Clopidogrel in unstable angina to prevent recurrent ischemic events

Common Questions and Answers about Clopidogrel in unstable angina to prevent recurrent ischemic events

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Avatar n tn In patients suffering from unstable angina, the risk was reduced by 51 percent. Aspirin can prevent first heart attack and stroke in individuals with angina. This includes patients with clinical evidence of blockage to heart blood vessels such as those with a type of chest pain known as stable angina. Millions of Americans are in this high-risk category.
Avatar m tn The recommended treatment for DES implants is dual therapy of aspirin and plavix up to a year. Combining plavix and aspirin increases the risk of bleeding vs. aspirin alone in patients treated for more than a brief period of time. That is the regimen followed for my DES implant. f you are in this category a prior MI and unstable angina:" In the CAPRIE trial, clopidogrel (plavix) was equivalent to aspirin for patients with a recent (but not acute) MI.
Avatar m tn It has been my understanding from what I have read and my experience, plavix is recommended for individuals that have a drug eluding stent to help prevent clots for up to a year. That has been my experience. DES when compared to bare metal stent implants have an increase of clots and restenosis for a period of one year...after that time the risk is very low and plavix is no longer of any benefit and the patient is on aspirin indefinitely as with the BMS.
Avatar f tn because it seems you are restricted due to exertion? Unstable angina really implies you can run a marathon, and not necessarily have an angina attack. It's hit and miss and can happen at any time, even when laying down. So, I am wondering if the diagnosis is correct. It would certainly imply stable angina if you have developed lots of blockages over the years and required further stenting.
Avatar m tn 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.
Avatar f tn I had a heart attack in the beginning of October of this year (confirmed by elevated cardiac enzymes) and in the angiogram (sp) they did not find a blockage but were able to see where the damage was and said that one of my small arteries "clamped down" but had re-opened. They diagnosed me with unstable angina.
Avatar n tn Beta blockers have also been shown to decrease the risk of adverse cardiac events in patients with angina and silent ischemia. Nitrates and Ca channel blockers have not been shown to have this added beneficial effect. I no longer take a nitrate (slow acting) daily but only prior to going to the gym for a workout 3 times a week.... YOU SHOULD BE AWARE If nitrates are administered around the clock, tolerance to their effects develops rapidly.
Avatar f tn I was always led to believe that stable angina will always produce lower levels of troponin than unstable angina. Surely with stable angina, the heart is fine at rest, but once pain is felt at rest, this is classed as unstable and troponin will increase? I personally still don't believe you can say 'when' the attack started, you would have to rely on a historical pain description from the patient.
Avatar f tn Another most important thing I am delighted to mention that my husband had to stop after walking 25 yards due to angina (just prior to stenting), now walking with me for full one hour, a brisk walk without a single stop. He had six stents put in ( single procedure) just two months ago. We are taking this walking advice as the most important medication. If he can successfully continue this clopidogrel and aspirin along with this daily walk, then I would be just grateful to God.
Avatar f tn He was diagnosed with unstable angina and had an arterial blockage of 95%, hence the stent. He is now on blood thinners and another tablet daily but was unable to continue beta blockers because of an allergic reaction. The trouble is he still smokes (15 to 20 pd), drinks moderately each day but binge drinks (to the point of blackout/blindness) whenever he feels like it. He says he enjoys drinking like this and has done so for 30+ years.
5902149 tn?1376877360 You state that you have angina or unstable angina. It makes a big difference whether it is stable or unstable angina. Stable angina normally gives you chest discomfort (pain) during activity and these symptoms go away at rest, while unstable angina can give problems even at rest. If unstable angina is diagnosed, the caregivers will probably not let you go home as this is a dangerous condition.
Avatar f tn There are different variations of angina, and stable angina is the most common. With stable angina it is easy to bring on the symptoms because they occur just as you expect, when the heart needs more oxygen but it's not able to obtain enough. Stable angina doesn't occur at rest UNLESS the blockages have become very severe but the discomfort would be there ALL the time. You could be suffering from unstable angina.
