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  • 6 stents after heart attack.. Is this a lot?
  • rickmeister
    Full Member

    Well after a heart attack…house full of specialist medics and a helicopter flight… Surgery had to happen… MIL is 80 so it’s either open bypass surgery or stents via the arteries in the groin. With no time to prep, it’s the stent option.

    Op has gone well and it’s 6 stents across 3 coronary arteries and approx 30% reduced heart function but she is up, about and has warm hands which is a change and is doing ok.

    6 stents sounds a lot to recover from a pretty dire situation, but it’s worked. Open surgery is on hold pending review in 6 months…

    Any comment on the 6 stent thing, long term viability of the op based on trying to avoid a much bigger op really welcome. I know it’s questions for the surgeons or care team but family are German and I haven’t been able to ask these questions myself…

    jamj1974
    Full Member

    Can’t comment on the number of stents – but having been through a lot of research recently, outcomes for people who have stents seem good.  Certainly, they will have significantly extended her life expectancy.  The approach of using stents has a lower mortality than other approaches – especially for the elderly.

    benz
    Free Member

    Lad at work had 8 installed after heart attack on holiday in Spain.  Luckily the hospital he ended up in happened to have an expert in such things.

    That was 3 years ago and he is full of life for sure.

    jonnyboi
    Full Member

    Some UK hospitals are world leaders in using stents in situations where the artery is basically completely blocked.  I wouldn’t worry about the number used, it is obviously appropriate for the patient and far better than open heart surgery

    twonks
    Full Member

    Long story and I’ll share it privately if anybody wants to know more but, when I had what has been recorded as a heart attack nearly 10 years ago I overheard a discussion about stents and at that time they were talking about 20 years before it need to be replaced due to collapse or just wearing out.

    I suspect for most heart patients this will be fine and for the younger ones maybe surgery is an option at the time ot later to replace / repair the stent.

    I wouldn’t worry too much about recovering from the stents being placed tbh as the procedure is relatively easy on the body, especially in comparison with not doing it in the same situation.

    Personally I didn’t have / need any work beyond medication so can’t comment about the actual procedure, although I know a couple of guys that had 2 and 3 fitted respectively and they felt immediately a lot better.

    The body will take a couple of weeks to recover from the prep medication and clot busters / blood thinning when first taken into hospital but after then she should start to gather herself a bit and will likely be more able than before.

    ecampbell
    Free Member

    Stents and meds are the preferred combination – if it’s “stentable” I.e. they are physically able to get the stent into the blockage – then it’s definitely a better option, regardless of the number needed. Long term viability wise, it would be seriously rare for there to be any issues in her lifetime.

    Open bypass surgery provides a similar end result, but is seriously major surgery, with a (relative to other surgery)  high rate of pretty serious combinations, and if it can be avoided is definitely better!

    20 years ago, we didn’t have the ability to do stents, so every one got bypass, now almost all get stents, and very few need bypass, and as I understand it morbidity and mortality rates are much, much lower as a result!

    rickmeister
    Full Member

    Thanks for the replies, it’s very reassuring. Appreciate your comments…

    poolman
    Free Member

    Sorry I have nothing to add re the stents but today I asked my gp to measure my blood pressure.  Coincidentally i was researching high blood pressure and heart attacks on the nhs website.  Mine seems ok but there is always room for improvement.  Good luck btw.

    welshfarmer
    Full Member

    Good riding buddy of mine who is 50 next year had a minor heart attack 12 months ago and had 6 stents before the week was out. He is back racing his bike and riding out with us as if nothing ever happened.

    CHB
    Full Member

    Great answers like this is why I love STW forum. 🙂

    aphex_2k
    Free Member

    Stents can be easy to insert. They did my Dad’s through his wrist / radial artery and it was quick. So quick he didn’t even realise it was done and chatted through it.

    martymac
    Full Member

    Guy at my work had 4 inserted after a mini heart attack, was back at work in a couple of weeks, and looks as well as ever.

    ton
    Full Member

    I had a angiogram when I was having heart problems. through my wrist.

    the stents often go in the same way, which is pretty straight forward.

    last thing I would wish on anyone, would be open heart surgery, which is a complete bastard to get over.

    alanf
    Free Member

    I’ve been fortunate enough to have one fitted, due to a falling down/MI incident I had during a (running) race over 2 years ago.  Some may say it’s unfortunate, but being dead on a beach and having to undergo CPR followed by defib shock followed by air ambulance, from falling over to having stent fitted was about 3 hours, so I’d say fortunate. Considering there is something like only a 10% chance of survival for anyone suffering a MI outside of hospital, I’d say very fortunate.  It sounds like your MIL got equally good treatment.

    Anyway, the stent I had (1 artery 95% blocked – 2 others clear) has not been any problem at all. I’m also on associated meds but it has given me the opportunity to continue with my lifestyle and returning to doing the things I enjoy (running/cycling). I’ve managed a sub 2:45 marathon this year so I have no complaints.

    martinhutch
    Full Member

    Stents can be easy to insert. They did my Dad’s through his wrist / radial artery and it was quick. So quick he didn’t even realise it was done and chatted through it.

    We should all pause here and consider just how bloody clever modern medicine is!

    rickmeister
    Full Member

    I think martinhutch has pretty much nailed it…. modern medicine and techniques are pretty damn amazing.  Every story above is a testament to how good all the healthcare professionals are. They can properly transform lives… alanf’s comments for example.

    Hugely reassuring to hear the MIL will be OK for a good few years yet.

    Oh… hang on…..

    Superficial
    Free Member

    Considering there is something like only a 10% chance of survival for anyone suffering a MI outside of hospital

    *Cardiac arrest.

    Sometimes an MI causes a cardiac arrest so they’re related but most people survive heart attacks (MI). Your estimate of 10% for out of hospital cardiac arrest is shockingly** accurate, though. This is due to a number of factors, but survival increases dramatically if good quality CPR is administered immediately.

    If you haven’t done so, learn CPR! It’s not hard, and you could save a life one day. Even if you’ve never done a course you can (and should!) still do it if you find someone who is unresponsive and not breathing (after calling 999).

    Source: Am cardiologist.

    **Pun not intended, but I’m gonna leave it there.

    alanf
    Free Member

    Thanks superficial, I got it the wrong way around! CA – MI.

    Those were the figures I was quoted by my cardiologist who fitted my stent, and yes, I did the CPR / defib training a couple of months after my incident.

    My running club organised a session for members to do after my incident.

    It’s definitely a worthwhile exercise and good to have the knowledge for if you are ever in the position to have to use it.  Someone might be very grateful!!!

    Fortunately for me, I was being followed in the race (unbeknownst to me) by a cardiology nurse, who once made aware of the situation was able to take charge and start CPR before the defib arrived!

    It was a miraculous set of circumstances, pretty much all in my favour (other than actually falling over in the first place!!!).

    therevokid
    Free Member

    i’ve actually got 5 atm …. and that was only angina at the ripe old age of 52 … still

    hammin’ it about on bikes like nowt happened 🙂

    2 via the radial and 3 via the femoral ….

    woody2000
    Full Member

    My dad had 3 put in a few years ago after a minor heart attack.  He’s 84 now and doesn’t seem any worse for it (the stents, not being 84!)

    He had them via the wrist, but as he’s a big wimp he didn’t watch it on the screen.  Kept his eyes closed all the way through 🙂

    stgeorge
    Full Member

    Had two fitted 10 years ago, aged 50, after severe blockage. now never been fitter since youth. 6250 miles year to date and counting…..

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