Responses:
 
Narayanan, I hope I can help, I am a clinical
educator in a cath lab and deal with many people in your situation. Basically,
your prognosis is good if you continue as you are. It is true that stents can
block off, (about a 30% risk actually), however, the most critical time for
this is either within 24 - 48 hours (acute) or within 3 months (restenosis),
it is believed that if you get beyond the 3 month mark your prognosis is as
good as anyone You are on all the right drugs, obviously your cholesterol has
been an issue and your diet should be a healthy one, moderate exercise -- and
no cigarettes. The best advice to give you is to lead a good all round healthy
lifestyle and enjoy yourself. If you get any symptoms that you recognize as
similar to those when you had your MI, go straight to A and E or your cardiologist.
I hope that helps!
Andrina Hargreaves, Prince Sultan Cardiac
Centre, Riyadh, Saudi Arabia, 10 Feb 2002
Thanks,
how long can stents remain in the body? Is there any "foreign body" problems
(not restenosis) trauma/damage to the arteries mechanically where they are staying.
I had a severe LAD lesion and acute anterior MI treated immediately with thrombolysis
and later with PTCA and stent placement. No angina now. I stopped smoking, my
lipid profile is good, I am eating lots of fish, soymilk, tea, veggies, and
drink 1-2 glasses of wine. I am on atorvastatin 10mg, metoprolol 95mg, aspirin
150mg, vitaminE 500mg, CoQ10 50mg. Event was in May 2001. Exercise test in November
2001 is OK. Echo normal. No hypertension/diabetes. Weight 72kg./ ht-175cms.
What else I could do? I am 42 and want to live longer as I got young children.
Please help, many thanks.
Narayanan
Sockalingam, Locum GP, New Zealand, 20 Jun 2002
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