Exercise, Sport, Physical Activity After Stent

Current Postings on This Page (166):

• Dia and Rizwan -- sometimes a feeling of weakness or fatigue can be caused by one of the medications typically given to heart patients. In any case, you should consult your interventional cardiologist about these feelings. And ECG will diagnose any abnormal electrical activity in the heart, but that's fairly limited.
Forum Editor, Angioplasty.Org, May 8, 2008

• Hi am 44 yrs. I got angioplasty done on18th March 2008 i am feeling better but i do have some choking in the throat & sometimes i feel tired walking also my left hand pains a dull pain. The left arm feels weak & sometimes it pains sometimes when i chant my prayers i feel tired i got my ECG done it was fine. do these symptoms go or how long do they stay?
Dia, Dubai, United Arab Emirates, May 7, 2008

• 10 months ago I got my angioplasty done, two stents were used. Since then I am working normally, taking normal diet but getting weaker and weaker day by day. What's the reason behind that ??
Rizwan Khan, Jeddah University, Karachi/-/Sindh/Pakistan, April 25, 2008

• Cardiolite stress testing (a.k.a. nuclear stress testing) is a functional test that shows any "perfusion deficit" -- lack of blood flow to the heart muscle. It's not 100% accurate, but few tests are. Increasingly some cardiologists feel that a multislice CT scan can more accurately diagnose the presence of coronary artery disease. Beyond that another angiogram, using intravascular ultrasound (IVUS) would be even more accurate, but these procedures all have some risk associated with them (CT has some radiation exposure, about the same or less than a Cardiolite test; an angiogram -- well you know, you've recently had one.) Ask your cardiologist and explain your concerns. Anxiety can affect your health. Piece of mind is a very important, and often overlooked, therapy.
Forum Editor, Angioplasty.Org, April 13, 2008

• Please help me. I am a 54 year old firefighter who has been doing semi intense cardio training for years. I was engaged in a strenuous drill at work when I felt be even in my neck and left shoulder. The discomfort went away but reappeared during my cycling and speed walking routines. Of course I attributed this discomfort in my left arm, shoulder and neck as some kind of neuro problem associated with the drill at work. However, the problem intensified in the arm two weeks later, I went for a cardiolite stress test, and they found 90% blockage of my LAD. The next day a Taxus Express 2 stent. Started "Mall Walking" with the wife 4 days later. Still felt some discomfort in left arm and redid the cardiolite -- showed normal so I began to resume more strenuous activity. My questions are: 1 - The cardiologist says its OK to work my way back to original fitness regiment, Rehab Nurse says normal exercise range is now 40 beats over walking into the clinic heart rate which is 85 plus 40 = 125. I used to keep average heart rate when taking spin classes at 142. What's the general consensus? I am currently on Plavix, Toprol XL, and aspirin, 2 - I feel a strange feeling in left forearm/hand - icy hot feeling when heart rate gets over 125. Is this normal? a) should I insist on a different test to insure the LAD is fully open over and beyond the cardiolite, maybe a CAT scan- before I return to full work duty?
Scott, Los Angeles, California, USA, April 7, 2008

• I had a stent put in 2 months ago and am keen to return to my previous exercise levels, including running marathons. However my GP has banned me from running until my blood pressure reduces from 150/90 - it was 140/80 before stenting. I can't understand why it has not decreased as I now take a 5mg of Lisinopril daily, now to be increased to 10mg. Do I need to try something different, such the non-drug methods advertised?
Hugh, United Kingdom, April 3, 2008

• I am 58 year old male. Had chest pain for 6 months. They could not find the problem. Finally last week they did a nuclear stress test. They found a blockage in artery. 2 days later i had stent put in. That was 6 days ago, Haven't had a cigarette in 6 days longest I have ever gone. I'm having night sweats though -- wake up soaked. but feel fine beside that Doc says i can walk and go back to lifting dumbbells.
Bud P., California, USA, March 19, 2008

• I had 2 stents put in in Oct 07. I participated in a cardiac rehab program and completed 30 sessions of the 36 prescribed with no problems exercising. I felt great. Suddenly before session 31 my heart rate was high at 120 after exercise warm up. I sat and it declined to 80, and proceeded to complete my exercises. My heart rate accelerated again on the tread mill and bike and I became winded and weak. I terminated the session. I am on toprol (25 milligrams). I called my cardiologist and she increased my toprol dosage to 50 milligrams and said no exercise for a week. Has anyone had similar sudden set back? What do you think is going on? 71 yr old male.
RJ, March 11, 2008

• Hi all. I need your advice. I am a 33 year old father of 2 young kids and a wife. I just had an Angiogram and they had to place a Stent "one" in one of my veins in the heart LAD. Can you please give me some advice on what you recommend I should do to improve my diet and what I should do and not do as far as food is concerned. I was very worried and was negative but can someone please advise when I can return to normal activity and so on please? I was lucky. Your advice will be appreciated. Thanking you.
Huss, Melbourne, Australia, March 10, 2008

• Tom, I think you need an angiogram... I'm no doc but those are classic blockage symptoms. At least see another doctor.
Dan, March 7, 2008

• An interesting article about a 64-year-old from California who, after 4 angioplasties, still felt tired, no energy, etc. His solution: lose weight, start becoming physicially active. He just completed his 7th "boot camp" session. We're not advocating this particular regimen, but just noting that it is possible, with a supervised program (preferably one connected to a heart program) to increase one's energy and well-being.
Forum Editor, Angioplasty.Org, March 1, 2008

• Hugh -- good for you. It's funny, but when rock stars like David Bowie and a number of government leaders, sports figures, etc. continue their strenuous activities after stenting, no one tells them to see a shrink.
Forum Editor, Angioplasty.Org, February 27, 2008

• Thanks. The only problem is my cardiologist is not an exercise fan and thinks marathoners should see a psychiatrist! However the hospital where I had the angioplasty has a 6/7 week cardiac rehab programme by the end of which I hope to be back to somewhere near normal activity levels. Meanwhile I am listening to advice from various quarters to take it steadily.
Hugh, United Kingdom, February 26, 2008

• Dear Tom D, Talk to your cardiologist again. I am not a cardiologist but am 55 yrs old, I am a physician, and now have 4 stents (2 in 12/06 and two in 01/08) with (knock on wood)no heart damage yet. From my experience you need to be cath'ed again. Now. Each time I had the symptoms you describe (three times) it was a fresh blockage. The stress test, in my opinion, is a pretty worthless test; especially in an athletic, otherwise healthy person. (personal experience disclaimer of objectivity: my 75 yr old mother and I each had negative stresses 6 months before my mother's MI and CABG and my cath and stents.) I am sorry, but from my dilettante point of view, the least you could even consider to get by to diagnose the cause of your symptoms would be a 64 slice cardiac CTA.
PA Doc, Pennsylvania, USA, February 26, 2008

• I am 35 year old male and had a stent put in Nov 19, 2007. After the stent I felt great and start to slowly get back to exercising; walking mostly. But recently, I started to get tightness and achiness in my left arm again and went back to my doctor for a stress test. He said everything looks good and normal but I still feel this achiness. He thinks it is a pinch nerve and suggested a MRI so I will go it. But is anyone else out there experiencing or experienced the same thing? I find myself short of breath when climbing stairs or heavy walking again. Not sure what to think but any suggestion or comments are welcomed.
Tom D, Mission Viejo, California, USA, February 21, 2008

• Hugh from UK -- and this applies to many of the posters to this topic -- advice to all is post-heart procedure, discuss your exercise regimen with your cardiologist. Every person's capacity is different. As for rotablation, that is used when a lesion (blockage) is highly calcified, something a balloon or stent doesn't fix so well. The other question is whether a stent is necessary, or could POBA (Plain Old Balloon Angioplasty) work as well? Discuss these option with your cardiologist, making sure he understands your lifestyle.
Forum Editor, Angioplasty.Org, February 20, 2008

• I am a keen 30mpw runner who has completed 72 marathons - target is 100. I recently had an angiogram after suffering from breathlessness and am due to have angioplasty on one partly blocked artery shortly. Would the blockage have affected my performance before I became aware of the symptoms and, if so, should I be able to run faster after the procedure than before I became breathless? I have several questions: After the angioplasty is carried out, should the artery be almost as good as new? Is there any benefit in having rotablation rather than/as well as a stent? Does having a stent make running etc. more risky? Should I ease back into training gradually afterwards or carry on from my current 30mpw? Is it ok to resume gym activities [that don't currently cause breathlessness] afterwards, including lifting weights?
Hugh, United Kingdom, February 8, 2008

• Elliott -- since you're from Iowa, we'll guess that you can't wait to get into shape for RAGBRI, eh? As we advise everyone, discuss exercise regimen with your cardiologist -- who knows your clinical situation best.
Forum Editor, Angioplasty.Org, February 8, 2008

• 51 year old male who cycles regularly and has for 5 years, a runner before that but stopped due to knee pain. Just had 95% blockage corrected with a stent, now taking aspirin, Plavix, etc. What kind of physical activity can I expect to be able to perform, should I still plan on being able to complete 100 mile rides once I get back in shape? How soon should I start workouts, the stent was implanted 7 days ago?
Elliott, Des Moines, Iowa, USA, February 6, 2008

• Greetings! I am 65 years old. Last March (2007) I had Taxis stent inserted into the L distal anterior descending artery which had 80% blockage. I have 90% lesion of the high first obtuse marginal at its take-off and being the ostial lesion it was not an ideal lesion for intervention. In addition, I have R coronary with 60% posterior lateral artery branch stenosis. I also had pacemaker installed several days after the stent was inserted due to bradycardia. I take Plavix and aspirin plus Toprol (beta blocker) for mild hypertension. I had been physically out of shape and weighted 265lbs. With diet (95% veggie) and exercise I now weigh 193lbs and hope to get to mid-180s soon. Total cholesterol=140, Triglicerides=60, LDL=82, and HDL=46. My cardiologist would like the LDL to come down below 70 to "freeze" -- even possibly reverse -- arteriosclerosis at the 90% blockage area. My LDL has been declining and the HDL increasing. The beta-blocker has been reduced from 100mg to 50mg as my BP has declined. I started walking immediately after I got home. I had a few aches and pains but they soon went away. I went from slow barely walking to shuffle-jogging for 10 seconds to the point where today I do about 30 minutes of interval running. After warm up I run (1 minute) to reach my maximum heart-rate and then do 2 minute cool-down to recover and then do the next interval. This type of exercise creates oxygen debt and leaves one breathing heavily after each interval. I try to use this period to expand my lungs. Over time I have been able to increase the max heart-rate target level (130 to 145 in about a year) as I have become more conditioned. I generally do about 10 intervals. I take care do not overdo it. I have absolutely no discomfort. However, my concern is that although the cardiologist said it is okay for me to run I am concerned about that 90% blockage area. I am aware that each person has his/her own unique situation, etc. but I can't help but wonder if, in general, it is prudent to do interval training exercise with such blockages (even though I am taking Plavix and aspirin) and if others exercise with similar blockages.
John K., Texas, USA, February 3, 2008

