The appropriate management of your ischemic heart disease includes: 1. Strict control of blood sugar level (HbA1c (glycated hemoglobin) below 7 percent). 2. Strict control of blood pressure (below 130/80 mm/Hg). 3. Regular medications for ... Read Full »
I have fever after kidney operation. Can I remove the stent now?
Query: Hello doctor, I had a kidney stone operation on the first of this month. I had fever (temperature 102 degrees Celcius) four days back. The doctor gave me an antibiotic on the same day when I reported to the hospital at night. Again I had a heavy temperature the next day, early morning and night. Tem... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hi, Welcome to icliniq.com. Thanks for writing in, and I understand your concern. As you have a fever, there may be a chance that you have an infection, and it is dangerous to be only on oral antibiotics. I suggest you get admitted and be on intravenous hydration with antibiotics. I also suggest t... Read Full »
Is there a permanent cure for diabetes and angina in me?
Query: Hello doctor, I am 54 years old, and I feel pain in my chest, I have symptoms of angina pectoris, and I am a diabetes patient (type 2). Can I have sex or masturbate? I have been visiting my doctor no results; how can I cure this? Read Full »
Answer: Hi, Welcome to icliniq.com. If you can climb two flights of stairs and can walk three to four blocks without symptoms of chest pain or shortness of breath, you can do sex. But it would help if you had a workup for angina. If it occurs frequently, you should have angiography done. Read Full »
Is there a connection between asthma and heart attack?
Query: Hello doctor, I am 47 years old, and I am a military veteran who has chronic asthma due to lead and asbestos exposure while working in the shipyards. I also have heart disease and hypertension. I had my heart attack when I was 32. I read a new release people with asthma are 60% more likely to have ... Read Full »
Dr. Ahmed Mohamed Mahmoud Goha
Answer: Hello, Welcome to icliniq.com. There is a connection between chest problems and heart-lung diseases that may lead to elevated pulmonary pressure with right ventricle overload and dysfunction. The major cause of coronary artery narrowing, which causes heart attack, is coronary atherosclerosis, like... Read Full »
Is there any need to change the prescription after six months of stent surgery?
Query: Hello doctor, My father had a heart stent operation six months ago. Doctor prescribed some medicines, and still, he is using them. Should he continue the same dosage of drugs or any changes in the prescription? Please suggest to me. Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen the prescription (attachment removed to protect patient identity). The same medications are continued for one year, and afterward, the dose is reduced. So, I would advise my patients to continue with these for a total of one year if they do not ... Read Full »
Is there any alternative treatment for intestinal stricture other than surgery?
Query: I want to ask someone about alternative treatment options for a high risk intestinal stricture for a patient with crohns disease. Crohns disease has been diagnosed for around 15 years (she is 31). She currently takes azathioprine. I am not sure the part of the bowel unfortunately. I believe it is si... Read Full »
Answer: Hello..I welcome you to icliniq. Well surgery is the last resort, and it may not end up in stoma formation. Most commonly a resection and anastomosis of the bowel is performed and the lumen is continued without stoma formation. however stoma formation is a possvlibity but not a rule. Biologics li... Read Full »
Can I taper Brilinta on my own to reduce its side effect?
Query: Hello doctor, I am a 66-year-old female. I am a type 2 insulin-dependent diabetic for 38 years. I suffered a STEMI heart attack on August 2019. Two stents were placed in my LAD at that time to stop the heart attack. A follow up procedure was recommended as additional blockages were observed in the ... Read Full »
Answer: Hi, Welcome to icliniq.com. Gone through the details you provided. The above drugs are fine. You need to continue Brilinta with Aspirin at least until November 2020 (to complete one year after the procedure). Further continuation of two antiplatelets will depend on the situation at the completio... Read Full »