Avatar m tn m not disagreeing with the dx of stable angina, and the possibility sleep related stress that can provoke angina pectoris, but the tests indicates according to the post that OP has unstable angina. Variant angina pectoris usually occurs spontaneously (triggering mechanism unknown), and unlike typical angina, it nearly always occurs when a person is at rest. It doesn't follow physical exertion or emotional stress, either.
Avatar m tn I was seeing afer being in a car accident. finally my pcp sent me to a cardiologist. i first had an ultrasound and was told i had cardiomyopathy and my ef was 35-40% and sent on my way. next i had an angiogram and was told i had heart spasms and a virus in my heart. then i went back to the cardiologist and he told me i have myocarditis and non ischemic hypertrophic cardiomyopathy. i am 33 no family history of heart disease and little blockage of my arteries.
21064 tn?1309308733 Receptor Antagonism Using Integrilin Therapy [PURSUIT], and Clopidogrel in Unstable Angina to Prevent Recurrent Events [CURE]) are also consistent with the lack of any increase in benefit with higher dosages of aspirin. But in contrast to the efficacy data, larger doses of aspirin are associated with an increased incidence of bleeding events, primarily related to gastrointestinal tract toxicity.
237039 tn?1264258057 Ischemia is a blockage of the vessels, and the blockage prevents sufficient blood flow to an area of the heart causing chest pain (angina). To experience angina without treatment can cause permanent damage to heart cells. Opening the occluded vessel/vessels with a stent or medication should relieve the chest pain.
9870921 tn?1481258967 During the ablation, the doctor will need to provoke the arrhythmia, I can understand the reason, in your case, you would need to withhold. I would follow the Doctor's advice, if he/she did not say to taper, I would not do so. Concerning abrupt discontinuation of Beta Blockers, the following. "Ischemic Heart Disease: Following abrupt cessation of therapy with certain beta-blocking agents, exacerbations of angina pectoris and, in some cases, myocardial infarction have occurred.
Avatar m tn -- without symptoms -- or it may result in persons with stable angina or unstable angina. It is usually appears as variant angina, a type of chest pain that is thought to be due to endothelial dysfunction, a condition in which the coronary artery may appear normal, but does not function normally. For some insight, coronary artery spasm is a cause of inadequate oxygen levels (ischemia) of the heart.
Avatar m tn Is there something like unstable variant angina and if so is that different from unstable angina? I.e. does unstable angina always refer to the heart rather than the arteries contracting?
976897 tn?1379167602 I have been really thinking about what the cardiologist said about my LAD and that he believes it could be unstable angina. If my LAD is full of stents from top to bottom, can it spasm? Do stents actually get squeezed together and then expand again? I was under the impression that a stent held an artery fully open and it was unable to expand or contract. If an artery is strong enough to squash a stent, then wouldn't that make a mess of every procedure done to millions of people?
Avatar m tn I think I have Unstable Angina, my doctor has put me on Lipitor, Plavix, Asprin, Monodur and has doubled my dose of Atenolol to 100mg, what I would like to know is with this treatment can Unstable Angina become Non Unstable Angina?, it would be nice to know if the blood thinning drugs have desolved the blood clot that is part of Unstable Angina. David.
Avatar f tn I have cardiac syndrome x with ischemic heart disease. On Saturday I woken up by extreme crushing pain to my chest which radiated to both arms, neck and jaw, which lasted for about 30 mins. I had an abnormal ecg and at A&E they said they thought I had had a cardiac spasm. Since then I have had mild palpations and breathlessness on exertion. Any ideas please.
Avatar n tn There are different types of angina. The unstable angina requires immediate attention, while the stable angina can be treated with medications. So, if your aunt has unstable angina, she needs to have looked at that on short notice. If she has stable angina there is perhaps not so much urgency, but she needs to have it treated anyway if she wants the gallbladder operation If it appears that theangina is from a new blockage, chances are they can put in another stent to solve the problem.