• I am 49 years old and have been jogging for 26 years 3-4 miles a day 5 days per week. On Oct. 29 I passed out after my daily 3 mile jog and had noticed in the last 3 months that my breathing became more labored at the 1 mile mark. I went to my doctor and he had me do a Echo Stress test which indicated that I may have blockages. I then had an angiogram which showed a major narrowing in my right artery, 2 smaller blockages in my left and a branch of my circumflex 100% blocked. The doctor did not stent me at that time but said I might be a candidate for bypass surgery. My doctors decided that one of their expert cardiologists could treat me with stents. On December 13th I had 6 Cypher drug eluting stents placed which treated all of my blockages. I currently am on Plavix, Altace, Lipitor, Niaspan, & aspirin. My doctor set up a exercise schedule as follows: 3 weeks walking 20 minutes at 3 mph. 2 weeks 30 minutes at 3 mph. 2 weeks 30 min. at 3.5 mph. 2 weeks 30 min. at 4 mph. 2 weeks 30 min. at 4.5 mph and then increased time to 45 minutes at 4.5-5 mph (jogging at this point). I am pleased to say that I am doing extremely well at the 3.5 level without any pain or shortness of breath. I would also want to point out to the other runners out there, that my only risk factor was borderline high cholesterol (235 TC, 178 LDL, 34 HDL) I did notice over the last 10 years that my HDL had dropped from 48 to a low of 34. My cholesterol now after several weeks on the above medications is 122 TC, 68 LDL, 37 HDL. I am hoping that the Niaspan gets my HDL back up to the high forties Has anyone here have had 6 or more stents and have continued jogging?
David B., Louisiana, USA, January 21, 2008

• Terry from the UK -- chelation therapy has never been proven to have any benefit, although there's currently a trial sponsored by the US NIH -- results still a year or more out. Same with Co-Q10, although some think that might be more helpful in other ways. We don't know of any down-sides to these therapies, other than the expense and the cases where patients use them INSTEAD of working with their cardiologist.
Forum Editor, Angioplasty.Org, January 19, 2008

• My father is 57 and has just had a stent put in after a slight heart attack caused by a blockage, he has been a bodybuilding since he was at school and only stopped about 6 months ago due to deteriorating health. He had real trouble eating and lost a lot of muscle, he's 5'8" and weighs 182lbs now, he weighs about 220 to 260lbs in normally and has never taken steroids. While in hospital he was also informed that he now has diabetes, probably from not being able to eat properly, however he is eating normally now. I have two questions, firstly, can you have chelation therapy after having a stent fitted? Secondly, my father is on statins which apparently rob Q10 from the heart, is he ok taking Q10 as a supplement?
Terry Turner, UK, December 29, 2007

• PA Doc -- your theory gives patient-observed credence to something we recently discussed with several top cardiologists. One of the hopes for newer devices, such as the bioabsorbable stents currently being researched by Abbott and Biotronik, is that a bioabsorbable stent will disappear in time, when it has done its work, and allow the artery to function and move freely. Although modern stents have made great advances, they still are metal "straight-jackets" in effect, so perhaps your theory is correct. Thanks!
Forum Editor, Angioplasty.Org, December 27, 2007

• I underwent two stents in 10 days with no known cardiac damage one year ago. Here are a couple of thoughts. First, even though I was actively exercising right up to stenting, I did think it prudent to slowly advance my exercise. After all, part of my heart had not had optimal blood flow for God knows how long. Secondly, I have noticed, when I start to exercise it is not uncommon for me to develop mild anginal aching. But unlike before my stents, this peaks fairly quickly and then goes no further. If I start out slower it seems to not occur as much. A friend who underwent stenting several years before me noted the same thing and mentioned it to me without my having brought up the subject. My theory: the stents fix the diameter of the artery. Therefore, unlike in a healthy artery where the artery is very distensible and adapts quickly to the increased blood flow, the stented artery has a more limited capability to adjust (quickly) to the increased needs by the myocardium for more blood. These are just my thoughts as a non-cardiologist physician. Anyone else have observations?
PA Doc, Pennsylvania, USA, December 26, 2007

• I had a stent in my right coronrary artery on 12-18-07. When can I start weightlifting and running again?
Alan, California, USA, December 25, 2007

• Nancy -- were you given a prescription for a rehab program? Recent studies have shown that less than 1/3 of heart patients are. Although it sounds like your fatigue may be related to the meds, given your history, your cardiologist is the best source of help. Perhaps he/she can adjust your medical therapy re: the fatigue, make sure your red cell count is sufficient, etc. especially for someone who is on three blood thinners (aspirin, Plavix, coumadin). And any exercise program should be done in conjunction with a cardiologist, or healthcare professional affiliated with a cardiology center. Too often the after-care of heart patients is not implemented fully. Good luck and please let us know how you fare.
Forum Editor, Angioplasty.Org, December 23, 2007

• 43 yr old woman, no menopause symptoms yet, healthy (5' 2" 130 lbs) been active w/ kids and exercise (walk/jog daily- with 6 kids ages 5 to 19). I had a spontaneous dissected artery in late August causing MI and 2 medicated stents placed in emergency procedure. 2 days later a spasm-ing artery would not open, causing ischemia, balloon angio attempted to open it did not work, so two more bare stents placed to hold the artery open. Nuclear stress test showed mild heart damage but good ejection fraction. Had no prior risk factors-cholesterol good etc.(Except similar but milder angina/spasm like symptoms 8 yrs ago resolved without treatment). Taking plavix, coumadin, norvasc, aspirin. Cannot get my coumadin regulated blood remains too thick. I wonder what risk I take with strenuous exercise. Strenuous activity (moving furniture-carrying 7 yr old son upstairs in play) preceded the MI by a day . Also an emotional upset immediately preceded it. Have resumed exercise but still wonder can I exercise safely? Do I have to remain on meds forever (side effects like 12 day long period and much bruising-yet blood still thick at protime). Fatigue causing me to fall asleep during day if I sit down, or driving making me too sleepy (caused by meds?) Otherwise no angina/spasm symptoms, just fluttering/skipped beats persist on certain days, but entirely absent on other days.
Nancy, California, USA, December 18, 2007

• Neeru -- read through some of the posts here and you'll see that exercise and physicial activity after angioplasty is very important. Your father should consult with his cardiologist as to what the proper level of exercise, yoga, etc. is safe. Usually start slowly and build up to it.
Forum Editor, Angioplasty.Org, December 14, 2007

• My father got two stents in his arteries 3 months ago. He is 47 years old, as his two arteries were blocked 99% and third was 20% blocked, so now can he do any yoga or exercise, because he has been so weak there before, and feels weakness in his body and in his mind, after talking and walking for sometime. Please help me by replying.
Neeru, Haryana, India, December 12, 2007

• P.M. in New York -- congratulations on identifying and taking care of the symptoms -- your blockage is now open, treated prophylactically, and without any damage to your heart muscle -- a scenario that really has only been possible since the invention of angioplasty. If you look at the recent "Nike-like" TV commercial put out by Cordis, maker of the CYPHER stent, you should be able to do all sorts of physical activity. But we urge you to ask this question of your cardiologist -- ideally the one who did the procedure. Each individual has his/her own clinical profile, and getting back to an active life is the whole idea (after all, David Bowie rocks out on stage with a stent in his heart...) -- but you should be guided by your physician, so it's done in a manner best suited to your physical status.

Same advice to Professor Das in India as to whether brisk walking is advised. We assume, by the way, that you have stopped smoking altogether -- smoking is one of the biggest risk factors for coronary artery disease. As for Ecosprin, which is a brand of enteric-coated aspirin made in India, clopidogrel and aspirin both are antiplatelet, or anti-clotting, drugs -- but they work differently and are used together as standard therapy prescribed after stenting, also used in together in other cases as well. However, these types of drugs can also result in increased risk of bleeding, so these issues should be discussed with your doctor.
Forum Editor, Angioplasty.Org, December 6, 2007

• I am 66 and have had a sedentary life for about last 20 years. I was smoking about a packet of 10 cigarettes till 2000 March. Of course again smoked 5 cigarettes in September 2007 in 5-6 days. I don't take alcohol. In 2003 without any symptoms I went for a package for normal check up in a local hospital. They found my TMT positive for inducible ischemia. Again I had a similar checkup up in November 2007 and was positive for inducible ischemia in TMT and was advised for angiography. On doctor's advice I am taking ecosprin 150 mg, Atorvastatin 10 mg (i have serum Cholesterol 226.3 mg/dl, S.triglyceride 98.8mg/dl,HDL 54.5mg/dl,and LDL 135.8 mg/dl and VLDL 19.7mg/dl.Eco-cardiography showed No RWMA, Good LV Systolic function, but Diastolic dysfunction. I am also taking Nitroglycerine 2.6 tab and metoprol25 as a preventive measure. Another doctor is advising to take Clopidogrel in stead of Ecosprin. I am also advised not to go in for brisk walking which I started after the last test. Can I be advised by you Sir? I feel fortunate to have a forum like this to discuss my problem. Thank you.
Prof.Narendra Prasad Das, M.Sc,; Ph.D. (Zoology), Retired, India, Thursday, December 6, 2007

• Just got out of the hospital last week! i am a 42 yr old male ex collegiate tennis player and have a very stressful banking position. Was wondering also what to expect moving forward. i had a stent put in for a 99% blocked left artery. Couldn't believe it at first and was shocked. Symptoms showed likely a week before when i was playing tennis and for the first time ever experienced shortness of breath which went away after sitting down. Cut a long story short I went to the hospital 6 days later and the received the PTCA and stent. My cholesterol was 255 and too high. Your posts have been very inspirational and I'm going to make this best of this second chance. Would like to know when i can expect to get back to exercising fully?
P.M., New York, USA, December 5, 2007

• The answer to this will vary from one individual to the next since it depends on so many variables. It will also depend on the person's doctor or cardiologist since some may be conservative while others may be aggressive.
Raul, Philippines, November 4, 2007

• can a person suffering with angina and with stents contnue his work normally?
jk, marketing, jalandhar/punjab/india, November 2, 2007

• I had a stent May 18, 2002, than another October 17, 2007. I am curious what level of exercise might be prudent. In the 8 days since I was released, I have run 40 miles including a half marathon where I ran my best time of the last 11 months. Is this normal, excessive, dangerous?
Ed T., Texas, USA, November 1, 2007

• Sir, I had an angioplasty done in October, 2007, Two stents have been placed in my arteries which had a blockage of about 70%. I am not diabetes patient and i have not high bp problem and my cholesterol is normal after attack could you please tell me what kind of precautions should i take and what kind of fitness exercise should i do?
Shadab Ahmad, Banaras Beads , Varanasi (India), November 1, 2007

• Hello This program is very usefull and interesting,thanks for you. My age is 64 years, every year i make check up for my whole body.From about 2 months, I check up my heart & the doctor tell me that it is safety for me to put 2 stent, since Iam feeling till now very good.(I have 70% and 90% closing).I did it, and he gave me plavix+baby aspirin(80) + fish oil +crestor. Till today i feel nothing changes in my body(I forgett to tell,I stopp smoking),I ride every day my bike for 2 hours. is their any thing else to do.& how can i check my stent if they are working good or not, is their a way for that. thanks thanks & thanks
Kamal D., Lebanon, October 31, 2007

• Hi Colin I too am from UK and have had 2 stents fitted at different occasions. I must admit that I have never received any info regarding exercise progs at all and I have asked. So i just do what i can until i feel any tightness in the chest, but have had another stress test which I have failed so it looks like back to the hosp for another angio.
Tel, UK, October 15, 2007

