PTCA TO OM

[sharonjaze]

dear sir,Last jan 2012 had an attack,then done an echo , result distal anterior wall akinetic with mild thinning. LV contracting well,good LV FUNCTION,normal valves,no clots/effusion.Dr.advised an angioplsty to O.M,after angioplasty again done an echo,normal sizes cardiac chambers ,good LV systolic function,noRWMA,normal valves,noPAH,no clots/effusion.Now i taking Rampril 2.5,concor 5,clopivas 75,asprin 150,avas 40 each daily.When i can stop this medicine.Actually attack time i have no feelings.I have only 34 yrs old,thats time my cholostrol level also normal.Now i feeling very well ,my field is construction sites claimping steps,my sexual life also feeling very good.can u advise any precaution need after angioplasty.No smoking,no drinking,stop oily food,red meats.In future again chance for same issues.Dr.told me u have no restictions any activities.Alchol consumption reduce heart issues any fact.

[sharonjaze]

LMCA-Long and normal LAD-Type third vessels . mild lumilnal narrowing in LAD at the orgin and D1.Distal LAD and Digonals are normal.lex:ostium has a mild plaque.Long tubular narrowing in the major OM with slow filing distally.Distal Lcx is normal. RCA :dominnant and normal.the vessel was engaged with EBU 3.5 Guiding catheler.Initially a Galeo floppy wire was used to crosss the lesion.Since it could not be advanced ,an intermediate wire was used to cross the lesion.The vessels was initially dilated with 1.25 * 10 mm Pantera balloon at  8 ATM.Following that itr was dilated again with 2.5 815 Riyujin balloon at 8 ATM.The vessels was opened up.Initially it was tried to advanced that stent over the wire,but could not be advanced.Hence a buddy wire (Galeo ES wire ) was introduced and the stent was advenced over the ES wire,2.5 *18 mm stent was deployed at 12 ATM.Good TIMi 3 flow in the vessels.Success angioplsty to OM .Good result.Now i am using Ecosprin 150.clopivas 75 ,avas 40,rampril 2.5,concor 5.Echo result before angioplasty -Distal Anterior IVS & distal anterior wall akinetic with mild thinning,Rest of LV contracting well,overall good LV function,Normal valves,no clots/effusion.ECG NSR HR 60/mt.T inversion 1,aVL V2 v6,qs v3-v4.After Angioplasty echo result is Normal sized cardiac chambers,Good LV systolic function,NO RWMA,Normal valves,No PaH,No clots/effusion.Today i read one article MI effected antiorwall,only one year he will die,its trues and my angioplasty success and again chance for heart attack,i am 35 rs old man,physically i am very well,i am continue regular life,can u give good advice,mentally i am disturbed after MI.other all my blood result ok

[sharonjaze]

LMCA-Long and normal LAD-Type third vessels . mild lumilnal narrowing in LAD at the orgin and D1.Distal LAD and Digonals are normal.lex:ostium has a mild plaque.Long tubular narrowing in the major OM with slow filing distally.Distal Lcx is normal. RCA :dominnant and normal.the vessel was engaged with EBU 3.5 Guiding catheler.Initially a Galeo floppy wire was used to crosss the lesion.Since it could not be advanced ,an intermediate wire was used to cross the lesion.The vessels was initially dilated with 1.25 * 10 mm Pantera balloon at  8 ATM.Following that itr was dilated again with 2.5 815 Riyujin balloon at 8 ATM.The vessels was opened up.Initially it was tried to advanced that stent over the wire,but could not be advanced.Hence a buddy wire (Galeo ES wire ) was introduced and the stent was advenced over the ES wire,2.5 *18 mm stent was deployed at 12 ATM.Good TIMi 3 flow in the vessels.Success angioplsty to OM .Good result.Now i am using Ecosprin 150.clopivas 75 ,avas 40,rampril 2.5,concor 5.Echo result before angioplasty -Distal Anterior IVS & distal anterior wall akinetic with mild thinning,Rest of LV contracting well,overall good LV function,Normal valves,no clots/effusion.ECG NSR HR 60/mt.T inversion 1,aVL V2 v6,qs v3-v4.After Angioplasty echo result is Normal sized cardiac chambers,Good LV systolic function,NO RWMA,Normal valves,No PaH,No clots/effusion.Today i read one article MI effected antiorwall,only one year he will die,its trues and my angioplasty success and again chance for heart attack,i am 35 rs old man,physically i am very well,i am continue regular life,can u give good advice,mentally i am disturbed after MI.other all my blood result ok.

