myocardial bridge over LAD

[emerald49]

Dear   Dr.   Seven  years  ago  I  was  diagnosised  with a  myocarcardial bridge  over  the lad.  In  April  2007   I  became  symptomatic,  had  a  major  heart  attack.  35%  of  the back  ventrucal  was  not  working  and  25%  of  the  front  almost  up  to  the  bridge  wasn't  workig  well.  In  June, during  a surgical  procedure,  I  had   another  heart  attack.  I  have  been  to  the  cardiologist  alot.  I  am  now  on  toprol  100mg  twice  daily,  40-80  mg  fluid pill every  3  days.  On  my  last  visit  to  the  Dr.,  I  was  told  to  get  my  affairs  in order,  explain  to  my  family  my  condition, enjoy  what  time I  have  left.  I'm only  49,  daughters  23,  and  19.  My  husband is in  total denial. Please help  to  explain  to  my  family  that  even though  Know ones  knows  my  experation  date, except  God,  that they  need  to  be  ready , but  know  ones  wants  to  talk  to  me  about  my  death.  Any  help  that  can  be  told  would  be  helpful.  Thank  you, Emerald 49

[Douglas Bogart, MD]

All of  this doesn't make sense as a myocardial bridge doesn't cause a heart attack and you must have had other blockage to cause this damage.  Your meds could be intensified and I might get another opinion before I did anything else.

[pet_Dr]

Dr Bogart,
My father (~72, overweight, controlled systemic hypertension, polycythemic) has been experiencing intermittent episodes of angina and mild syncope over the past few months and was finally referred to a cardiologist who immediately hospitalized him based on history as I understand it. The cardiologist did coronary angiography and diagnosed a "4-5 cm" 95% stenotic segment (fairly curved) of the right coronary artery that he was unsuccessful in treating with balloon angioplasty due to the small lumen. I understand that the EKG is "normal" between syncopal (or MI) events and an echocardiogram is pending. The cardiologist is recommending a "burr" angioplasty and stent placement or possible bypass surgery if the angioplasty is not successful.

My question: Considering this case, if heart function is acceptable and there are no other known imminent life threatening disease, would it be reasonable to opt for bypass surgery over the "burr" procedure. In your response, would you include the primary contraindications and complications of both procedures, and the expected time before retreatment (anther stent or bypass surgery) for both procedures.

[pet_Dr]

sorry for posting on comments instead of Dr questons