• I am aged 65, having had heart failure in April this year. I was rushed to Western General in Edinburgh, where they put a balloon in the main artery to keep it open. From there I was rushed to the Royal Infirmary Edinburgh (RIE), as they could`nt do anything for me due to the heart being in the condition it was. They could`nt give me a bypass, as during my stay in the Western I must have had a heart which left me with a small part of my heart having died, and the heart beating for six hours at 120 per min. They thought I was`nt going to make it, that was until Dr Neil Uren decided he was going to try and put stents in, and that his odds were better than 1 in 5 chance, of which I was given, if they had decided to go ahead with the triple bypass. Of course I decided to go ahead with it, putting two stents in the main artery, of which 99% was shut, and two in another artery that was 90% shut, and a further one in another artery that was 65% shut. I will never be able to thank him enough, for what he did for me, this man is utterly amazing. I know it is there job, but he has a certain something that I have never seen in other doctors. Just last month I had to go for a check up to the RIE, and was told by Dr Urens colleague that I did`nt need further treatment, but if at any time had further symptoms to consult my own doctor. Since having had the stents put in, I have always had a slight ache/tightness in the chest, when I go walking up hills, its like having a restrictor fitted I imagine, reaching your limit. Somedays there is nothing though, and other days its worse, ache I mean. Can you advise what this could be, should I get this checked out, or do you think that its probably due to the heart not being 100%, i.e. some of the cells being dead.
Alexander Gow, Retired (RAF), Glenrothes Fife, Scotland, October 12, 2007

• Has anyone experienced stiffness in the right knee, as when one has way over-exercised it? Just a three days ago I received a stent without a problem (actually, a hematoma at incision site the next day-but was quickly under control); I was up and walking around by late evening, and walking comfortably with my wife the next day (no stairs yet). Was discharged and returned home yesterday, walked a bit, but woke up in the middle of the night and found a painfully stiff (but not swollen) knee. Your thoughts or is it the obvious over-exertion? Thanks.
Dan M., Virginia, USA, October 11, 2007

• Sir, I had a angioplasty done in September, 2004, Two stents have been placed in my arteries which had a blockage of about 80%. could you please tell me what kind of precautions should i take and what kind of fitness exercise should i do?
Manish, RBS, India, October 6, 2007

• Hi all... I suffered an MI in August 07. Was recovering well but had another after 5 weeks and 6 days. Just before I was due to go back to work! This time I was sent for angioplasty and had 2 stents in Right Coronary Artery 6 days later. The next morning I went for a 10 min stroll around the lake in the hospital grounds. I'm home now and planning on taking things easy for a couple of days but i've not had any specific advise on what level of exercise to try and attain. I think I'll just have to go with how I feel and not overdo things - and try to be honest with myself about how I feel so I DONT push myself too hard. I suppose it's trial and error. Good luck to everyone though - nice to read the helpful and encouraging comments!
Colin, Felixstowe, UK, October 3, 2007

• I have been a cyclist all my life started racing at 16 and continued till I was 30, then just social riding as I had a hectic and active job until I retired at 61. Health check at that time said I was fit as a flea. 2004 I started club riding again as much as anything to get rid of unwanted weight then found that I was close to being type 2 diabetic. Exercise and loss of weight got it under control. 2005 I started racing and was turning in some reasonable TT times. April this year I found that I was having breathing difficulties when racing and although I was fitter and stronger, due to the shortness of breath I was going slower in the shorter distances and lacked speed. In May my Dr. diagnosed, exercise induced asthma and prescribed 2 types of inhaler, they helped a bit but left me with a very sore throat that did not help my breathing. I found that I had loads of stamina, 90k hilly TT in just 3 hours. Short distances just blew me away, it was like racing into the wind and uphill all of the time. In August another Dr, said the problem was my heart that was causing the breathing problems. A subsequent Echo.test has revealed that I have a calcium build up in my aortic artery that is preventing increase of blood when racing hard. At the moment my Dr. has not prescribed any medication but has booked me in for a stress test and told me to keep cycling, but not exert my self for now. Yes I want to continue to ride my bike and continue to race, obviously my Dr. cannot make a final recommendation for the future until after the stress test but has anyone got any ideas on how things are going so far. I am very interested and inspired by all the comments that I have read.
J.W., Alberta, Canada, September 18, 2007

• Hi - I am a 45 year old woman who has been very fit in the past, a cycler and jogger and all kinds of activities - and into nutrition; juicing, vitamins, etc. but for the last 6-7 years have slowly been slipping due to job demands and so on - to the tune of 40 extra pounds and no regular exercise routine anymore. I experienced a rather sudden onset of chest and arm achiness and fatigue when doing something physical like climbing stairs or hurrying around, and tried to ignore it for about a week, but then my husband convinced me to call the doctor. I was diagnosed with diabetes II (high BS) on 8/1/07 and my triglycerides were way out of whack, and first thought was perhaps the diabetes was the source of my discomfort, but he decided to send me in for a stress test "just in case" and later that day was given an angiogram and they found a 99% blockage of my LAD! This was just a week ago on 8/3/07. I got a Taxus Express2 stent before I knew what hit me. Doing GREAT so far and am so full of energy now and feeling so good that it is really hard to "take it slow". Apparently I had been feeling run down for a while and didn't realize it. Also my blood sugars were causing some symptoms, and in this week I have them in better control too. I asked when I could start walking on my third day home, and was told that by the weekend I could, so starting this last Saturday I have been walking about 1/2 mile (and resisting the urge to run!). My legs are feeling it a bit from being out of shape, but I have no other pain and I feel like my lungs could fill till they burst...I feel so good out there. I can't believe the difference. I know I need to take it easy for my leg incision so I will of course. My cardiologist is starting me in Cardiac Rehab probably in another week, which I hear is quite vigorous. I am really looking forward to that. If it weren't for all the unknowns about these stents and the new thing concerning the collateral artery growth, I would be quite ecstatic right now. But the alternative of possibly not being here at all today makes it worth the experiment for me. I am going to take this second chance as far as I can. No more slipping for me. I plan to read more of these discussions and will keep visiting this site. This is great to read what others have experienced, as I am completely new to anything "cardiac". Thanks!
Connie, Illinois, USA, August 13, 2007

• Could you please advise me, I am 50 years old man, who passed a massive heart attack on 2nd June 2007. I was shifted to the ICCU of the Hospital, and was advised to do Angiography. On 15th June Angiography had been done, and Angioplasty with 1 medicated Stent and was shifted for a day in the ICCU. I am at home now and would like to be advised about my diet, exercise, medicine and the period of rest.
Mehernosh Fitter, Businessman, Bombay/ India., June 25, 2007

• Hi, all. I'm a 58 year old woman, moderately active, who had a heart attack 1-1/2 years ago, one stent placed in my LAD. Question: we are planning a trip to the Colorado Rockies this summer and I wonder if I will encounter any difficulty with the altitude? Will the reduced oxygen cause any problems? My cardio doc said he'll do a thallium stress test before I go, but I'd still like YOUR opinions and/or experiences! Thanks!
PW, Illinois, USA, March 29, 2007

• I had a heart attack sitting at my desk on Nov. 7 2006. I was a reasonably health 43 year old male weighing 184 lbs at the time with a TC of 192. No family history. On the day of the attack I got to the hospital in 45 minutes from the start of symptoms and did little or no damage to the heart. Symptoms were a burning in the center of my chest (like a real bad heart burn) followed by arm numbness and nausea. My BP was wacky at 140/94 (normal had been about 122/69). The blockage was 70-80% and 2 Cypher Stents were used in an overlapping fashion to keep the artery open and repair a lesion. (as I understand it post FDA Panel, this is an off-label use of the Stent. My Interventional Cardiologist group does not think too much of the recent concerns of DES s and called the FDA Panel finding hogwash ). I had been leading a pretty sedentary life-style the previous 2 years due to career and schedule changes. Prior to that time I was a 2-3 time a week surfer and mountain biker.

I received no offer of cardiac rehab and got about 30 minutes with a cardiac therapist before I left the hospital Nov 10. During this 30 minute session, I was instructed to start walking for 5 minute walks very slowly 3-5 times a day. This was to start when I got home from the hospital. These walks were to increase both in duration and speed daily as long as I was not feeling any discomfort. About 2 weeks after the heart attack the wife and I were walking 30 minutes 2-4 times per week. This continued with both duration and intensity increase up until the middle of February 07. At that time I thought I would try to set out on my bike for a trail ride. I lasted about 5 minutes. I started off too hard and my HR jump up too fast. It hit about 145 bpm (max is 179) and I felt really bad and thought I was going to die. Bottom line, I went to hard to fast no warm up.

At that point I decided to invest in a Heart Rate Monitor. This has helped tremendously. I now do warm ups and cool downs and try to train in a range somewhere between 65-85% of max for 45 minutes a day 4-6 times a week. I set out on the bike the next week after purchasing HRM and was able to ride the same trail for 45 minutes. Have been training with the HRM now for 4 weeks. I called my cardiologists about limits and max Heart Rates, and was told there was no limitations on HR except what was uncomfortable to me. Now 4 weeks into the use of a HRM I started running tonight. After a warm up, I did 2 minutes of running and 2 minutes of cool down for 4 sets for a total of 45 minutes. My BPM got up to 165 at the end of each 2 minute run (90+% of max), but I recovered while walking to 122 in about 2.5 minutes each time.

My only concern is Ken's comments below [July 16, 2006] about the theory that increased turbulence (and increased shear forces at the artery wall) causing possible restenosis and delayed cell growth (see post dated July 16, 2006 below). I am concerned that now nearly 5 months out from the stenting I may be going a little too hard. But no real chest pain in these workouts. Comments?
Mike, Florida, USA, March 27, 2007

• I am a 48 year old long-time regular runner and I work out regularly with dumbells and an exercise machine. In mid-December 2006 I began to experience chest pains when I would reach a certain level of exertion on the treadmill. I tried to run through it as much as I could as with my level of fitness I refused to believe that I had any cardiac problems, especially since I only experienced the pains while on the treadmill. As soon as I would slow down or stop the pains subsided. I continued this way for two weeks and after realizing that the condition was getting no better, I finally decided I had better get it checked. I was shocked to find out that I had a 95% blockage in one of my main arteries! This despite having none of the standard risk factors. An angioplasty was scheduled for February 1st and two stents were inserted.

The reason I am posting this entry is to help others who were asking the question that I was desperately trying to get an answer for leading up to the angioplasty. Will I be able to continue my regular fitness routine after the procedure and will I be able to return to my previous levels of fitness? I received all kinds of different answers with different tones and I did not know if and how long it would be until I would be able to resume running and lifting, and if I could ever get back to my previous levels of fitness.

