Living with 100% Right Coronary Blockage

[Tangles1]

I have seen several questions relating to 100% blockage of the RCA and can a person live. The answers I have seen are positive, however my question is, what is the probable long term prognosis as far as quality of life. I have recently undergone attempted angioplasty to try and unblock the RCA, due to continuing angina attacks, and unfortuneatly was unsuccesfull. I have been on a high chemical regime for some time and have been put on a new drug called Coralan (5mg).
The mixture of Metroprolol, Ezitrol, Lipitor, Ramipril, Isordil, Plavix, Nexium and Aspro and now Coralan leaves me feeling quite week and lathargic and always very tired. My BP is steady at around 100/60, my cholesterol is below 4. I did used to walk about 2km a day before I started Coralan even though I got angina, but now I feel I just dont have the energy to do the walk to see if I still get angina.
Not sure what yer answer might be but thought Id write this down anyway.

Regards

[Roster17]

FDA is alerting the public to new safety information concerning an interaction between clopidogrel (Plavix), an anti-clotting medication, and omeprazole (Prilosec/Prilosec OTC), a proton pump inhibitor (PPI) used to reduce stomach acid. New data show that when clopidogrel and omeprazole are taken together, the effectiveness of clopidogrel is reduced. Patients at risk for heart attacks or strokes who use clopidogrel to prevent blood clots will not get the full effect of this medicine if they are also taking omeprazole. The updated label for clopidogrel will contain details of new studies submitted by Sanofi-Aventis and Bristol-Myers Squibb, the manufacturer of Plavix (clopidogrel)

Other drugs that should be avoided in combination with clopidogrel because they may have a similar interaction include: esomeprazole (Nexium).

I'm sending this info from the FDA because I noticed your list of meds include plavix and nexium.  Maybe you should call your Doc and mention this. He may give you another drug for your Gerd or Acid Reflux.

[jrbon]

Every one is different, my RCA is 100% block at the beginning and severely damage in the middle section, but I am lucky that in the last part it receives some blood from my CX distal, and so far I have no symptoms.

As far as I understand Coralan (ivrabadine) it is not an anti angina medicament but just a medicine to low the heart rate which it is suppose to increase our life length.

What I do not understand is that, if you have such anginas, why the bypass it is not an option for you.

Jesus

[ChatterAlly]

I don't know much about that drug, but I would think that it is taken in the place of Nitroglycerin.  In my case, the beta blocker is the drug responsible for my lack of energy.  I stopped taking Plavix. Just a choice I made for myself, and I stopped taking an ace inhibitor.  My heart rate and blood pressure would get too low if I took the Altace with the others.  I take Metropolol, Isosorbide (Isordil), Norvasc, Tricor, and Nitro as needed, but stopped a few of the other drugs. As far as walking, it is still an effort for me to get started.  I am so sleepy at times, but I know it is doing me a world of good.  Did they mention doing a bypass? I have a stent in my RCA. I went to the hospital with "symptoms" not a heart attack and they found the RCA to be 90% blocked. The stent was put in with no problems.  That was 6 years ago. Did they tell you whether or not you would build collaterals around the blockage? What does your doctor advise as far as exercise?  I have heart spasms (variant angna) and so I don't always have the angina with exercise. I can have angina in a dead sleep.  I am not sure what to tell you. If your doctor doesn't see any problems with your walking, then it might just be that you need to get motivated.  Once I got into walking again I regained alot of energy, and now I feel as though I could run 5 miles. Of course I can't, but I feel so much better. Had you chatted with me last summer it would have been a different story I would be telling you.  It's all about  motivation.  But do consult with your doctor first. And if the angina does return, stop. Take care, Ally