When should a stent be placed after a heart attack?

Question

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.

Answer 1

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.