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Medical Forum / General / Cardiology / November 20064 stents and 1.5 years later
I figured it's time to check in since it's almost a year and a half since I had my four Cypher stents implanted. The good news: So far I'm down 66 pounds and and down to 12.5 MG of toporol Xl (down from 100MG's) and off Altace. Resting heart rate: 40 bpm (used to be 65) BP: 90/40 (used to be 140/100). Heart rate recovery rate after a 2.5 minute running interval goes feom 157BPM to 97 BPM in 2 minutes. Now for the two questions that are on my mind. Since it's been a year and a half since my stents were implanted am I some what out of the woods when it comes to the stents blocking up or closing? At this point has the artery grown around the stent and covered it? I've had absolutly no angina or chest discomfort since I had the stents implanted and at this point I may be coming off the Toporol upon my next visit. Thanks to all.... Javier > Now for the two questions that are on my mind. Since it's been a year > and a half since my stents were implanted am I some what out of the > woods when it comes to the stents blocking up or closing? This is the reason for the controversy about drug eluting stents. Some data seems to suggest that there is a 1-2% chance of in stent thrombosis on a yearly basis for DES no matter how far they looked out (3-5 years in some studies). To minimize that risk you would need to stay on plavix or something similar for indeterminate amounts of time, but this has its own risks. So unfortunately no clear answer exists. Roland So I guess just keep an eye out for angina? > > Now for the two questions that are on my mind. Since it's been a year > > and a half since my stents were implanted am I some what out of the [quoted text clipped - 8 lines] > > Roland Wise to lose any visceral adipose tissue (VAT) you have remaining and be vigilent about keeping the VAT away: http://HeartMDPhD.com/HolySpirt/overweight.asp May GOD continue to heal our hearts with HIS living water, dear neighbor Javier whom I love unconditionally. Prayerfully in Christ's amazing love, Andrew <>< -- Andrew B. Chung Cardiologist, Atlanta, Georgia, USA http://HeartMDPhD.com/HolySpirit As for knowing who are the very elect, these you will know by the unconditional love they have for everyone including their enemies (Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17). http://HeartMDPhD.com/Love > So I guess just keep an eye out for angina? > > [quoted text clipped - 10 lines] > > > > Roland > So I guess just keep an eye out for angina? Actually you might not be so lucky. The problem with DES appears to be that there is poor endotheliaziation for very long periods of time (less than 50% after 40 months vs >90% for bare metal in animal models) and the polymer itself might provoke a hypersensitivity type immune response. So in general they provoke an acute response like in an MI not a chronic response like in angina. This is what makes them scary- with a bare metal and restenosis you would have angina symptoms which gives you time to see if some intervention can be applied. For DES in stent thrombosis you have no such luck. Roland Il Mon, 27 Nov 2006 21:07:28 -0600, Joe Doe <None@mail.utexas.edu> ha scritto: >This is the reason for the controversy about drug eluting stents. Some >data seems to suggest that there is a 1-2% chance of in stent thrombosis >on a yearly basis for DES no matter how far they looked out (3-5 years >in some studies). To minimize that risk you would need to stay on >plavix or something similar for indeterminate amounts of time, but this >has its own risks. So unfortunately no clear answer exists. would staying on Aspirin be as effective as staying on Plavix, as far as stent thrombosis chance is concerned? Regards --- Uplbet > Il Mon, 27 Nov 2006 21:07:28 -0600, Joe Doe <None@mail.utexas.edu> ha > scritto: [quoted text clipped - 12 lines] > --- > Uplbet I posted this in 2004. Note does not address stent thrombosis. You and you Doc's please. Bill a paranoid .................... William Wagner - 21 Jul 2004 14:53 GMT > >> http://nytimes.com/2004/07/20/health/20aspi.html?8hpib This was the URL that inspired the Thread. The Stain article is a good read too. Seems there is a new disease that requires treatment called aspirin resistance. Some 40% of the US population don't benefit from taking aspirin. 40% of an estimated 20 million folks currently taking aspirin. What to do? Plavix to the rescue. I was wondering why a was beginning to see plavix commercials . Is not modern science wonderful. Aspirin cost about $10 a year and Plavix cost about $3 a day Any bet as to aspirin resistance will becomes a household term? William(Bill)  SignatureS Jersey USA Zone 5 Shade http://www.ocutech.com/ High tech Vison aid This article is posted under fair use rules in accordance with Title 17 U.S.C. Section 107, and is strictly for the educational and informative purposes. This material is distributed without profit. > Il Mon, 27 Nov 2006 21:07:28 -0600, Joe Doe <None@mail.utexas.edu> ha > scritto: [quoted text clipped - 8 lines] > would staying on Aspirin be as effective as staying on Plavix, as far > as stent thrombosis chance is concerned? In your particular case, the continued warfarin anticoagulation should allow the Plavix to be discontinued at some point as long as aspirin is continued. Otherwise without warfarin, it would have likely been **both** aspirin and Plavix continued indefinitely. May GOD continue to help us with our needs, dear neighbor whom I love unconditionally. Prayerfully in Christ's amazing love, Andrew <>< -- Andrew B. Chung Cardiologist, Atlanta, Georgia, USA http://HeartMDPhD.com/HolySpirit As for knowing who are the very elect, these you will know by the unconditional love they have for everyone including their enemies (Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17). http://HeartMDPhD.com/Love Il 28 Nov 2006 14:53:25 -0800, "Andrew B. Chung, MD/PhD" <love5@thetruth.com> ha scritto: >In your particular case, the continued warfarin anticoagulation should >allow the Plavix to be discontinued at some point as long as aspirin is >continued. Otherwise without warfarin, it would have likely been >**both** aspirin and Plavix continued indefinitely. my EP could have me quit warfarin on my next visit (with PM control)scheduled before XMas, based on confirmed zero high-frequency episodes since last june (after ablation one year ago): in that case, do you think I'd better resume Plavix? Regards --- Uplbet > Andrew wrote: > [quoted text clipped - 7 lines] > episodes since last june (after ablation one year ago): in that case, > do you think I'd better resume Plavix? That would be wise. May GOD continue to help us with our needs, dear neighbor whom I love unconditionally. Prayerfully in Christ's amazing love, Andrew <>< -- Andrew B. Chung Cardiologist, Atlanta, Georgia, USA http://HeartMDPhD.com/HolySpirit As for knowing who are the very elect, these you will know by the unconditional love they have for everyone including their enemies (Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17). http://HeartMDPhD.com/Love |
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