Less than 70 %blockage can be managed medically with medications but you will need to reevaluate her again after a year or so..
In general every patient who has a significant blockage in the heart or has a history of heart attack should be on at least 4 types of medications
1) antiplatelets which increase the clotting time of blood and decrease chances of future heart attacks and Re-stenosis of the stent
. initially you are kept on two types of antiplatelets and depending upon your disease and your progress your then shifted to single antiplatelet after 6 months or 1 year.
Eg: ecosprin, clopidogrel, Prasugrel, brillianta
2) Statins - are cholesterol lowering medications which are supposed to again prevent future heart attacks.
Eg. Tonact / atorvas
3) ARB / ACE Inhibitors - which help decreasing pressure on the heart and prevents remodeling injuries.
eg. Cardace / telma
4) Beta Blockers - They decrease the heart rate thereby reducing the work load on the heart and decrease BP also.
eg. Atenolol / Betaloc / metolar
usually all post angioplasty patients are kept on at least these 4 types of medications and depending upon the side effects and contraindications of medications are changed and slowly over period of time the dosage of these medications are decreased depending upon the recovery
Get back to me with the reports for a detailed consultation.
Watch these simple explanatory videos for underlying the problem. Copy the link address to your browser
1) Chest pain - must know
https://youtu.be/xZunqXM3G1Y
2) Heart failure
https://youtu.be/rgN3ez7CkHc
https://youtu.be/j2LlMRwoX94
3) Three things to do in chest pain -
https://youtu.be/v7glVnwnLDg
4) Difference between heart attack and heart blocks vs heart failure
https://youtu.be/X5FDPT2bY3I
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Regards
Dr. Paramjeet Singh
MBBS, DIP. CARDIOLOGY (LONDON), FICC.
CONSULTANT CARDIOLOGIST
YASHODA SUPERSPECIALITY HOSPITAL
Answered2017-10-25 05:42:30
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