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Medical Forum / General / Cardiology / April 2006

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coronary heart disease PLEASE HELP!

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msmollymac@yahoo.com - 10 Apr 2006 20:08 GMT
My father went to the doctor 4 days ago because he had been having
chest pains. The doctor sent him immediately over to the hospital to
have testing done on his heart. They went in today to do a balloon
angioplasty but after inserting the catheter the doctor decided my
father could not have the stints put in nor was he a candidate for
heart surgery. I'm so confused because they are planning to put him on
medication-- it just seems like something more could be done & now I
feel as if he's just waiting to have a heart attack.
I'd like to talk to someone who is more educated on coronary heart
disease or maybe someone who has had experience with heart disease in
the past. Any information would be appreciated.
Some things you might ought to know are that my father is 60 years
old... his father died of a heart attack at 53. He has smoked for over
40years and drinks heavly. However,  he is not overweight and very
active for his age. Also his diet could be better.
I'm worried sick over this and have no clue who to ask about the
disease and what other options he has. I'd really like to know if the
chances of him dying soon are high or not but the doctors and my mother
seem to want to keep me in the dark. Please help if you can offer any
information or advice. It will be greatly appreciated.
Thanks.
MsMollyMac@Yahoo.com
feel free to email me or message back on here...
Andrew B. Chung, MD/PhD - 10 Apr 2006 21:29 GMT
> My father went to the doctor 4 days ago because he had been having
> chest pains. The doctor sent him immediately over to the hospital to
[quoted text clipped - 4 lines]
> medication-- it just seems like something more could be done & now I
> feel as if he's just waiting to have a heart attack.

My guess is that what your father was scheduled to have was a
diagnostic heart catheterization with coronary angiography and the
invasive cardiologist did not find any blockages that warrant an
intervention such as a stent or bypass surgery.  This is actually good
news.

> I'd like to talk to someone who is more educated on coronary heart
> disease or maybe someone who has had experience with heart disease in
> the past. Any information would be appreciated.

You are welcome to post your questions here.  Would be more than glad
to answer them for you as an invasive cardiologist.

> Some things you might ought to know are that my father is 60 years
> old... his father died of a heart attack at 53. He has smoked for over
> 40years and drinks heavly. However,  he is not overweight and very
> active for his age. Also his diet could be better.
> I'm worried sick over this and have no clue who to ask about the
> disease and what other options he has.

You should be able to ask your father's cardiologist about his
condition.  Short of that, general questions about coronary disease are
answerable either by me or some of the other participants here in SMC.

> I'd really like to know if the
> chances of him dying soon are high or not but the doctors and my mother
> seem to want to keep me in the dark.

There is not much that can be done about that.

> Please help if you can offer any
> information or advice. It will be greatly appreciated.

Would suggest you accompany your father when he next visits his
cardiologist.

> Thanks.

You are welcome, Molly :-)

Will be available to "glow" and chat about this and other things like
cardiology, diabetes, Bird Flu, the Lamb's opening of the 6th seal
(Rev. 6:12), cooking and nutrition that interest those following this
thread here during the next on-line chat (04/13/06) from 5 to 6 pm EST,
LORD willing:

http://tinyurl.com/8w7uq

For those who are put off by the signature, my advance apologies for
how the LORD has reshaped me:

http://tinyurl.com/7mcuo

Prayerfully in Christ's love,

Andrew
http://tinyurl.com/gbj6w
Robert Coe - 11 Apr 2006 03:44 GMT
: > My father went to the doctor 4 days ago because he had been having
: > chest pains. The doctor sent him immediately over to the hospital to
[quoted text clipped - 14 lines]
: > disease or maybe someone who has had experience with heart disease in
: > the past. Any information would be appreciated.

I'm not a physician, but I've been in your father's situation, and Andrew's
analysis sounds right to me. In my case they decided that angioplasty and
stents were geometrically impossible, so I had to have bypass surgery. I was
just short of 59, for all practical purposes the same age as your dad. 60
isn't considered particularly old for bypass surgery, so the fact that they
didn't recommend it suggests that your dad isn't all that bad off.

: You are welcome to post your questions here.  Would be more than glad
: to answer them for you as an invasive cardiologist.
[quoted text clipped - 5 lines]
: > I'm worried sick over this and have no clue who to ask about the
: > disease and what other options he has.

You and your dad should understand that he has dodged a bullet but that others
will follow. He should use the opportunity to make the necessary lifestyle
changes, particularly quitting smoking and cutting down on drinking. (Liquor,
in addition to its other effects in large quantities, is very high in
calories.) My dad died of a heart attack at 54, but diagnostic methods were
crude then, and modern heart surgery was unknown. I'm still alive at 68, but
only because of a generation's improvement in technology.

: You should be able to ask your father's cardiologist about his
: condition.  Short of that, general questions about coronary disease are
[quoted text clipped - 11 lines]
: Would suggest you accompany your father when he next visits his
: cardiologist.

Good advice.
--  
  ___            _                        -  Bob
  /__) _   /    / ) _   _
(_/__) (_)_(_)  (___(_)_(/_____________________________________ bob@1776.COM
Robert K. Coe ** 14 Churchill St, Sudbury, MA 01776-2120 USA ** 978-443-3265
Andrew B. Chung, MD/PhD - 11 Apr 2006 07:30 GMT
> : > My father went to the doctor 4 days ago because he had been having
> : > chest pains. The doctor sent him immediately over to the hospital to
[quoted text clipped - 57 lines]
>
> Good advice.

All praises belong to the LORD, Whom I love with all my being.

Many thanks to HIM for your kind thoughts.

Will be available to "glow" and chat about this and other things like
cardiology, diabetes, Bird Flu, the Lamb's opening of the 6th seal (Rev.
6:12), cooking and nutrition that interest those following this thread
here during the next on-line chat (04/13/06***) from 5 to 6 pm EST, LORD
willing:

http://tinyurl.com/8w7uq

*** The Passover Moon might be fully blood red this year now that the
Lamb has possibly opened the 6th seal.

For those who are put off by the signature, my advance apologies for how
the LORD has reshaped me:

http://tinyurl.com/7mcuo

Prayerfully in Christ's love,

Andrew
http://tinyurl.com/gbj6w
Jim Chinnis - 11 Apr 2006 02:36 GMT
msmollymac@yahoo.com wrote in part:

>My father went to the doctor 4 days ago because he had been having
>chest pains. The doctor sent him immediately over to the hospital to
[quoted text clipped - 16 lines]
>seem to want to keep me in the dark. Please help if you can offer any
>information or advice. It will be greatly appreciated.

If you don't know what his evaluation showed, there's not a lot anyone can
say. Heart disease isn't something that is just suddenly there, it usually
takes decades to produce it. Chest pain is usually due to heart arteries
becoming so narrowed by atherosclerosis that the heart muscle doesn't get
enough blood (oxygen).

Usually, this requires a stent or bypass surgery to alleviate the pain and
reduce the chance of a major heart attack. But sometimes doctors decide that
drugs and lifestyle changes are a better treatment. You need to find out the
reason your father is not receiving stents or surgery. He may not need them
or he may not be able to benefit from them or he may not be able to
withstand them.

In any case, options should always include major, carefully arrived at
lifestyle changes.
--
Jim Chinnis   Warrenton, Virginia, USA
 
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