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Hi My Father Had Heart Attack In July Got One
Question: hi my father had heart attack in july got one stent placed and got 7 different medcines to take everyday he feels very weak and nausea continues not able to eat.. now since he has 2nd one 80% block and want to get it done ASAP which is in critical location as per his xrays.. is it safe to go for 2nd one when he is weak? he is 80yearsold. also what are thecomplicationns that could seen during procedure or after procedure thank you
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome to Ask a Doctor service!
Regarding your concern, I would explain that first, it is important to find the possible cause for his underlying weakness:
- possible heart failure. for this reason it is important to perform a cardiac ultrasound.
- possible drug adverse effects
- an underlying metabolic disorder like anemia, thyroid gland dysfunction, kidney or liver dysfunction, gastritis, etc..
Regarding the possible complications, I think that he can safely support this new procedure as the potential complications would be the same as in the first procedure ( stent thrombosis, bleeding, etc.).
However, if properly followed with a careful therapy everything would be Ok and your father would prevent a second heart attack.
Hope you will find this answer helpful!
I remain at your disposal for any further questions whenever you need!
Wishing all the best,
Dr.Ilir Sharka,
Cardiologist
I would explain as follows:
Detailed Answer:
Hello!
Welcome to Ask a Doctor service!
Regarding your concern, I would explain that first, it is important to find the possible cause for his underlying weakness:
- possible heart failure. for this reason it is important to perform a cardiac ultrasound.
- possible drug adverse effects
- an underlying metabolic disorder like anemia, thyroid gland dysfunction, kidney or liver dysfunction, gastritis, etc..
Regarding the possible complications, I think that he can safely support this new procedure as the potential complications would be the same as in the first procedure ( stent thrombosis, bleeding, etc.).
However, if properly followed with a careful therapy everything would be Ok and your father would prevent a second heart attack.
Hope you will find this answer helpful!
I remain at your disposal for any further questions whenever you need!
Wishing all the best,
Dr.Ilir Sharka,
Cardiologist
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Hello Dr.Sharka
Thanks for the response. As my father going for few tests today to get preparted for Monday for 2nd stent procedure I would like to know what questions are generally being asked? Could you help me with some questions?
The procedure is performed in XXXXXXX but I live in USA so I am really concerned
What kind of stent they use? what is the future complication? which anthesia they use? any side effects of anesthesia? the doctor first time did via wrist where he got the area little darker.. now doctor says he might need to do it from groin area but may need a little big balloon, so I am concerned is it normal or any thing alarming? I am uploadin the xray I got first time when they say 1st is 100% and 2nd is 80%. can you please check and see if you see anything with this
Thanks for the response. As my father going for few tests today to get preparted for Monday for 2nd stent procedure I would like to know what questions are generally being asked? Could you help me with some questions?
The procedure is performed in XXXXXXX but I live in USA so I am really concerned
What kind of stent they use? what is the future complication? which anthesia they use? any side effects of anesthesia? the doctor first time did via wrist where he got the area little darker.. now doctor says he might need to do it from groin area but may need a little big balloon, so I am concerned is it normal or any thing alarming? I am uploadin the xray I got first time when they say 1st is 100% and 2nd is 80%. can you please check and see if you see anything with this
Brief Answer:
My opinion as follows:
Detailed Answer:
Hello again!
Regarding your new questions, let me explain that percutaneous angioplasty may be performed by utilizing the radial access (wrist artery), or femoral access (groin area).
Both strategies are quite common depending also by the local expertise.
The radial access (wrist) offers fewer risks of local bleeding and the patient may be physically mobilized soon after the procedure, while femoral approach offer a larger access for manipulation, but the post-procedure mobilization occurs later.
Both alternatives are performed under local anesthesia and the underlying risks are quite in-existent (so nothing to worry too much about!).
Actually drug eluting stents (DES) are the preferred ones, as the risk of late restenosis is lower compared with bare metal stents (BMS).
The minimal risks related to angioplasty procedure are the same as in the first procedure.
Regarding your father's clinical status, I would explain that his weakness and associated symptoms seem to be related also to heart failure (cardiac dysfunction as confirmed by the medical report).
You should discuss with his doctor on the above mentioned issues.
Hope to have clarified your issues of concern!
Let me know in case of any further questions.
Kind regards,
Dr. Ilir Sharka
cardiologist
My opinion as follows:
Detailed Answer:
Hello again!
Regarding your new questions, let me explain that percutaneous angioplasty may be performed by utilizing the radial access (wrist artery), or femoral access (groin area).
Both strategies are quite common depending also by the local expertise.
The radial access (wrist) offers fewer risks of local bleeding and the patient may be physically mobilized soon after the procedure, while femoral approach offer a larger access for manipulation, but the post-procedure mobilization occurs later.
Both alternatives are performed under local anesthesia and the underlying risks are quite in-existent (so nothing to worry too much about!).
Actually drug eluting stents (DES) are the preferred ones, as the risk of late restenosis is lower compared with bare metal stents (BMS).
The minimal risks related to angioplasty procedure are the same as in the first procedure.
Regarding your father's clinical status, I would explain that his weakness and associated symptoms seem to be related also to heart failure (cardiac dysfunction as confirmed by the medical report).
You should discuss with his doctor on the above mentioned issues.
Hope to have clarified your issues of concern!
Let me know in case of any further questions.
Kind regards,
Dr. Ilir Sharka
cardiologist
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks for the response again.
So that groin area if need to operate from there would that be healed quickly or any risks we should know of to take precautions?
He is not consistently weak but on and off sometimes seems sleeping well and eating but other times not so feeling fatigue and restlessness having haculations or dreams now and then.
We discussed with doctor and he said that this is because of his stress or anxiety so not to worry much. and of course he did not prescribe any anti stress related or sleep related medicines. not vitamins either. I understand as per his speciality he many not do all this. But can we give him multi vitamins after his 2nd one done can he take it regularly? he used ot do that before.
Lastly in your opinion as a specialist - for aged 80 and above these are the safest procedures?
Thanks for being there for answering all these questions. I feel much better. thank you
So that groin area if need to operate from there would that be healed quickly or any risks we should know of to take precautions?
He is not consistently weak but on and off sometimes seems sleeping well and eating but other times not so feeling fatigue and restlessness having haculations or dreams now and then.
We discussed with doctor and he said that this is because of his stress or anxiety so not to worry much. and of course he did not prescribe any anti stress related or sleep related medicines. not vitamins either. I understand as per his speciality he many not do all this. But can we give him multi vitamins after his 2nd one done can he take it regularly? he used ot do that before.
Lastly in your opinion as a specialist - for aged 80 and above these are the safest procedures?
Thanks for being there for answering all these questions. I feel much better. thank you
Brief Answer:
My opinion as follows:
Detailed Answer:
Hello again!
Of course, he may take some vitamins after the procedure and maybe some melatonin before sleep to help regulate his sleep.
If hallucinations persist, I would recommend consulting with a psychiatrist.
Anyway, I think that this is a quite safe procedure at this age.
Regarding the groin area, it will heal very soon. No precautions need to be taken.
Hope to have been helpful!
Wishing good health,
Dr. Iliri
My opinion as follows:
Detailed Answer:
Hello again!
Of course, he may take some vitamins after the procedure and maybe some melatonin before sleep to help regulate his sleep.
If hallucinations persist, I would recommend consulting with a psychiatrist.
Anyway, I think that this is a quite safe procedure at this age.
Regarding the groin area, it will heal very soon. No precautions need to be taken.
Hope to have been helpful!
Wishing good health,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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