Heart attack vs bypass
Common Questions and Answers about Heart attack vs bypass
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My father had a heart attack 23 yrs ago followed by a quadruple bypass. He has taken great care of his health with exercise and healthy vegetarian diet. He had a stress test done in 1994 that was positive. He is 73 now. He had a dobutamin stress echocardiogram and the Dr interpretaion is as follows:
Patient had angina at peak stress;
Max heart rate 126 BPM and B. P. 150/70 mm Hg noted at peak stress of 40 mcg/kg/min dobutamine + 0.3mg Atropin.
But there is something unclear and that is having a heart attack and no heart muscle damage and an EF 60%. A heart attack by definition is heart muscle damage, and heart muscle damage reduces the EF. Husband's EF is normal and no heart cell damage. I wasn't as lucky, I had heart cells as it turns out to be only stunned and brought back function normally with a better blood supply and my EF was below 29%.
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I had a heart attack in 2009 and was life flighted to the Tx Medical Ctr. I was evaluated by an excellent group of doctors, debating intervention or invasion. The surgeons performed CABG X 3. Quick recovery, but never experienced lack of chest pain when exercising, which was noted for 2 years in my follow ups. Just had a cardiac cath and 3 stents were placed. Original CABG: 1 non performing, 1 compromised, 1 ok.
hi,i had a massive heart attack bk in june2010 im 36yrs old ive got 2 stents back in july i has another angiogram when they went up there to look at my stents the doctor told me i might need bypass so why are these drs not going to do it? also they never listened to me b4 i had my heart attack.im confused i dont knw what to do..anything would help....
However, I was not so lucky with the bypass option later in the same year to treat a different vessel. My triple bypass only lasted three months so it failed basically before I had even healed up from surgery.
My LAD was opened with stents last year, but I am not sure why cardiologists feel that bypass surgery is more beneficial with the LAD. You should also remember that the choice at the end of the day is yours and if you feel unhappy with the decisions made, seek further opinions.
Both of my parents underwent 4 way bypass surgery at 73 years of age, mother after a heart attack and father after he failed a stres test. Both are alive and never better 8 years later. their doctor told them it added 15 - 20 years to their lives. Neither of them are diabetic though so I don't know how that changes things.
Good Luck!
i suffered severe heart attack 2 months ago and now doctors suggest. me bypass surgery.my main artery is working 30% and rest arteries are in gud condition.and i got natural bypass which is gud sign told me doctors butt still they suggest me surgery.is there any solution by medicines and changing lifestyle?
My husband had a heart attack one month ago. His distal circumflex is 100% blocked. Attempted to stent it and it was too calcified to stent. He has very good collaterals in this area. Proximal LAD is blocked 50%. Mid RCA is blocked 60%. 1st marginal is blocked 50%. 1st diagonal is blocked 70%. Interventional cardiologist said he will do fine with medical management. He said that stents do not prevent heart attacks and can cause their own problems. He has no angina.
You have been left with lots of stressful decisions.
The COURAGE study didn't address the quality of life issue. I tried to resolve my blockages with drugs, exercise, and diet, but continued to have angina and finally heart attacks, rejecting stents or bypass. For whatever reason, I don't grow good collateral arteries that some people develop to feed oxygen to the heart in areas where blockages are present.
Husband went to the hospital when he felt symptoms of extreme exhaustion. It was determined he had heart attack due to blood test results. Ejection fraction is 60%. Echocardiogram was essentially normal upon release from hospital. Doctor who performed catherization and could not stent 100% blocked artery feels husband will do fine on medication alone. Husband went for a 2nd opinion and was told he should have the 100%, 70% and 60% blocked arteries stented.
My father is 60 years old and had a heart attack last week. When diagnosed he had 80% blockage in one artery and a minor block in other artery. His Coloestrol, sugar and BP is perfect. Doc though is suggesting a bypass, can anybody suggest that is it the last remedy or we can have some scope through medicines?
The subject has come up in response to a high CT heart scan score (soft plaque) that seems to prognosticate a high risk for an MI....so someone can reason a bypass to prevent a possible future heart attack!
There are several reasons against prophylatic bypass:
1) Bypass surgery does not reduce the long term risk for heart attack.
2) The risk of bypass surgery often outweighs the risk of an asymptomatic heart scan score.
Three months ago, my husband (57 years old) had heart attack with emergency quad bypass. After the surgery, and again after 3 1/2 weeks, the echo showed EF 30-35%. All has gone remarkably well with recovery, however, he has been wearing the life vest because of the lower EF. Now, after this week's echo (at 3 months), it shows no improvement, still EF 30-35%. Cardiologist says now he should have internal defib inserted. We are concerned about the benefits vs. any limitations he may have.
The idea of anticoagulants is to lower the risk of stroke/heart attack. These are also very much risk factors with bypass surgery, indeed, with any surgery. If you are afraid of uncontrollable bleeding, simply request an INR test to see what your clotting factor is. They will then be able to advise you. The internet tends to produce problem cases over successful ones, which is why my Cardio warns me not to accept too much of it. It's like the media, no news is good news.
my mom had a small heart attack aug5 they put in bypass and she had another heart attack on sept.16 they done cath the 18th and found her circumflex was 99% blocked the dr tried to fix it and perforated it he got it to stop bleeding and told us they can't do anymore for her.but cant the circumflex be fixed with a bypass during open heart surgery?????
s breastbone. Once the heart is exposed, the patient is connected to a heart-lung bypass machine. The machine takes over the pumping action of the heart. This allows surgeons to operate on a still heart.
The most common type of open heart surgery for adults is coronary artery bypass grafting (CABG). During CABG, surgeons use healthy arteries or veins taken from another part of the body to bypass (that is, go around) blocked arteries.
t cause a heart attack. So, about stents or bypass. The decision is often made by the cardiologist based on his experience and confidence. If you feel strongly about having stents, then simply ask them to pass you onto someone with far more experience who can do it. If you go for stents and these block, then it may be more difficult to perform bypass and this is something to consider. It would leave you with no further options. If a bypass fails, then you still have the option of stents.
Therefore a *blockage* in that will not cause a heart attack. A heart attack (MI), is heart muscle dying from lack of blood carrying oxygen, from blockages in coronary artery disease. A severely stenotic subclavian *could* be from an entirely different disease process. I am not a physician, however, and this would not be a common disorder and there may not be a simple solution either, sorry to say.
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