I am pleased to report today (March 25th 2007) a resounding YES! I began running on the treadmill one week after the angioplasty and lifting after two weeks. I am now able to run for an hour at a time comparable to where I was before, and I actually am feeling that my body is getting in better shape from lifting than it was before. I don't know if everyone can expect similar results and I do feel fortunate, but I hope my story helps to relieve some of the trepidation that others with the same concerns might be feeling.
Tom D., Ontario, CANADA, March 25, 2007

• Nizami -- glad to hear you're feeling well. Exercise is a very important activity -- keeping the body active has all kinds of good effects. Also, of course, a good diet, no smoking(!!!) and staying on your prescribed meds. The proper level of activity (and diet) is something your doctor should be able to help you with, or send you to someone who can. Activity level can vary a lot from person to person. Of course, all of these things are what all people should be doing, whether they have had heart disease or not. Great to hear from someone in Azerbaijan. Good luck and please keep in touch!
Forum Editor, Angioplasty.Org, March 17, 2007

• I had an angioplasty two years ago in my RCA. Also, I have II type diabetes and high blood pressure (160-170/100 mmHg). Regularly taking atenolol, amlipin, thromboass, etc. I feel very good now. What is the long term prognosis and what else do you recommend? Sincerely, Nizami Rzayev.
Nizami, Hospital, Baku, Azerbaijan, March 15, 2007

• it was a revelation to find this forum .like many of you i suffered an MI in july 2006 and 3 weeks later had 2 stents inserted .Being a 60 year old fitness freak running 20+ miles per week and on what i considered an excellent diet i was amazed when it happened. Now 7 months later i still get times of uncertainty even though all the treadmill tests have shown no sign of angina or pain. My problems started after the stents, i began experiencing terrible stomach wind and soreness in the stomach .The doctors put it down to stress and even now these feelings have caused me a few false alarms whereby i have ended back at the cardio dept to get checked out and each time they say i' ok. But they can't get rid of this stomach problem i have had the all clear after the endoscopy. I have slowly returned to work which isn't strenuous and am slowly starting to get back to jogging again but how far and how much no one seems to be able to tell you. I guess its a case of suck it and see. problem is when you start to pick up the pace that nervous feeling comes over me and i start listening to my heartbeat too much .Guess i'll have to try and control those negative thoughts .stay healthy people nice to be here .
Bill Tyrens, Sunderland, UK, February 14, 2007

• Sarah and JohnD -- the safe (or proper) level of exercise post-procedure is a very individualized thing. So much depends on your clinical situation, factors that an online source can't begin to weigh. (Sarah, you didn't say if you were a stent recipient.) We would certainly advise anyone, stent recipient or not, to consult with your doctor before starting an exercise program. But we would not expect extremely vigorous exercise to be done just two weeks after stenting -- you'd want to make sure everything (including the femoral puncture site) is healed first. That being said, there's no reason to think that you couldn't increase activity, assuming you were not experiencing heart rhythm problems, angina, etc. There are professional baseball players and other atheletes who have been stented and resumed their careers. Perhaps someone in Sports Medicine might be able to refer you to a sports-minded cardiologist for advice. Anyone on this Forum have advice or referral info?
Forum Editor, Angioplasty.Org, January 23, 2007

• I'm a woman 150lbs. I'm 5' 2". I'm 42 years old and I would like to stay healthy. Can you tell me what type and the amount of exercise that would be right for me?
Sarah M., Kentucky, USA, January 21, 2007

• I was a 6ft/170# 50 yo avid cyclist (some mountain bike racing,100mi road rides, peak HR's to >175)....until 2 weeks ago. I had occasional mild chest pressure at higher HR's, pos Cardiolite (No MI). Ended up getting LAD stent (Taxus) at bifurcation with 1st diagonal, with no other significant blockages. No risk factors except family history & stress, and no other health problems. My cardiologist is not athletic & has no real idea about "serious" exercise. His long-term GOAL of 3-4 sessions of 20-30min at HR 125-130 I find depressing. I have no symptoms now to HR 120. Can I demand repeat stress testing to help "clear" me for more activity? Any source of info on vigorous exercise after stenting would be appreciated!!!
JohnD, Midwest, USA, January 17, 2007

• R.G. -- if both you and your wife heard "3 days" would be okay, chances are that's what your cardiologist said, but why not just call to confirm (every patient is different and the concern may be less the stents, than with making certain the femoral puncture site closed with StarClose is healing well).
Forum Editor, Angioplasty.Org, January 4, 2007

• My question is about how soon I can exercise after stenting. I underwent a Cypher stent placement in my circumflex artery on Dec. 27 with a StarClose device used to close the femoral artery puncture site. This was 9 days after the same thing was done for a lesion in my RDA. Like others in this forum, other than being a fat kid until I was 16 (now 54), I have exercised regularly and do not have any other risk factors. My wife and I swear the cardiologist answered that I may resume the stationary bike 3 days (would have been Dec 30) after the procedure and I am dying (no pun intended) to do so. Does anyone have any other information or experience with this?
R.G., Pennsylvania, USA, January 1, 2007

• I had a Taxus stent input in 2003 and no Heart Attack. Everybody tells me take it easy with Weightlifting and Running. But within 1 Month after the Stent Implant I started my workouts. I am now lifting 80% of the weights and running 75% of the speed I used to before I went for my angioplasty and feel quite good.
Salim, Alberta, Canada, December 27, 2006

• RE: J., in London: "I am a personal trainer and have a new 70 year old male client who had angioplasty two years ago. He complains of a pain in his calf (of the leg treated) when walking, which causes him to stop." J., your client has CAD, so he should also seek out peripheral vascular screening. Doppler ankle brachial index/leg segmental pressures and/or vascular ultrasound may likely reveal peripheral vascular blockages that can be treated with peripheral vascular angioplasty and/or stenting.
Marshall Maglothin, CEO, The Cardiovascular Group, northern Virginia, USA, December 25, 2006

• Hi, I'm a 51 year old male and had an acute MI in March this year 2006, followed by angioplasty in October 2006 (that's the British Health service for you!!). Worried like hell up to the angioplasty, the angiogram (done in June) identified a problem in the main left artery. After the Angioplasty feel a whole lot better, was falling asleep every day between March and the Angioplasty in October. Now back to normal sleep pattern. Medication: Aspirin, Ramiprill, Clopidogrel, Simvastatin& Nikorandel. Still getting occasional chest discomfort (though nothing like the problems before the Angioplasty) and am seeing the cardiologist again in December. Always kept pretty fit, good diet, no smoking, and had no symptoms before the MI. Just fate I guess. Intend to start serious exercising again in January which is 3 months after the Angioplasty. This forum has helped shaped my view that I think I am right in not starting serious exercise un till then. Regards and good luck to everyone.
Steve, England, UK, December 5, 2006

• I had 3 stents placed in my LAD (2) and RCA (1) in April 2006 after an MI. I take plavix and aspirin daily. I haven't experienced any pain or discomfort during exercise which consists of 3-4 times jogging of about 40 minutes plus 2x a week of light weights. I am 47 years old. I used to jog with same amount before my MI. The amount of exercise and how one feels would depend on the individual.
raul, philippines, December 5, 2006

• Hi REB NY-just curious if your Afib came after your stents or did you have the history prior. I developed the Afib after the stents and have always wondered if there is any relationship between stents and the onset of A fib. Perhaps the Forum editor has some news on that issue. By the way feel it would be helpful if posters included their ages. I am 60 and approaching my 61st....kind regards to all.
Rick, New York, USA, December 3, 2006

• April 18, 2006 I had a taxus express 2 stent placed in my LDA. All remaining vessel were 100% clear. June 6 my family and I completed a half marathon. I have and do exercise weekly three days four mile walks and three days in gym on the weights. No history of heart disease in our family so it was a surprise finding the LDA blockage. I do have a history of occasional atrial fib which does not increase heart rate but does go irregular. Cards you get dealt. I am currently taking plavix, sotalol and coumadin. I expected to be off plavix and sotalol after six months but with the concerns about medicated stents this is all under review. One hopes those whom we trust for professional guidance can get on top of this stent issue. I am grateful for our technology which gives us hope and thankful for my medical advisors.
REB, New York, USA, December 1, 2006

• I recently had three drug eluting stents placed in my LAD that ended up being almost three inches in length. Post surgery, I am now experiencing a blood pressure spike of over 220 systolic after about 10 minutes of exercise. Could this stenting be causing that spike and is there significant danger to exercise? Is there any remedy?
Mark M., Florida, USA, October 17, 2006

• I am a personal trainer and have a new 70 year old male client who had angioplasty two years ago. He complains of a pain in his calf (of the leg treated) when walking, which causes him to stop. He is keen to step up his walking and improve his fitness. Can anyone advise on what is causing the pain and whether it is safe to help him strengthen his legs. I planned to improve strength and increase flexibility through gentle exercise but do not want to exacerbate any pain.
J., London, UK, October 8, 2006

• I am a 67 year old fitness instructor who has just had the stent procedure, and I am really concerned about my fitness, how much exercise I can do, and whether strength training will be dangerous for me. Also how soon can I get back to work. I do not want to risk my own health but also it would be dreadful if I collapsed in front of a class - sending a terrible message.
Lyn Willmott, Australia, October 4, 2006

• Javier, Your M.O. sounds very much like my own, except that you are more physically active. I have always been about 10% overweight and with chest pains on and off at times since my late twenties. I am now 64. I have had several stress tests and a couple of echocardiograms. Next week I am due for an angiogram. I am concerned that I am going to be stented unnecessarily to fatten the bank account of my cardiologist.
D., Texas, USA, September 13, 2006

• Khan, exercise and physical activity after an interventional procedure is different for everyone. Your cardiologist is the best source for this information. Read through this topic and you'll see a range of activity. I would do as your doctor suggested (since he knows you and your physical condition best). You want to give enough time for the femoral puncture site in your groin/leg to heal, and give your body enough time to get used to the stents. Many people are back at work within a couple of days, but that may not involve vigorous exercise.
Forum Editor, Angioplasty.Org, September 7, 2006

• I am a 44 years old male. Recently I underwent an angioplasty and had three Taxus Liberte Stents implanted in Left LCX, LAD and RCA. I am not sure what precautions to take? How much of exercise to do and for how long should take complete rest to avoid any complications. My doctor has advised me four weeks rest with very mild levels of exercise. Can anyone guide me?
Khan, Pakistan, September 4, 2006

• Hi, I'm male, 50, had 3 stents inserted in January 2006. Since then by and large I've been fine and noticed significant improvement in my everyday quality of life. I'm a great walker and love walking the treadmill at home. I re-started walking after about 2 months of the PTCA, and followed the AHA guidelines. In April, I first experienced discomfort and pain not during walking but later; also light headedness, shortness of breath etc. I stopped exercise for a few days and things went back to normal. I re-started exercise and suffered similar pain and discomfort. Last 4 days I'm off exercise and I'm feeling good again. Can anybody throw any light?? I'm regularly taking all the standard medications, plus am on a low cal/low oil diet.
Bhaskar Bhattacharya, Bahwan Healthcare, Muscat, Oman, August 28, 2006

• I had my first heart issue ever about 6 weeks ago. It was a heart attack. Had two Taxus stents placed in RCA (I mistakenly had thought the CX was blocked.) after a 99% and a 70 - 80% blockage were found. I was put on Plavix, metoprolol, 81mg. aspirin and Lipitor. Since then I have noticed I don't seem to have an elevated heart rate after mild exercise, and I don't get winded at all. I thought it might be from the beta blocker. 9 days ago I saw the cardiologist and had an echocardiogram done. She pronounced my heart free of ALL damage, and perfectly healthy and normal! The heart had healed itself 5 months sooner than she had predicted. When I asked her if I have any limitations regarding exercise or stress on the heart, she said "absolutely not - whatever level you want is safe". Asked about why I don't get winded now, and my heart rate not rising much, she replied "it's because you have a healthy heart now". I feel like a new man!!
Kevin, Albuquerque, New Mexico, USA, August 26, 2006

• Only speaking for my particular situation, but I was told by my cardiologist that I was safe to mow the lawn and resume normal, even elevated exercise levels 6 days after the stent emplacement. So that day I mowed the lawn, and the following day I attacked the big back yard with the weed-whacker. It felt fantastic!!!
Kevin, Albuquerque, New Mexico, USA, August 4, 2006

