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Heart Disease (Expert Forum)
Building Collaterals
This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve Prolapse, Pacemaker, PAD, Stenosis, Stress Tests.
Building Collaterals
by Bill C, Aug 19, 1999 12:00AM
Scar tissue closed off bypass grafts 2 months after surgery in 1990 (my body grows a lot of it, as evidenced by scar tissue from an old hernia surgery). They wanted to do another bypass,
although admitted the same thing could happen again. I chose
medication, a very strict 10% fat diet, 1500 mg of niacin daily, and exercise. That combination served me well for 8 years before angina began to return during exercise (fast walk or swimming). I took EECP
treatments, and almost all angina is gone again.
QUESTION: My collaterals must be enlarged, or new ones
formed, with the 35 "Counter Puslation" treatments. Other than those treatments and exercise, is there anything else that will assist in continued growth of collaterals, such as diet, medication, or ?????
although admitted the same thing could happen again. I chose
medication, a very strict 10% fat diet, 1500 mg of niacin daily, and exercise. That combination served me well for 8 years before angina began to return during exercise (fast walk or swimming). I took EECP
treatments, and almost all angina is gone again.
QUESTION: My collaterals must be enlarged, or new ones
formed, with the 35 "Counter Puslation" treatments. Other than those treatments and exercise, is there anything else that will assist in continued growth of collaterals, such as diet, medication, or ?????
Doctor's Answer
by CCF CARDIO MD JMF, Aug 19, 1999 12:00AM
Dear Bill,
Other options include vitamin E 400 Iu and Vitamin C 500-1000 mg per day, folic acid and perhaps the addition of a statin if your LDL is above 90.
there is recent data to suggest that amlodipine may decrease angina via smooth muscle cell changes it induces.
We have protocols short of CABG for percutaneous myocardial revascularization with injections of myocardial growth factors that may suit you.
I hope this has been useful. I wish you the best of luck. Feel free to write back.
Information provided here is for general purposes only. Specific questions should be addressed to your own
doctor. If you would like to make an appointment at the Cleveland Clinic Heart Center, please call
1-800-CCF-CARE or inquire online by using the Heart Center website at www.ccf.org/heartcenter. You may specifically ask for Dr. Patrick Whitlow regarding PMR studies. The Heart
Center website contains a directory of the cardiology staff that can be used to select the physician best suited to
address your cardiac problem.
Other options include vitamin E 400 Iu and Vitamin C 500-1000 mg per day, folic acid and perhaps the addition of a statin if your LDL is above 90.
there is recent data to suggest that amlodipine may decrease angina via smooth muscle cell changes it induces.
We have protocols short of CABG for percutaneous myocardial revascularization with injections of myocardial growth factors that may suit you.
I hope this has been useful. I wish you the best of luck. Feel free to write back.
Information provided here is for general purposes only. Specific questions should be addressed to your own
doctor. If you would like to make an appointment at the Cleveland Clinic Heart Center, please call
1-800-CCF-CARE or inquire online by using the Heart Center website at www.ccf.org/heartcenter. You may specifically ask for Dr. Patrick Whitlow regarding PMR studies. The Heart
Center website contains a directory of the cardiology staff that can be used to select the physician best suited to
address your cardiac problem.
