posted by Narayanan Sockalingam, Locum GP, New Zealand, 3 Jan 2002
Hi, I had acute anterior MI in May 2000 and was treated immediately with thrombolysis and PTCA. I am 42 and the only risk factor now is moderate reduction of HDL. I stopped smoking after the attack (only mild to moderate smoking before). I am on a statin and beta blocker. There is no stent blockage so far and recent TMT is good. What will be my future prognosis? Can anyone shed some light?

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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