• Just got the news yesterday that I will be having an angio on 8/11, with probable stents same time. I wish it was today as the anxiety of waiting is driving me nuts. This forum has been very helpful in making me realize that I can get back to running 4 miles a night on the nearby boardwalk sometime soon thereafter, can't live without it. Will miss the quarter pounders and cheese steaks, but that's a small price to pay. What has been the best diet resource for anyone in getting cholesterol down?
Gary Engelstad, Bradley Beach, New Jersey, USA, August 2, 2006

• Javier -- are you sure you are experiencing angina? Has this been confirmed through any testing? Sometimes other conditions might feel like chest pain (acid reflux, etc.) and you seem young to have had angina since you were 18. But the way to find out is to see a cardiologist (or start at your family physician) and get the appropriate tests (EKG, stress test, calcium score CT). You can read more about these tests in our "Diagnosis and Imaging" section.
Forum Editor, Angioplasty.Org, July 29, 2006

• Hi, I am a 28 year old male who has had angina attacks during periods of rest for 10 years. I do not know when this problem started or if I have always had it. This pain does not happen often. It usually happens a few times a year. I do not think this pain has happened during strenuous activity. I do not know what I should do to minimize the chances of death. At this time I am not on any medications and I exercise vigorously. I run about 5 miles in the hills every other day and I box professionally as well as wrestle. I did not know that I may have a serious condition until recently. I am very nervous. I would like to know if safer conditions can have the same symptoms as unstable angina and what can be done to prevent a tragedy from occurring. I have stopped exercising as of this week. Please let me know what I can do. Thank you.
Javier, California, USA, July 23, 2006

• Ken -- you pose a very interesting theory. We'll do some research on this, but maybe some of the cardiologists reading this Forum might offer their opinions. One thing we can say is that in the case of drug-eluting stents, the healing/covering of the stent by endothelial cells gets delayed. Dr. Renu Virmani, a pathologist and one of the leading critics of drug-eluting stents, told us she has studied drug-eluting stents that have not been covered many months after they should have. This is one of the reasons that the vast majority of cardiologists are prescribing long-term Plavix -- to avoid late stent thrombosis (for more on this, see our discussion on "Stent Thrombosis"). . But your point about the relationship between turbulence and restenosis is one we haven't heard much about, but very intriguing -- so we'll try to find something out. Great post! Thanks.
Forum Editor, Angioplasty.Org, July 17, 2006

• I am a 62 yr old male with history of angioplasties in 1980 and 1995 but also one in May 2006 along with a drug-eluting Stent. This was across a bifurcation and the diagonal branch blocked up 5 weeks later. Another angioplasty and stent opened this. I am investigating the theory that exercise (easy or vigorous--it's hard to tell) leads to increased blood velocity and hence turbulence through the stent, with such turbulence promoting factors which lead to premature blockage or restenosis. All of the common wisdom is to exercise/cardiac rehab, and I believe this helps the majority of people with heart conditions. However, it is possible that some people succumb to the negative effects of turbulent flow thru the newly placed stents. I have spent all day researching and indeed have found medical articles which support the theory that increased turbulence (and increased shear forces at the artery wall) contribute factors that are detrimental and lead to increased neointimal proliferation (growth of cells that can lead to blockage--as I understand it). This same paper cited some negatives (in rat studies!) of low shear stress/laminar flow, but the predominate results seem to point to turbulence as a bad deal. I asked my cardio about this and he paused, said not to worry about such details and to enjoy the benefits of the exercise. I suspect his pause was to reflect on the same research I have just been reading. My theory is to limit (perhaps eliminate) exercise until I pass the eight week period post stent placement, with the idea that the intimal cells will have formed a partial (or complete) covering of most of the stent and any negative effects of exercise will be minimized. I hope the forum editors will chime in on this issue.
Ken C., Ohio, USA, July 16, 2006

• I had 2 stents placed in my LAD on 3/15/06. I'm a 55 yr old male, 5'8" and 152 lbs. Prior to noticing angina symptoms I exercised vigorously, cycling 4-5 times/wk at a competitive level, and lifting moderate weights 2-3 times/wk. I have had this same workout routine for the past 20 years. No chronic health problems, whatsoever, and have never taken any long term medications. After receiving the stents I was placed on blood pressure medication, plavix, and a statin. It took me a number of weeks to become adjusted to all the meds, but I feel very good now. I recently went for my 3 month follow-up and have been cleared by my cardiologist to resume my pre-stent level of activity. I am probably 85-90% back to the level of workout I was doing prior to the stents, and I feel great!
John H., Georgia, USA, July 16, 2006

• Mohamed (and Mohammad from Australia) -- most patients are able to resume normal activity levels pretty quickly, but exercise and dietary suggestions (as well as medicines you need to be taking) are really best done in person by your doctor. He knows you and has your medical history, so can hopefully prescribe a program that's tailor-made for you. For dietary guidelines for heart health geared for your geographic area, try contacting the Saudi Heart Association (http://www.sha.org.sa/default.asp). Their website does not yet have exercise or dietary info, but their phone number is + 966-1-467-1434 in Riyadh.
Forum Editor, Angioplasty.Org, July 16, 2006

• I had an angioplasty and a Taxus stent placed in my main artery last week. I wish to know how soon I can resume my normal life and the diet I must resort to, to get back my health.
Mohamed, Saudi Arabia, July 16, 2006

• I am 53 years old male, underwent angioplasty + stent 3 weeks back. I used to walk 3-4 days/week (around 30 min slot) before the procedure. I need advice regarding going back to walking exercise.
Mohammad, Australia, July 16, 2006

• 51 year old, male. 5 June 2006, 6 stents; one in LAD and five in RCA. Procedure done due to chest pains experienced during physical exertion, i.e. climbing stairs etc. Post op. experienced better breathing and appear to have greater capacity for exercise, usually do 4 miles walk in the morning and 2 miles in the evening. Planning to lose weight by approx 10kg. Usual medications plavix, aspirin. Thought I'd share my experience.
Baldev S., England, July 9, 2006

• I noticed a posting by forum editor stating that it seems many patients are not getting advice on rehab upon leaving hospital. That holds true for me. I'm 72, just had angioplasty + 8 stents. I was given no written instructions upon being discharged from hospital, only prescriptions. I will be seeing my cardiologist this week, and have many questions. I run and workout, and need all kinds of answers on physical rehab. If answers turn out to be relevant to this forum, I will post them after my visit.
Jack Vance, retired, Saratoga, California, USA, June 28, 2006

• 37-year old male with two stents inserted. Tried to return to exercise per the prescribed time period (about one week), and nearly five weeks out, still have bad angina when I try and run. Thallium stress showed normal, but the pain continues. Doctor tells me to go to cardiac rehab -- that maybe I'm overdoing it. I did not have a heart attack and MD says heart is strong -- but symptoms persist. This sucks! Follow strict diet and still walk daily, but too much stress leads to intolerable angina.
Robert, St. Louis, Missouri, USA, June 24, 2006

• I had my stent inserted on Thursday (two days ago) through my wrist. I have not asked my Dr. explicitly if I can exercise the wrist enough to play the trombone immediately or how long I must wait. I have a performance scheduled for the 4th July and would like to practice. There has been no abnormality with the entry place and all I have on it is a piece of gauze and tape.
Marty Nichols, Rockledge, Florida, USA, June 24, 2006

• Exercise is the key!! I'm a 36 yr old male, family history of Early Heart disease. Was overweight trying to get back in shape when "heartburn" caused me to go to the doctor. Got 2 drug eluting stents, proceeded to lose 50lbs and began training for a 1/2 marathon, trained for 6 months with Asthma burning that turned out not to be asthma but another blockage on the right and circumflex. Ran 20 km 1 day (after some initial burning) and then 2 days later I couldn't run 500 meters. Back for another 3 stents and now, 6 months later I'm back running 10 km, with absolutely no pain. DO not exercise through pain that does not go away but expect some pain twinges, pangs, etc. Exercise builds collaterals!!! Also, exercise alone cannot save you, a strict diet and proper medication are the keys. Good Luck
T. S., Canada, June 14, 2006

• I am 55 years old-6'4" 195 lbs and I had a heart attack in November... had 4 stents placed in two arteries. I had an echocardiogram 3 months later showing no damage to my heart and with my Plavix, 81mg asprin, and Lipitor my cardiologist said you have no restrictions... you may return to running, weight-lifting (which I was doing at the onset of the heart attack). I have returned to running (up to 2 miles) but feel somehow less than reassured I will have another heart attack.... I suppose time will give me confidence. Are there any guidelines on how much how soon how intense???
Steve Womack, Lee County High School, Sanford, North Carolina, USA, May 16, 2006

• I am 48 Years of age. One year ago I had unstable angina. Fortunately I was present in the hospital at that time. i rushed to CCU and was given heparin before any damage to my heart.I was smoker for last 25 year. I gaveup for last one year. I have reduced my weight form 88 to 74 Kg. My hight is 5 feet & 7 inchs. I am on statin, 50 Mg tenormin, loprin and clopideron. I do brisk wale for 80 mints daly and jog for 30 mints on alternate days thear is no problem on doing this. I feel much fitter even before angioplasty. In apr 2005 1/stent was placed in RCA and three / in my LAD and left circomflex. My ECG and ETT are normal please advice wether i can continue this exercise are not i feel much batter and confident on doing exercise. My max pulse rate rise 140 p/mint while runing.
jamil, Pakistan, May 5, 2006

• dear sir , i am 37yrs old with a cypher stent DES stent in my mid lad about 9 months from now,for ant sep mi, on plavix, aspirin , atorvostatin, ramipril 5mg now i am doing all my routine works but not keeping mu regular exercise ,i do a little of motorised tread mill for 5-10 mins slowly when ever i am free. my weight is arround 85kgs and my height is arround 5.6" . kindly advise me regarding what precations should i take and what will be my prognosis with this stent since i have a single vessel disease and no other diseases like diabetes or hypertension etc. i am perfectly fit as before mi, and after stenting my ejection fraction is arround 45. what precations should i take to prevent further attacks thanking you , bhrgavaram.
bhargavaram, india, May 4, 2006

• I had a cypher stent in the LAD in Sept/05. My cardiologist and I had met a year or so before at the fitness club. After the procedure, I asked him about exercise. He told me to simply listen to my body: if you feel angina or gasping for breath after a certain exercise, slow down or reduce the weight. He told me to use isometrics where the style and the form of the exercise is more important than how much weight you use. Other than that, he told me there were no exercise restrictions.
Bernie L., Tennessee, USA, April 29, 2006

• I like most everyone on this forum had a stent placed in the LAD area on April 15th and returned to work April 26th.I am back to normal exercise and weight lifting and on medication. I am a 44 y/o Male. Does anyone know what the long term prognosis is for us? I know that to quit smoking, cardiac dieting and regular exercise will help. Thanks, Joe
Joe, Mission, Texas USA, April 27, 2006

• i had angioplasty in November, 2005 and one stent was inserted. Keeping good health. Strictly following healthy food chart; taking medicines (aspirin + clopidogrel + atorvastatin). I go for regular walk 30 to 45 mts. and my weight has come down by 6 kgs. Can I resort to Yoga, Dumb bells & light weight training. DOCTORS ARE NOT GIVING DEFINITE ANSWERS. Can anybody advise? Thanks in advance Nellaisivan
nellaisivan, individual, india, April 17, 2006

• Basavaraj -- the level of activity you can resume and how quickly is really something you need to consult your cardiologist about, since your clinical condition is necessary to know. But ideally one should be able to resume the activity level they had before stenting. As for precautions, you need to reduce your risk factors and diet and exercise are part of that.
Forum Editor, Angioplasty.Org, April 6, 2006

