What is the long-term prognosis of coronary stent vs PTCA and CABG?
Vanesa -- Does his cardiologist think he may have
other blockages or that the stented areas have restenosed (reclosed)? The risks
of a major adverse event with an angiogram are pretty low, and coronary patients
often have a number of them. Have other causes for shortness of breath (pulmonary
or lung problems) been ruled out? As for heart muscle dying, unfortunately
not everyone can get identified or treated quickly enough to save the whole
muscle. We can't comment on transplant criteria (that would be something you
need to discuss with your physician) but medications can help, and in the future
there may be genetic cures, stem cell therapy, etc.
Angioplasty.Org Staff, Angioplasty.Org, July 21, 2006
My Dad had 2 stents placed 3 months ago. He was 90%
blocked. He suffered a previous MI and was told that since some of his heart
muscles have "died" it makes no sense doing a bypass. He has been experiencing
shortness of breath when walking even for 1 min. He is not in the best of health
he was a 2 pack smoker for almost 20 years but had quit about 2 years ago.
What are the risks of doing another angiogram the second time. Also what are
the criteria to qualify for
a heart transplant?
Vanesa Rampersad, Nursing, Maryland, USA, July 20, 2006
J. -- so much about prognosis has to do with each
individual patient. For example, the first patient ever to have an angioplasty
(back in 1977) did not even need a repeat procedure -- he was studied ten years
after and showed no ill effects. We don't understand the comment you report
about "the rate of recurrent MI" being at its peak. You should discuss
your father's prognosis with your father's doctor more and discuss why your
father should be feeling this way.
Angioplasty.Org Staff, Angioplasty.Org, July 18, 2006
I would like to know the long-term prognosis too as my father had angioplasty
with stents and PTCA about ten years ago. He follows up regularly and recently,
his doctor told him that the rate of recurrent MI is increasing and now is at
the peak. Today, my mother told me that my father said that "he will die soon",
this make all of us feel stress and worry. Therefore, I would like to know that
as soon as possible. Many thanks!
J., Hong Kong, July 16, 2006
I had an event (heart
attack) on April 15th. I had a stent put in my LAD that had a 99.99%
blockage, the doctor used TAXUS which is a coated Stent. I returned to
work yesterday April 26th. I also would like to hear from others. Thanks
Joe, Mission, Texas USA, April 27, 2006
The New England Journal of Medicine reported
(in May, 2005) results of a large-scale comparison of PTCA and CABG based
on data gathered in New York.
Dan Gemoll, Marquette University, Milwaukee, WI (USA), January 23, 2006
I would like to see the statistics on prognosis
as well. Could you direct me to the research? Thank you
Barbara Blatchley, Agnes Scott College, Decatur, GA USA, June 30, 2005
Failure stats for uncoated
Brian Digby, Western Australia, January 05, 2005
I just had two stents in LAD for 99.9% blockage.
This was done on 2-26-04.I have been told that there does not appear to be
significant difference in outcomes between the procedures. Im taking this
with a grain of salt,as I do not believe that there is enough history considering
all varibles. My symptoms are gone,Im still taking it easy,using light treadmill
(12-15 min) day and fully expect to use cardio-rehab plan 6-8 weeks. The
26th was my lucky day, as it was done as a scheduled procedure as opposed
to the usual "ER" route.
Wayne Yerkes, Parsippany,NJ, 02 Mar 2004
I am also interested in finding out the long
term prognosis. My husband just had angioplasty with 3 stents placed 2
weeks ago. I'd like to hear how others who had the procedures are doing too.
June, Wisconsin, 25 Feb 2004
would like to know the results as soon as possible. would you send me soon?
Xiong Fangli, Nanyang Technological University, Singapore, 07 Nov 2002
What is the long-term prognosis of coronary
stent vs PTCA and CABG?
Ralf, Leuven, Belgium, 29 Nov 2001
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