100% Occluded RCA post-Hodgkins - angioplasty or not?
I hope you can help. I am scheduled for angioplasty this Wed (July 11) and I don't know whether to proceed or not.
I am a 44yo female survivor of Hodgkin's lymphoma & received ABVD chemo and mantle radiation treatment back in the 1990s.
After an episode of flash pulmonary edema and mild heart failure in Feb 2012, testing showed that my RCA is 100% blocked (near the top) and that the blockage has been occuring for 10 years or so. My resting ejection fraction is 50-55 at rest and reached near-normal during my stress test. I have decent collaterals.
I also have mitral valve regurg & prolapse. Recently I've been having increasing, significant fatigue and stable angina during many (but not all) of my 30-min. walks - pain radiates to my R shoulder and arm and ceases when I stop exercising. My BP is low (80/60) and I have not been able to tolerate Coreg or Lisinopril. Other than my heart disease, low thyroid and new asthma diagnosis, I am very healthy. I meditate, eat well & exercise (medium walking) 30 min. 5 or so times per week.
I've been told that we are going to "try" to open the vessel and I am scheduled for angioplasty this Wednesday.
I am petite and I've been told that my blockage is in a very difficult area to get to. The blockage is also calcified. My interventional cardiologist has an excellent reputation in my region and the procedure will be done at a major metropolitan medical center.
But I don't feel I fully understand the risks OR the necessity of trying to open up the RCA in my case.
What's are the risk/potential benefits if I proceed with angioplasty? What happens to my heart function if we leave the RCA alone?
The ejection fraction is good and though the blockage is 100%, collaterals have developed. Since you have symptoms of unstable angina, it could mean the collaterals are inadequate. If left alone the blockage could lead to an infarction. But please discuss the various options with your doctor, before you consent for the surgery.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.