• I am 55 years old male undergone PTCA to distal RCA with special stent (33mm long) implanted on March 31, 2006. What precautions do I have to take? Can I resume regular exercise, walking, yoga. Please advise me how to prevent restenosis. thank you.
Basavaraj M, State Bank of Mysore, Bangalore, Karnataka, India, April 6, 2006

• I am 56 yrs old. I underwent angioplasty + stent in Novr 2005. I hv resorted to healthy food + 40 mts walk in the morning and 10 - 15 mts Yoga in the evening. I hv reduced 5 kgs weight in the last 4 months. My doctor says, I hv to reuce another 5 kgs. Of course I met the first target given by him. I am taking aspirin, clopidogrel & cardorone (heart rate regulation). I feel I am completely alright. This info i wld like to share with all the patients, while profusely thanking the Almighty and the Doctors, who hv performed the procedure and for changing my life style. I had very good support from my wife and two lovely daughters, whose moral support helped me restore good health. Tks & Good wishes
SIVAN, TAMIL NADU, INDIA, March 4, 2006

• It has been one year I had two stents placed after a mild heart attack,within this year my doctor has checked my heart rate and heart muscle,BP and asked me to continue by bloodthinner,bp and other medicines. I am a regular gym freak and this mild heart attak at age of 46 caused lot of awareness, I have been walking and keeping myself active with normal BP and excellent heart rate, I do not have any other medical issues nor I had until this heart attack. I am likely to see doctor in couple of days which will be exactly one year after my heart attack, what should be my typical questions to him, Can anyone please advise, I shall be thankful to you all.
Murali, Modi, Charlotte, NC, USA, February 23, 2006

• Interesting to see the varied comments. I am fortunate to have been able, since having a stent inserted using angioplasty, just over a year ago, (aged 60), to have been able to ride and walk over 1,000 kilometres each since the event. I found some recovery exercise programs on the AFROX web site that I followed meticulously and have completed two 100 km bicycle "races" and plan a third in March. One also needs (and I have!) good support and encouragement from family and friends and a Cardiologist who takes an interest, and one should want to succeed in rebuilding one's lifestyle in a healthy way.
Doug, South Africa, February 19, 2006

• There's lots of info on this forum about returning to exercise after angioplasty/stent placement, but it looks as if most everyone is interested in aerobic type fitness activities. I have been been told to schedule a heart cath/stent placement as soon as is reasonable, after having a nuclear stress test study late December 2005 showed reversible ischemia (damaged muscle..) in the left ventricle. I am diabetic (45 years), female 53 years young, and have been an active aerobic exerciser all my life, having added intense weight training 7 years ago. That dramatically improved my fitness level, reduced weight from 149 lbs. to 125 in the first year, body fat from 29% to 18%. I understand the advisability of returning gradually to one's former level of strenuous physical activity. I'm seeing advice ranging from 3-12 months. I am struggling with this;I've been active in competitive powerlifting for the last 5 1/2 years and have been nominated to represent the US in the World Masters World Benchpress competition (5th year in a row!) which takes place April 20-23 this year. I have a very good chance of medaling this year if I can maintain my current state of preparedness. Unlike most powerlifters, I do regular aerobic activity: 6 days/week during early part of competitive cycle alternating 3 days 45-120 min. @80-85% max with 20-45 min. on weight training days doing intervals. I back off on the aerobic activity gradually to the point that 2-3 weeks before a competition I am only doing 20-30 min. @80-85% max just on weight training days. I've been told by my cardiologist not to do any heavy lifting at all - EVER - he said the artery could blow out. I'd almost rather drop dead of a heart attack than give up the sport I'm so passionate about. I could back off for a while but not right now!!! Unfortunately the angina has been getting more frequent, although I rarely have it while lifting, and if I back off during aerobics, it goes away. So I'm going to be making a compromise any way I choose and there are no guarantees of outcome either way. I am wondering if anyone has experienced stent placement closely followed by any kind of lifting, and if so how much how soon following the procedure? I figure I can rest completely 3 days, then gradually add low level walking and stationary bike fitness over the next week and a half, then get back to some light lifting motions for a week, then gradually increase the intensity of one-rep max over the last 5 weeks without compromising my potential performance more than 15-20%, which may or may not put me out of medal contention. It's either that or wait until after the competition to schedule the procedure and chance a major cardiac event! Any feedback would be greatly appreciated!
Jeanne Harms, USA Powerlifting, Fort Collins, Colorado, February 03, 2006

• Coleen -- you brought up chelation therapy which is widely touted on the internet and which, although some think is a "quack" therapy, is currently being studied by the National Institutes of Health (NIH) to determine if it in fact is effective. (I would pause for a moment to remember that in 1979, cardiologists who practiced angioplasty were also considered quacks.) Anyway we're just curious how your mother has fared since her Taxus stent. The drug on the stent is paclitaxel, related to chemo drug Taxol. It is eluted from the stent over the first few months, but in dosages that are very small compared to what a cancer patient might take -- just enough to stop smooth muscle cells from proliferating at the site of the stent, which would cause a blockage. Also, calcification of the arteries is not really the problem. It certainly is a symptom, but the problem is atherosclerosis which is a disease that causes blockages to form in the vascular tree of the body, sometimes the heart, sometimes, the legs, sometimes the kidney or neck. Taking antacids every day would not necessarily result in calcium buildup in the arteries. It's more complex than that. We agree about keeping a positive attitude and eating smart. Anything people can do to lower their "risk factors" is wise.
Forum Editor, Angioplasty.Org, January 12, 2006

• I had a stent placed in RCA on Dec. 12, 2005. I too got no definitive instructions on exercise. I do get epigastric pain from the Plavix and Aspirin. I now take them after dinner instead of breakfast to see if that helps. I understand that I will need to take them for 9 months. Anyone else get that pain? If so what do you do about it?
Jean Hartung, Middle Village New york, January 10, 2006

• In one of the responses I read the person said they have low choles. and yet still needed stent. I just recently learned that the main problem with the hardening of the artieries is calcification. Calcium carbonate being a problem. Anyone taking antiacids everyday would likely get a buildup as just one example. Chelation theraphy administered by a licensed MD. seems to be the answer in the best way to remove the heavy metals and calcification from your arteries if someone had high choles. I would recommend researching this. My mom had a Boston Scientific stent inserted in March of last year. We didn't know at that time other alternatives. The BS. stent contains a chemo theraphy drug which emits for approx. 3 months, but then a small amount stays behind (pellet) permanently. That is not something we would have agreed to getting, had we known. Eating organic food, veggies and such also helps your body rid itself of toxins also. Drinking distilled water is the best for you to drink also. My mother tries to eat all organic foods and most important is to keep a positive attitude that you are going to be fine. If you can take control of your thoughts, and you can,if you work at it, your mind will help your body recover. God wants us to think on things that are lovely and HE will do the rest. I will pray for you all. Prayer changes things. God Bless.
Coleen, Rutherford, New Jersey, January 10, 2006

• Apparently, we all have the same question; how much exercise and what kind is okay after our stenting? I am 63 years old and the recent recipient of five drug eluting stents; three Taxus in my right femoral artery and two Cordis in the right popliteal. Each procedure was performed four months a part with a thyroidectomy and radioactive iodine treatment for thyroid cancer in between. I am on Plavix ("forever" as my physicians say), full strength Aspirin daily as well as three blood pressure meds and supplemental thyroid). Prior to these procedures, over the past several years, I had less and less stamina or endurance, culminating in extreme fatigue and pain in my legs and now I know the cause. I do walk my puppy every day, often twice a day, but I'd like to add other exercises to this. For example, I would very much like to know whether I could ever risk doing Pilates on the reformer again, or if the risk of displacing or somehow affecting, the stents is too great.
Nancy, Sedona, AZ, January 6, 2006

• I am a fit 51 year young woman from Sydney Australia G'day! I training 5 days per week at the gym, doing 3 weight sessions with a personal trainer per week and 2 spin classes per week (cycling). I weigh 57.8kg and on the 23r4d December 2005, I had just completed a heavy weight training session with my trainer. I went into the change room and began to feel sick, sweaty and had pain in my left arm. I knew I was having a heart attack and had one of my friends call an ambulance. I had a stent put into my LAD, which by the looks of this forum is quite common. My father died of a massive heart attack at the age of 54 but he smoked, drank like a fish and lived hard! I, on the other hand live clean. My blood pressure on the way to the hospital was 120/70 and is always like that, my cholesterol is 3.1, so unfortunate genes the doctor said. I really want to get back to my training regime as well. I would appreviate any help on this please. Happy New Year to everyone and stay safe.
Karen, Sydney New South Wales Australia, December 31, 2005

• I had a STMI three years ago.(0% blockage to LAD. Symptoms were legs going to sleep visual disturbance high BP. Agressive pain in left wrist. Since the stent was placed I worked physically hard 5 days a week-landscaping and reticulated water systems. My stress test was normal. Ejection fraction 70%. I get palpitation if I drink caffeine drinks or get dehydrated; but otherwise feel good. my resting BP is gen about 123/68 and heart rate 57 -67bpm.
JOHN REID, MELBOURNE AUSTRALIA, December 19, 2005

• i'm 67 male and had 2 stents in main artery that was 85% blocked.went back to the gym after 3 weeks told not to exceed 120 beats during workout but to workout to my "hearts content" meaning how I felt be my guide,so 6 months later I'm on the lifecycle 45 minutes at 60 to 70 rpms and burn 600 calories per workout 5 days per week. I maintain 130 beats per minute the last 4 weeks now. Feel great and have to hold back out of caution. I'm on ace inhibitors, plavix and asprin and lipitor lost 40 pounds with lifestyle changes. Stress test was a-ok hope this helps someone.
Robert Tumminia, retired, Toms River NJ USA, December 13, 2005

• At age 49 I failed a yearly stress test and a subsequent catherization showed a 90% blockage of my mid LAD artery. A medicated stent was used after the angiplasty. I had been going to a cardiologist for years after my father and bother passed away from heart disease. I agree with a lot of what I have been reading - patients are not given enough information after the procedure. I was given the usual medicines, and a follow up stress echo 1 month after the procedure, which I passed with flying colors. It was like pulling teeth to get info out of my doctor as to what to expect, or what were my limitations. One of the area TV stations had a group of cardiologists on and you could call in and ask them questions. I asked about limitations and they told me that their goal with a patient like myself is to get them back to as close as possible to the lifestyle they had before the procedure. They both stressed how important the follow up stress test is, and assuming you do ok on that test, then you basically get back to a normal life. I asked about exercise, and they encouraged it. I asked if I could jog and they said yes. What I got out of it is to let your body be your guide. If you are exercising and you feel strange, short of breath, chest pains etc, then you stop and call the doctor or if bad enough 911 I still have many questions but some have been answered
Bill Mulroy, syracuse ny, November 29, 2005

