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When should a stent be placed after a heart attack?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My mom had a heart attack three days ago, and she is receiving treatment. The doctor said that after the angiogram, they found three blockages in her heart: one is 90 to 95 percent, the second is 90 to 98 percent, and the third is 60 to 70 percent. He mentioned that she needs two stents, and I am looking for the best treatment option. The doctor here says she does not have much time, and the procedure needs to be done within two days.

Some additional information: she has had diabetes for a long time. Before the heart attack, she experienced symptoms like difficulty sleeping for two days and trouble breathing. On the first day of treatment, the doctor said there was some water in her lungs, which has now been cleared, and some kidney injuries, which have been stabilized with medication.

I am now confused about what to do. Should I proceed with getting the stents placed, as suggested by this doctor, or do we have time to wait for the best treatment? She is currently receiving saline and some medications, but I am not sure of the names. Her physical condition has improved; she is breathing normally and speaking fluently.

Please advise.

Answered by Dr. Amiya Kumar Chattopadhyay

Education:

MBBS

Professional Bio:

Dr. Amiya Kumar Chattopadhyay is an experienced Cardiologist with advanced certifications, including DTM&H, Diploma in Cardiology, and PGDCHC. He specializes in the diagnosis, treatment, and prevention of cardiovascular diseases, offering patient-centered care with a focus on heart health management and lifestyle modification. With his extensive expertise, Dr. Chattopadhyay is committed to delivering comprehensive cardiac care tailored to each patient’s needs.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

Your mother suffered a heart attack, and the angiogram (attachment removed to protect patient identity) shows triple vessel disease, with two of the vessels having critical blockages, along with diabetes. Coronary artery disease is very common in diabetic patients. At the moment, it is not advisable to transfer the patient. However, wherever you choose to go, it is important to trust the attending doctor. It is better to follow their advice and proceed with the recommended treatment. Do not delay. Also, ensure that her diabetes is managed properly during this time.

Thanks and regards.

Medically reviewed by Dr. K. Shobana
Published At August 19, 2018
Reviewed At November 8, 2024

Education:

MBBS

Professional Bio:

Dr. Amiya Kumar Chattopadhyay is an experienced Cardiologist with advanced certifications, including DTM&H, Diploma in Cardiology, and PGDCHC. He specializes in the diagnosis, treatment, and prevention of cardiovascular diseases, offering patient-centered care with a focus on heart health management and lifestyle modification. With his extensive expertise, Dr. Chattopadhyay is committed to delivering comprehensive cardiac care tailored to each patient’s needs.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Amiya Kumar Chattopadhyay is an experienced Cardiologist with advanced certifications, including DTM&H, Diploma in Cardiology, and PGDCHC. He specializes in the diagnosis, treatment, and prevention of cardiovascular diseases, offering patient-centered care with a focus on heart health management and lifestyle modification. With his extensive expertise, Dr. Chattopadhyay is committed to delivering comprehensive cardiac care tailored to each patient’s needs.

This doctor is not available for online consultations on the platform anymore.

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