Urgent advise needed

[bewise370]

Patient is 45 years old,was very fit and healthy,apart from raised blood pressure.Last week he had chest pains,was admitted to hospital,and he was operated upon immediately.
ECG Confirmed STEM 1 .
The coronary angiogram showed 100% occlusion mid LAD,80% occlusion 1st diagonal.80% occlusion,2nd obtuse marginal,60%occlusion PDA.
He underwent stenting to the LAD with 2 drug eluting stents.The results to the LAD were good,but resulted in jailing of D2
[THOUGH HAS TIMI 3flow,vessel diseased ostially and severely distally.D3remains jailed and subtotally occluded with TIMI 2 flow.
During the procedure the patient suffered two VF arrests,but was successfully cardioverted to sinus rythm immediately on both occassions.
POST ANGIOPLASTY-the patient received a repro infusion.He has made a very good progress and is ready for discharge,An outpatient Echo has been booked and an outpatient anioram in one months time.
other diagnosis,HYPERTENSION
HIGH CHOLESTEROL LEVEL
TYPE 2 DIABETES[NOT ON TABLETS-DIET CONTROLLED]
PLEASE GIVE A LONG TERM PROGNOSIS.

[swaraj29]

I think the words eluting, jailed,cardioverted, anioram and repro  should read as coated, jammed,converted, heparin and angiogram respectively.

[swaraj29]

Weight control is key to reduction in BP.Synthesis of  adequate collagen from vitamin C and the protein L-lysine is critical for healthy blood vessels and for reducing BP and risk of another heart attack.High protein , low carb diet and small portions are advised.

[swaraj29]

I am not a doctor.But as far as I know , the prognosis is good if he follows the nutritional regimen given below.EF(ejection fraction) is critical.You can check it from 2D echo.Next 4 weeks is a crucial period where a lot of healing can take place.Doctor can only restore blood supply to the heart(reperfusion) through stenting.He cannot heal.Vitamin C and the protein L-Lysine and other nutrients will play a key role.No physical strain for the next 4 weeks.He can move around in the house.
The following advice is addressed to the patient:
You should eat high fibre diet i.e., whole grains,fruits and vegetables with adequate good quality protein and omega 3 oils.Vanaspati , margarine,  bakery foods,processed/packaged foods, maida, white rice should be avoided.Sugar should be minimized.If you are diabetic, eat only water melon and papaya.Avoid root vegetables.Eat foods rich in potassium.Use low sodium salt in small quantity.Avoid normal salt.
Doctors do not give anything that boosts the strength and immunity of a patient.They are dead against nutrition.Please try the following:
1.Amway protein powder and or egg whites
2.Amway Salmon omega fish oil capsules 4 daily
3.Bio E capsules 4 daily
4.Vitamin C 2000 mg daily
5.Niacin NF 2 tablets daily
6.Carnitor(Levocarnitine) tablets
7.Co enzyme Q10(CoQ or Ecozyme) 90 mg daily
6.Cobadex 1 capsule daily
7.Homoeopathic tonic Crataegus mother tincture 3 times daily
These may help you to withstand the disease, angioplasty and the large number of medicines
Statin drugs given  for cholesterol reduction  reduce synthesis of Co Q10 and lead to wekness of heart muscle.Aspirin can cause bleeding in GI tract.Deficiency of vitamin C results in high cholesterol.Vitamin C and niacin help in reducing cholesterol safely.Vitamin E and omega 3 are anti coagulants.Do not use refined oils, specially sunflower or safflower.Refined sunflower or safflower oils contain neither vitamin E or omega 3.Hence, they are dangerous unless you take lots of vitamin E and omega 3.Unrefined oils like mustard oil (kachi ghani Dhara brand)or extra virgin olive oil  or even groundnut oil or gingelly oil can be used without heating. No oil should be used for cooking.Flaxseed meal is also good.Fenugreek,blackgram, fish , walnuts and even almonds(10 per day as a mid meal snack) are good. Fresh chutneys made from peanuts, sesame seeds or coconut can be used You may use a little butter or ghee for cooking. pl visit www.paulingtherapy.com and www.vitamincfoundation.org