• I thought it might be helpful to expand on my previous post and give some details of the cardiac rehab programme that I'm on. Bear in mind that this is available to me "free" under the social medicine scheme in UK known as the National Health Service. No one therefore has a commercial axe to grind; you can look on this as best basic practise, certainly in the early months after your op. Immediately after having the stents fitted, I was advised by the cardiologist that BY LAW I was not to drive a vehicle for a week. Lifting weights was to be avoided, but gentle walking was encouraged. After three weeks the exercise programme was started, two hospital based gym sessions per week, with an additional supervised country walk (2 -5 miles depending on clinical circumstances) at weekends. Before the scheme begins everyone has their drug regime and age recorded, weight taken and BP measured. From that a pulse rate range is worked out for each person. This varies greatly, which is why I find some the the postings here disturbing....it all has to be tailored to the individual by someone professionally qualified. You can't just pluck a number out of the air based on what you were doing prior to your op and current drug regime. Every session is preceded by a BP, pulse rate and pulse regularity check. There is a long warm up regimen with lots of muscle and tendon stretching. The exercise format is a form of circuit training, with two sets each of eleven x one minute exercises. Pulse rates are monitored after each set. There follows a warm down, relaxation period, and a final pulse check to establish recovery rates. Whilst light weights are used, weight lifting without foot movement (ie pumping iron) is specifically disallowed to avoid the problems of high blood pressure spikes. Swimming and cycling are both encouraged, provided that the warm up is absolutely thorough..once again avoid high BP events. The basic course lasts 12 weeks (varies a bit with individuals) and includes a dietary advise clinic and lifestyle management class on Monday evenings, and a series of lectures by a dietician, pharmacist, psychologist, resuscitation nurse and exercise physiotherapist. The whole show is run by a specialist cardiac nurse with several qualified helpers. I've found it a great help, particularly in confidence building, not least by virtue of meeting other old farts all in the same boat. However your particular rehab is provided, make sure that it contains properly established and monitored exercise routines, dietary and lifestyle advice, and the companionship of of fellow travellers. Regards, Eugene
Eugene Molloy, Retired, 59, male, Shropshire UK, November 23 2005

• Hi, I am 33 old had an Acute MI on 15 Oct 2005 45 min after physical exercise. i didn't thought it could have been MI and i tried to bear it for 45 min the thought to take medical help for which i walked around 1 km with that pain and then i was put into ICU and told that i have Acute MI. My angiography was done and one artery was recanalized. now i am on medical leave and tale disprin, metaplorol and clopid. how normal am i ? i started brisk walking but had pain in my left leg.
Farhatullah Chauhan, IT Professional, flat no 1057, Rajnigandha Appts, Dwarka, new delhi, India, November 09, 2005

• Hi I had a LAD angioplasty and medicated stent two days ago. I am 67 and an active runner (former marathoner) and avid singles tennis player. My doctors have told me I can return to running in about a week and a half and tennis in about two weeks. That sounds overly optimistic based on the postings I have just read. Has anyone out there returned to running or tennis that soon. Thanks
Marvin Fein, Pittsburgh, PA USA, October 22, 2005

• I am 47 year old went Angioplasty on 28.09.2005 and doing my all duties with good spirit. i am not feeling any problem at all.
b, Nhpc LTd, Faridabad Haryana, October 19, 2005

• to M. D. Thompson, Tennessee, USA, August 07, 2005 - I am 57 yr old female ,just had stent installed 10/5 and am experiencing "stretch plain" that you mentioned. Have you found any info on this? Am very anxious.
PM Frank, Brooklyn, NY , October 13, 2005

• I am a 60 year old male who was physically active with running, cycling and swimming. After diagnosis of angina with partial blockages I had 3 drug eluting stents inserted on 11th August 2005. I was disappointed with the result at first because I continued to suffer angina discomfort which became worse as I stepped up my walking pace or gradient. This lasted at least 2-3 weeks. Now, after 8 weeks I feel much better. After my 6 week post-op consultation and clearance for more strenuous exercise I started to run again and have been cycling for some time. It is hard, like starting again from scratch but I will build up very carefully. The improvement was week by week rather than day by day. By the way, don't knock walking as exercise, it's a great way to start.
Bill Bellis, Leicester UK, October 07, 2005

• Greetings. I am 55 years of age. On 8/24/05 I had a heart attack. It felt as if a chicken leg went down the wrong tube, my teeth started aching, I developed a coating of sweat across my chest/shoulders and my hands felt like it was about 40 degrees in the house. Popped a couple of aspirin and had the better half drive me to the ER. They threw me in a copter and whirled me to the local hospital and directly into the cath lab where they inserted a drug coated stent into a 100% blocked artery. I returned 3 weeks later and had two more stents implanted. The surgeon stated an enormous artery was 95% blocked and too large for the drug coated variety so a regular stent was inserted. Another drug coated version was inserted in a smaller artery. Basically, my instructions were minimal, i.e. no lifting anything over 5 lbs, etc. They more or less referred me to the rehab folks at the hospital. After speaking with the rehab folks I decided it would be cost and time prohibitive to jumb into the program and I have a treadmill, excercycle, health rider, weights and a lot of other equipment at home. I have competed in judo from age 6 through 50 and currently hold a world record in the "strict curl" in weightlifting for my age and weight. Thirty pound dumb-bells for me are like feather/warm-ups amount for me. Everyone I speak with acts shocked if I asked about when I can start lifting a little bit. I really hope I can start lifting again one day and perhaps competing in judo once again.
Walter, Metro Fight Club, Whitmore Lake, Michigan, USA, October 7, 2005

• I'm a 35 year old male and had a heart attack last Nov. My heart rate fell to 34 beats per minute-they took me in and put a medicated stent in my circumflex art. I was in icu for 3 days-then 2 weeks later in the hospital again for 3 days. Every since then I have been feeling pretty good. Before the heart attack I was getting into trail running-running about 2+ miles every other day. I lost about 44 lbs, was feeling great and running for about 5 months. Then it hit me.. but this year I started running again, and did my first 5k this past summer. It was an accomplishment, but it never leaves my mind that I may die next time I go out. I have a stress test tomorrow the 23rd, so I will see how this heart is doing.
Terry, Englewood Ohio, USA, September 22, 2005

• Paul -- we agree!! We are a not-for-profit site and we are not doctors. But pooling the knowledge of what all of our users have been advised would be of great help. Thanks for the post.
Forum Editor, Angioplasty.Org, September 19, 2005

• This forum would be more useful if people would (a) ask their doctors these questions, and (b) report back what they found out, and how things are going later. I had a mild MI in mid-August and PTCA, followed by a second cath about a week ago to finish up work that would have put me in dye and x-ray trouble due to time, the first trip to the cath lab. I smoked my last cigarette about two hours before the MI, and right now into my second groin-entry-wound recovery in a month, no problems either time, just followed the instructions. I am 59 years old, male, and in otherwise good health. I feel fine and have plenty of energy, there was no significant damage to the heart caused by the MI; this was confirmed by radiological stress test (isotope imaging before and after treadmill) prior to second cath. I am particularly interested in long term results with disease mgmt, cholesterol control, and the plavix-aspirin regimen which I have been told is "for life" by a very experienced interventional cardiologist. Good luck and good health to all.
Paul Gooding, Phoenix, Arizona, USA, September 18, 2005

• Eugene -- excellent advice!! Your doctor was definitely correct and, yes, we are also surprised at the lack of post-op rehab advice that many patients who write in seem to have experienced.
Forum Editor, Angioplasty.Org, September 11, 2005

• I am surprised that so many people have had angioplasties performed but have not (apparently) received any proper post operative rehab advice. From my own recent experience I offer the following. My consultant surgeon was keen to point out that the stents were merely treating the symptoms; they didn't cure the underlying problems of lifestyle. They had to be addressed by changes to diet, exercise, and medication. Exercise. Each individual needs a tailored exercise programme. It's not something that can be plucked out of the air; age, weight, previous fitness level, and above all medication need to assessed before a regime is started. It's senseless to measure exercise pulse rates when you are on beta blockers, without professional advice. Lifting weights isn't per se a good move; it leads to higher blood pressure levels than is advisable. Medication. The drug regime that I'm on is common enough in the UK; a high dose statin, beta-blocker, aspirin, and clopidogrel. Most people need to be on something similar. Lifestyle. I never smoked anyway, but it's an absolute no no. The surgeon gave me an LDL target of 2 (UK money!) and a BP of 120-130 to be achieved through a combination of the drugs, diet and a hospital based fitness regime. Done that. Diet. Surgeon's basic advice...."Anything that walks on grass leave alone; if it swims eat it". I estimate I was 40 lbs overweight with a BMI of 28. I've now lost 18 lbs in about 12 weeks.
Eugene Molloy, Retired, 59, male, Shropshire UK, September 08, 2005

• To Indi Khera, I would be very pleased to know your latest state of progress. I had no previous history (60 years old) and was very active (X-country and fellrunning, cycling, swimming). After the usual angina symptoms I had 3 stents installed on 11th August. After recovering from the procedure I am slightly disappointed because I felt the angina pain approaching if I stepped up the exercise. Although I am improving slowly I would love to know if I can look fwd to vigourous exercise eventually.
Bill Bellis, Leicester UK , September 02, 2005

• Hello everyone. A lot of unanswered questions here - I can only give my experience. I am a reasonably fit 47 year old man, and a regular exercise swimmer. I had a total blockage in my RCA and had 2 stents inserted one week ago today (Wednesday). The doctor said I could resume swimming as hard as I liked from the following Monday. I did so gently on the Sunday, and have wound it up daily since then. All the chest pain and shortness of breath is gone, and 40 lengths now leaves me less winded than 5 did last week. I'm on low dosage Asprin, Ramiprill, Astorvistatin and Clopidogrel. No discernable side effects from any of them. The proceedure itself was no problem. I was able to walk gently within 4 hours, and cut the lawn the following afternoon (but didn't tell the doctor that). I was told that the only reason tht I couldn't do more, sooner, was the slight risk of re-opening the femoral artery cut, and nothing to do with the stenting. I am delighted with the result, and would approach the same proceedure again with no fear whatsever.
Tristram Torrance, Oxford, England, August 31, 2005

• Dear Mr.Rehan Siddiqi It is extremely unfortunate that some one with your activity profile had to under go the procedures. In my opinion all you have to be vigilant about is restenosis(re occurrence of the formation of plaque in your arteries). A controlled diet/excercise program along with your prescribed medication can be very helpful. I am 50 years of age and had my angioplasty done(one stent in the left artery) on July 26 ,2005 and since then I have been more devoted to my brisk walks(about 45 mins a day) and a low cal/high fiber diet. in order to attain better awareness on this subject, I do a lot of net surfing and have managed to gather some useful info/tips; I believe it would be wonderful if we can touch bases and exchange our views. This might be helpful for both of us. With kind regards --
Capt.S.K.Umer, Bulk Shipping, Karachi, August 27, 2005

• I had a stent placed for an 80 percent blockage to my RCA on August 4th. I too was told the no lifing over 10 pounds for 7 days etc. I had a the newer trans radial approach so I didn't even have to lie flat afterwords. I would like to know when I can resume walking and exercising again. I have searched the internet and this seems to be the only site that I get directed to.
charles m brown, Rockville, IN, August 10, 2005

• Hi, I am a 48-year-old male who has always been very active and average 4 times per week in the gym where I lift weights and run approx 3 miles on the treadmill. Recently I had a silent MI and after angioplasty, my cardiologist found 99% blockage in my LAD. A 3.0 x 23mm Cypher stent was inserted. I saw my cardiologist at the end of June, six weeks post-surgery, who reported my blood test results to be fine. I was told I could resume my workouts, but in a moderate manner. Since the stent was placed in May, I have had two occasions of which I have taken nitro pills. Each time the ECG's, bloodwork and other tests have shown no problems. My troponin is at .2 with the CK markers being a little high at 246. At almost three months now, I still feel this minimal yet aggravating "rawness" and "heartburn-like" discomfort that comes and goes with no rhyme or reason. Obviously this causes anxiety, worry, and depresses me to the point that I really have no energy for the gym, much less my work. I have researched and found that certain tests have been documented that have proven "stretch pain" because of the stent. How long and when do I get my real self back? If any of you can relate, please respond.
M. D. Thompson, Tennessee, USA, August 07, 2005

