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Please help acute AWMI

CAD, Acute AWMI (23.05.2010) DVD Primary stenting proximal LAD& Mid-LAD ,Severe LV dysfunction,Trivial MR ,USA, RCA 100% BLOCK (RETROGRADE FILLING). Medicine Morning DIGOXIN 1/2, CARCA 3.125MG ,AMIFRU HALF ,CLOPIVAS AP 75MG ,NITROCONTIN 2.6MG ,REVULENT 500MG ,PANTOCID 40MG     NIGHT   CARCA, CLOPIVAS AP, STORVAS 10MG, NITROCONTIN, REVULANT, PANTOCID, TRIKHA 0.25 MG , OLVANCE 20MG.  My last angiography done on 30.04.2011 Dr. says that stents are working good Ef is 35% but i have problem Shortness of breath, pain in chest ,jaws, hands when walking eating bathing. Dr. says this is pshcyo.Main problem is shortness of breath heavyness on chest .please heip.
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Avatar universal
I am not able to find info on some of the medication that you mention, however, are all of those set by the same single cardiologist??

Without been a dr., it calls my attention:

1) Nitro twice a day, I though that in that way you get used to it and later on will not have effect.
2) An PPI (Pantocid) and Clopidogrel (Clovipas). It has been discussions about the interactions between them.
3) I do not see any BetaBlocker, but it can be between the meds. that I do not find info about.

In the other hand,

1) It seems that you are suffering from Cardic Failure, this is what your medication is for, and short of breath is a typical symptom of it.
2) Some of the medications that you are taking (like storvas), might have as a side effect chest pain. However pain in hands and jaws are more typical of angina.

What I can advise you is:
For the short of breath: Suppress salt intake, discuss the possibility to increase diuretics (amifru)

For the pain: Discuss with dr.the possibility of further blockages,  even if the stent are OK. Discuss the possibility to increase nitro in the morning. Eat 5-7 SMALL meals per day to avoid large digestions. Avoid too hot or too cold baths. Review side effects of all medications.

Jesus
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Avatar universal
Thanks for your suggestions.Can i take 100 ml Whisky ?
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Avatar universal
As long as you are symptom free it will depend from your blood pressure, however as long as you have symptoms I would stay away of alcohol.

Jesus
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Avatar universal
Thanks for your comment.
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Avatar universal
Hi,
     Breathlessness, chest pain upon exertion and generalized weakness are symptoms of heart failure. As, your EF suggests you are on the lower borderline EF and have the risk factors which can deteriorate your condition. Firstly you should get evaluated for breathlessness. For this you should get a check of renal parameters, Assessment of amount fluid intake, dose correction of diuretics etc to reduce dyspnea, as well as improve functioning of the heart by relieving pressure on it. Smoking and alcohol should be avoided.
Also, to improve blood circulation for heart you should consider stenting for RCA. I would recommend that you discuss with your cardiologist regarding this and follow his advise. Best.
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Avatar universal
Thanks for your advise.My RCA blocked from long period.Dr. says stents implant not possibble in Rca.Dr. Says your life is safe.Bypass not done because only one arteries block. I take 100 ml. Whisky because its relief me.should can i stop ? My english poor.welcome further suggestions.
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Avatar universal
Now my Ef is 42 but no relief in pain and breathe.Vitamin D is 4.9 how can i raise.ldl 55 hdl 63 vldl 12 total 121.
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Avatar universal
To raise your vitamin D level, eat or drink dairy, and spend time in the sun.  In your case, you would be wise to eat or drink low or nonfat dairy, though.

Hope the best for you.
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Avatar universal
To increase your Vit D I would advise to take about 5000 IU of D3
daily for about 1 month. Then reduce to 2000 IU daily. Try to reach above 50.

Jesus
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Avatar universal
Thanks for your advices.
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Avatar universal
Doctor advise me tab. Cholecalciferol 60000 IU once a week.It is dose for me.
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Avatar universal
Now my ostial lcx 95%block Rca100% and lad already 2 stents.CABG good or stents for lcx.please tell me.
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Avatar universal
my double cabg done on 7.12.2013.but I do not feel good.Any advise for me after cabg.I am only 48.please give me suggestions.












































































































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