Question 1

I had a stent put in my heart, and now, two years later, its blocked again. My doctor had to place another stent inside the blocked one. Is this normal or something I should be worried about?

Accepted Answer

Placing another stent inside an existing one is known as a "stent-in-stent" procedure. It is a common approach to manage blocked stents. The new stent helps to reinforce the existing one and improve blood flow. It is important to continue with prescribed medications such as dual antiplatelet therapy to prevent blood clots. Examples of medications include Clopidogrel (Plavix) 75mg daily and Aspirin 81mg daily. Regular follow-up with your doctor is essential to monitor the stents and overall heart health.

Question 2

I'm really worried because my echo showed mild TR, and I've been stressed ever since. Googling it made things worse, and now it's all I can think about. Lately, I have this constant chest pain and am terrified of a heart attack. It's making my life unbearable. What should I do?

Accepted Answer

It sounds like you are experiencing a lot of anxiety and stress related to your health concerns. To help manage your symptoms, I recommend starting with lifestyle changes such as regular exercise, stress management techniques, and a healthy diet. Additionally, you can take medication such as anxiolytics like Xanax (alprazolam) 0.25mg to help with your anxiety symptoms. It is important to consult with a healthcare professional for proper evaluation and management.

Question 3

For how long can we rely on the CT coronary angio results? My mom is 65, diabetic, and had one done in February 2020it all looked pretty normal back then, no plaque in the main artery and a calcium score of zero. Her recent ECG also came back normal and she's not having any symptoms, but we've found that she has mild pulmonary hypertension with a systolic pressure of 34 mmHg on a 2D echo. She's not taking any blood thinners right now. Do you think we should consider repeating the CT angio?

Accepted Answer

CT coronary angiography is a non-invasive imaging test that can provide detailed information about the coronary arteries. In your mother's case, since her CT angio done in Feb 2020 showed a fairly normal result with no plaque in the main artery and a calcium score of zero, it indicates a low risk of significant coronary artery disease at that time. Given that the recent ECG is normal and your mother has no complaints, the decision to repeat the CT angio should be based on her current symptoms, risk factors, and overall clinical condition. Mild pulmonary hypertension as seen in the 2D echo with a systolic pressure of 34 mmHg may not necessarily warrant a repeat CT angio unless there are new symptoms or concerns regarding her cardiac health. It is important to continue monitoring her condition regularly with follow-up visits to her healthcare provider, who can assess the need for any further investigations or adjustments to her treatment plan.

Yes change your routine and have regular physical activity and consume healthy diet,have a regular follow up with your doctor

More Cardiology Health Queries

I had a stent put in my heart, and now, two years later, its blocked again. My doctor had to place another stent inside the blocked one. Is this normal or something I should be worried about?

I'm really worried because my echo showed mild TR, and I've been stressed ever since. Googling it made things worse, and now it's all I can think about. Lately, I have this constant chest pain and am terrified of a heart attack. It's making my life unbearable. What should I do?

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