• Hi I am 44 years old, a keen hockey player and go to the gym 3 times a week. I was reasonably fit, was not getting any chest pains or breathing problems. I have a family history of high cholesterol and my father had a heart bypass at the age of 50. My Heart rate is 60 bpm (relaxing) , BP is 123/85 (which is normal) and my ejection fraction is 70% (diagnosed during the angiogram).3 months ago i was diagnosed with a 100 % blockage in my RCA. The cardiologist stopped me from going to the gym and doing any exercise (apart from a gentle walk around the block) to prevent me doing any damage to the heart muscle. I had 2 drug eluting stents inserted last Wednesday (20th July 2005) during a 90 min procedure. I was allowed to leave hospital the following day, Thursday 21st July 2005. The cardiologist suggested I stay away from the gym for about a week to let the puncture wound in the groin seal properly, and then I can resume my physical activity as before. Therefore I plan to start going to the gym on Monday 1st August and gradually build up my fitness and resume playing hockey in about 6 weeks time. I hope this helps because like you guys I was dreading not being able to go to the gym and being told to stop playing hockey post op.
Indi Khehra, UK, July 26, 2005

• Hi. I am 56 years old. On 12th July 2005, I felt shortness of breath with BP shooting upto 195/135. Immediatetely I went to doctor and in the angiogram next day, the LAD had 75% eccentric long mid segment stenosis and the LCX had tight 99% stenosis in the mid portion.Two stents of Cordis/ J&J were deployed in the angioplasty done on the same day. Now after two weeks, I feel OK. However, since yesterday, I am feeling low pain around left shoulder and chest. If I take up long walks now, will it be OK? Or should I wait.
PR Gandhi, Indian Rayon and Industries Ltd., Halol/Gujarat/India, July 25, 2005

• Hi. I am 49 years of age and am a competive cyclist. I have been just diagnosed with having two blockages in right artery which will necessitate me have a stent placed in right artery. I had no chest pain or any symptoms. Blood Pressure normal etc. I have family history, father died at 50 and my brother has angina My Gp said heart may have adapted through years of competitive exercise How long after stent is inserted can you expect to get back to competitive exercise. I would be grateful for any information that can help me with recovery program as cardiologists idea of exercise is walk around block. I would normally cycle 200--300 miles a week and go to gym twice a week many thanks John
John Duffy, Leydens, Dublin Ireland, June 23, 2005

• I HAVE HAD TWO STENTS PLACED IN MY HEARTH JUST 7 WEEKS AGO AND WISH IF YOU CAN ADVISE ME ON WHAT TYPE OF EXERCISE IS BEST FOR ME . I AM WALKING FOR HALF AN HOUR A DAY BUT WISH TO START CYCLING . YOUR ADVISE PLEASE.
OLIVER CHETCUTI, MALTA, June 20, 2005

• Yvonne, this is a user-generated Forum. People post questions, others answer -- occasionally we come in with a comment or information source. But this is not an "Ask The Doctor" forum -- we're a not-for-profit site and the Forum exists for patients to air their concerns and help each other. We'd most appreciate any insight or experience that you might want to add.
Forum Editor, Angioplasty.Org, June 09, 2005

• Where are the responses to these concerns?
Yvonne Daniels , Fayetteville, NC USA, June 08, 2005

• Rose, just wondering -- with a 95% blockage on the LAD, did the cardiologist discuss treatment with angioplasty/Stenting??
Forum Editor, Angioplasty.Org, May 29, 2005

• Hi, I'm 57 years old and had what I thought was gastric reflux for the past 4 weeks. May 15, I went on a 5 mile walk with my husband and had to stop frequently due to chest discomfort in a very small area of breastbone which went away when I stopped walking. I casually mentioned it to my daughter, a radiologist, that night.I followed her advise and tried, unsuccessfully, to reach my doctor Monday morning. I went to the ER. Due to my symptoms and a family history of heart disease ,I had a cardiac catherization.I had a 95% blockage of the proximal left anterior descending artery (LAD). My doctor sent me home with 6 medications and on strict bedrest for 1 week. After that I can increase my activity by 1 mile per week.I'm glad I found this site.
Rose Galla, Scarsdale, New York USA, May 20, 2005

• I am interested to see the answers to the above questions/situations ! 2. In particular I want to know if a patient with stents inserted about 4-5 months back, is allowed to do jogging / running ?
Adarsh K. Singla, Gurgaon, Haryana, India, May 19, 2005

• Hi, I 55 and had angioplasty 18 Feb,2005. Had 80% blockage LAD. Was working out when chest pain hit, of course I thought it was just heartburn, since I had had it off and on for 2 days. Even told my husband if I got heartburn again I would go to doctor. Well pain went away, so I jumped back on gazelle. About 5 minutes later I got a sharp pain, became sick to my stomach and left arm when numb. I got to telephone and called 911. I got my dogs into the house and then went outside to wait on ambulance. Well 48 hours later I have a stent. The only information given after stent placement was: Do not lift more than 10 pds for a week, no sitting in bathtub, take all your medications and by the way resume normal activities after 2 days, letting your pain be your guide. Well did all and am walking 1 hour a day, 5 to 6 days a week, and I am exhausted. I just cannot seem to feel rested .Is this the norm? Is there a magic time frame when I will began to feel normal or is this it? In all fairness I am taking about 7 medications, same as ya'll I'm sure. I just want to know whats down the road. My doctor is great, but must have missed the bedside manner class. So I turned to the internet and found ya'll. God bless ya'll. Any informtion would greatly be appreciated.
Wanda Honeycutt, retired, Holly Grove, AR, April 21, 2005

• I am a 54 year old instructor. Although I was athletic in the past, about 2 years ago my schedule changed and I was unable to continue going to the gym or maintaining any high level of physical activity. I this week I had a stent put into my left coronary artery. I am wondering what sort of exercise I can do and when I can start. Thanks.
Steele Ford, Oklahoma City, OK, USA, April 16, 2005

• I am a 61 year competitive racewalker and hike leader. Feb of this year I started noticing a slight shortness of breath in the 90% of max HR zone. The stress test EKG also indicated some irregularities at the higher heart rates. The thallium indicated the lack of blood supply to the bottom of my heart. I went in for an angiogram and it was discovered I needed 1 stent in the LAD and 3 in the Mid RCA. The sheath removing nurse over applied pressure to the wound and caused a terrible Subdural Hematoma and because it was the second day of procedures, the pain from the soreness almost caused me to pass out. But using some breathing techniques I had learned in Yoga I managed to stay conscious.
     It's now been 1 week since the procedures and I walked last night at a heart rate of 120 for a distance of 4.5 miles. My wound is black and blue and a lump about the size of a quarter has developed.. The hospital and doctors are useless when it comes to recommendations. They seem to choose the conservative advice Don t do anything until we see you in 10 days .
     My position at this point is and well remain unless something changes it:
          - I will train at a heart rate of 120 (60% of Max) for 4 weeks (1 hour per day)
          - At week 5 I will alter schedule to 50% days = 120 bpm and 50%= 125 bpm
          - At week 6 50%=125 bpm and 50% 130 bpm
I plan to continue this until I reach 80% of MHR and at that time begin to increase distance using the same strategy of 50%. Of course the overriding factor in all of this is Listen to your body Only you know your body and it s your responsibility to make sure you do everything to stay well and healthy.
Jim Norvill, Atlanta GA, April 13, 2005

• Hi, I am f. farzaneh an medical doctor(gp) from iran. i have 30 years old. my weight is 92, and my height is about 161cm. my bmi is high, i know. in 7 march 2005 i have an unstable angina pectoris and high positive stress test (exercise test) that i have to balloon angioplasty and undergo stent (cypher). i must reduce my weight but i can not effort very good and i have not good state yet therefore i want from u that give me n route for reducing my risk factors thanks
farshid farzane, doctor, tehran iran, March 31, 2005

• Hi I'm 59 years old and had a stent placed in the circumflex artey 3 years ago. I had been reasonably active until around age 53 with frequent jogging. My knees gradually put a stop to it and I became far less active. A very mild heart attack led to the stenting which was done at Beth Israel in Boston. This all took place over a matter of a few days, so it pretty well rang the bell on mortality created an instant believer in watching my diet, as well as fear and curiousity as to what I could reasonably hope to do on a physical level. My cardiologist at the time seemed rather cavalier about activity, neither restricting me or encouraging healthy living. Excercize and diet did not appear to be high on his own personal priorities, so I felt pretty much on my own to find some guideposts. Three months after the stent I joined a wellness program through Beth Israel that provided a systematic approach to diet, stress management and regular exercize. The program was extremely helpful in easing me into a more active lifestyle, while putting underlying fears in a more reasonable context. I felt more in touch with my body and capable of gauging how far I could reasonably push myself. I now engage in all physical activities I enjoy, while following a daily regimen of biking during warm months and using the treadmill during colder ones. I use yoga and moderate weight training as well. I feel and look better than I did ten years ago. I'd recommend a structured wellness program as a wise and reassuring approach to regaining one's self confidence after stenting or any procedure where something as vital as the heart has been touched.
Robert Curran, Mass. Rehabilitation Commission, Taunton, MA, 02780, March 30, 2005

• We've gotten a number of questions in this topic about level of safe physical activity and exercise after having angioplasty. I am curious -- are hospitals and physicians not giving patients these recommendations? The amount of exercise and activity post-procedure should be tailored to the clinical condition, age, etc. of each patient, so general recommendations may not be that helpful. If you've had an angioplasty, please share your experiences with us here about the recommendations and follow-up you have or have not gotten from your physician.
Forum Editor, Angioplasty.Org, March 29, 2005

• Astounded that so many have unanswered questions. I had a heart attack 95% blockage stent etc. Next week I start an eight week rehab programme of exercise and education. It's free and run by my local hospital.
Thomas Mc Mahon, Dublin 7 Ireland, March 29, 2005

• I had my angioplasty last week. This is the last thing I imagine could happen to me. I am playing tennis for last 20 years. It was nice to read the responses. I will be very happy to get information about angioplasty
M. Rehan Siddiqi, Forman Christian University, Lahore, Pakistan, March 26, 2005

• Hi. My dad underwent angioplasty and stent therapy 2 days back. I would like to know what kind of exercises and diet he needs to follow once he's home. Can anyone please let me know on this? Thanks in advance!
Jill, India, March 16, 2005

• I am a 77 yr old female. I had coronary stents on Feb 5 and one on Mar 2. Bleeding difficulty with the second procedure at the entry site. Still some swelling and tenderness. Dr ok to travel on 3/18. Any suggestions as to limitation on playing golf a couple of times?
Jane Defoyd, Retired, Austin, Texas, USA, March 12, 2005

• Hi I am scheduled for a Cardiac Catheterization in 7 days and my Dr said I may need a stent. I am 66 and compete in Triathlons 2-4 times a year and am scheduled to compete in the National Sr. Olympics June 14-17 2005. What is a realistic expectation to go back to training?
Kenneth McKinney, Phoenix Triathelon Club, Sun Lakes Arizona, USA, February 04, 2005