[sharonjaze]

35 old men,i had an recentCAD ACS-NSTEMI AND DONE PTCA TO OM.MT ANGIOGRAMME RESULT IS,LMCA IS LONG AND NORMAL.LAD:Type 111 vessel.Mild luminal narrowing in LAD at the orgin and D1.Distal LAD and diagonals are normal.Lex:ostium has a mild plaque.long tubular narrowing in the major OM with slow filling distally.Distal Lcx is normal.RCa Dominant amd normal.My echo result was,Distal Anterior IVS& distal anterior wall akinetic with mild thinning.Rest of LV contracting well,Overall good lV function,Normal valves,No clots/effussion.After angioplasty done dr advised an echo again,result is normal sized cardiac chambers,Good LV systolic function,No RWMA,Normal valves,No PAH,No clots/effusion.Now my condition is stable and physically i am feeling well,But mentally i feeling not well,affarid for again chance for MI.Now reduce my foodstyle and habits.Today i read one article MI effected antior wall maximum survive one year/five months.can u give advise my last visit of my dr. told me ur echo test is ok u are perfectly alright u can do anything and restriction.part of my duty steps more than 6 floor clamip daily two three times.Now i taking some medicines Rampril 2.5,concor 5,clopivas 75,asprin 150,avas 40.Heart attack time my cholostrol level are normal,How this happen my this age. .

[sharonjaze]

35 old men,i had an recentCAD ACS-NSTEMI AND DONE PTCA TO OM.MT ANGIOGRAMME RESULT IS,LMCA IS LONG AND NORMAL.LAD:Type 111 vessel.Mild luminal narrowing in LAD at the orgin and D1.Distal LAD and diagonals are normal.Lex:ostium has a mild plaque.long tubular narrowing in the major OM with slow filling distally.Distal Lcx is normal.RCa Dominant amd normal.My echo result was,Distal Anterior IVS& distal anterior wall akinetic with mild thinning.Rest of LV contracting well,Overall good lV function,Normal valves,No clots/effussion.After angioplasty done dr advised an echo again,result is normal sized cardiac chambers,Good LV systolic function,No RWMA,Normal valves,No PAH,No clots/effusion.Now my condition is stable and physically i am feeling well,But mentally i feeling not well,affarid for again chance for MI.Now reduce my foodstyle and habits.Today i read one article MI effected antior wall maximum survive one year/five months.can u give advise my last visit of my dr. told me ur echo test is ok u are perfectly alright u can do anything and restriction.part of my duty steps more than 6 floor clamip daily two three times.Now i taking some medicines Rampril 2.5,concor 5,clopivas 75,asprin 150,avas 40.Heart attack time my cholostrol level are normal,How this happen my this age.

[CCFHeartMD14]

I am sorry to hear about your heart attack. Without being able to review your entire history it will not be possible to give you an exact answer, but based on what you described, you are on the all right medications which you should continue for now.
The one which your doctor may consider stopping first (BUT NOT NOW) is clopidogrel. It depends on the type of heart attack and angioplasty you had. Most likely your doctor will recommend it for at least 1 year after heart attack
You will likely be prescribed aspirin and statin (you are taking atorvastatin) lifelong. You need statin after heart attack even if your cholesterol is normal.
Based on how you described your heart attack I would recommend continuation of beta blocker (concor) and ACE inhibitor (ramipril).
Your doctor is treating you with the optimal medical therapy post heart attack and I would suggest discussing all your concerns with him and following his recommendations.
With best wishes