Aa
CABG
"After six years I have second heart attack.IWMI.Angiography shows all three major vessle blocks to the extent of 90% at near end and 70% block at far end.Physical capacity of body is normal. No pain even during exercise. May be due to colateral circulation. Advised CABG. Fearing problems after surgery not feeling to do that.Please advise."
I am sweemer. In case of me I feel there are chances that my vulnerable plaque may get dislodged due to going under water and suddenly coming up. The sudden blood pressure variations may be the cause. I got my chaste pain during sweeming only.
My normal blood pressure is 140/90. I would like to know how far my blood pressure will increase when I am under 6 feet of water. My doctor was not in a position to tell me. Should I continue sweeming ? I have now all normal activities except sweeming. Or it will again dislodge vulnerable plaque. It may be very interesting to all. Thank you for sharing your information. That will enable me to take my decesions.
My normal blood pressure is 140/90. I would like to know how far my blood pressure will increase when I am under 6 feet of water. My doctor was not in a position to tell me. Should I continue sweeming ? I have now all normal activities except sweeming. Or it will again dislodge vulnerable plaque. It may be very interesting to all. Thank you for sharing your information. That will enable me to take my decesions.
QUOTE: "As I now I understand I have vulnarable plaque. The solution for that lies in stabilising plaque and not by-pass surgery".
>>>>As you know vulnerable plaque is the soft plaque the resides within the vessel linings. It is this condition that has the highest probability of rupturing and causing a heart attack. I had a test that scored my calcium and soft plaque several months ago. You are correct, treatment is to prevent any further progression and some people believe the condition can be reversed. You don't need a bypass.
Thanks for sharing. Take care.
>>>>As you know vulnerable plaque is the soft plaque the resides within the vessel linings. It is this condition that has the highest probability of rupturing and causing a heart attack. I had a test that scored my calcium and soft plaque several months ago. You are correct, treatment is to prevent any further progression and some people believe the condition can be reversed. You don't need a bypass.
Thanks for sharing. Take care.
Just to add. Search until you find the option you are happy with. It took me two years but knowing the disease and blockage is now gone from my left artery, I feel much happier. Ask your cardiologist to refer your case to a research hospital.
There are risks associated with any surgery and I can understand your fears because I had a triple bypass three years ago. I, and millions of others, had no complications from the surgery at all. You are correct to say that bypass will not stabilise the plaque, BUT it WILL get a good blood flow to the areas of the heart which have an insufficient supply. The only way to somewhat stabilise the plaque would be to find a cardiologist who can perform angioplasty on your vessels.
I can understand your way of thinking, I was very much the same and still am. I was not happy with a bypass, leaving the plaque in place, where it could continue to grow and probably cause more problems in the future. I wanted my vessels cleaned.
My bypass failed after just three months, because my Left artery was coated all the way down with quite a thick layer of plaque, and had a huge total blockage at the top. My case was given to a teaching/research hospital which has the best cardiologists, the professors and one cardiologist took on my case. He managed to use angioplasty and remove all the total blockage, then he used rotablation and laser to remove the plaque down three quarters of the left vessel. This leaves the lining quite rough and it took 5 of the longests stents to cover it. Now nearly all the vessel is plaque free. However, I am still getting angina because there are two tiny blockages right at the bottom so I need to ask his opinion on those. A year later though, the 5 stents are still fully open and working great.
It has to be realised also that not everybody seems to accept stents as well as others. Some people seem to form new disease very quickly around stents and form new blockages, much more quickly than would normally happen. Although research is continuing, it isn't really understood why this happens with some people. Stents also give some people discomfort and the reason for this again is not really conclusive. I had a stent in my circumflex artery nearly 4 years ago, which is still open and disease free. This told my cardiologist I am one of the lucky ones who seems to accept stents with no problems and gave him the boost needed to clean my left artery. If it had diseased again, he said he probably wouldn't have attempted it.
I can understand your way of thinking, I was very much the same and still am. I was not happy with a bypass, leaving the plaque in place, where it could continue to grow and probably cause more problems in the future. I wanted my vessels cleaned.
My bypass failed after just three months, because my Left artery was coated all the way down with quite a thick layer of plaque, and had a huge total blockage at the top. My case was given to a teaching/research hospital which has the best cardiologists, the professors and one cardiologist took on my case. He managed to use angioplasty and remove all the total blockage, then he used rotablation and laser to remove the plaque down three quarters of the left vessel. This leaves the lining quite rough and it took 5 of the longests stents to cover it. Now nearly all the vessel is plaque free. However, I am still getting angina because there are two tiny blockages right at the bottom so I need to ask his opinion on those. A year later though, the 5 stents are still fully open and working great.
It has to be realised also that not everybody seems to accept stents as well as others. Some people seem to form new disease very quickly around stents and form new blockages, much more quickly than would normally happen. Although research is continuing, it isn't really understood why this happens with some people. Stents also give some people discomfort and the reason for this again is not really conclusive. I had a stent in my circumflex artery nearly 4 years ago, which is still open and disease free. This told my cardiologist I am one of the lucky ones who seems to accept stents with no problems and gave him the boost needed to clean my left artery. If it had diseased again, he said he probably wouldn't have attempted it.
Yes. I had already askd the question.
As now I understand I have vulnarable plaque. The solution for that lies in stabilising plaque and not by-pass surgery.
Recently my two friends have experienced broken wires of cut chaste bone and they were operated again.Doctor is not giving any guarantee about operation without any problems. Then fearing some thing worst will happen why to go under knife.
As now I understand I have vulnarable plaque. The solution for that lies in stabilising plaque and not by-pass surgery.
Recently my two friends have experienced broken wires of cut chaste bone and they were operated again.Doctor is not giving any guarantee about operation without any problems. Then fearing some thing worst will happen why to go under knife.
didn't you already ask this question here?
http://www.medhelp.org/posts/Heart-Disease/coronary-arteries-blockage-Angiography/show/1329279
If test show you are not suffering Ischaemia, then you likely have sufficient flow. It has to be remembered that NOT all people get symptoms and some people don't even realise they have had a heart attack. Have you had a Stess echocardiogram and/or a Nuclear scan? What problems are you anticipating after surgery?
If tests reveal no Ischaemia, then it should be fine to avoid surgery, but you have to understand that the disease is likely to worsen.
http://www.medhelp.org/posts/Heart-Disease/coronary-arteries-blockage-Angiography/show/1329279
If test show you are not suffering Ischaemia, then you likely have sufficient flow. It has to be remembered that NOT all people get symptoms and some people don't even realise they have had a heart attack. Have you had a Stess echocardiogram and/or a Nuclear scan? What problems are you anticipating after surgery?
If tests reveal no Ischaemia, then it should be fine to avoid surgery, but you have to understand that the disease is likely to worsen.
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