After stent(DES)diffused-CABG later 2 times PTCA in 1 1/2 yr- please justify

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dak123
New Member


Date Joined Dec 2016
Total Posts : 2
   Posted 12/26/2016 11:42 AM (GMT -6)   
Gist for Case explanation / query
Respected Dr.sir/madam
I am 45Yrs and 1 1/2 year back (01-07-2015) I had a severe pain in the chest, admitted in the one of renowned hospital and diagnosed as
ATHEROSCLEROTIC HEART DISEASE ICD CODE I 25.1,
ACUTE ANTERIOR WALL MI ICD CODE I 25.2 W/P(1 1/2 HR DURATION) THROMBOLYSED WITH INJ.TENECTEPLASE-40MG,MODERATE LV DISFUNCTION RADIAL CAG:DOUBLE VESSEL DISEASE,
ADVISE: PCI TO LAD (DES),RESCUE PCI TO PROXIMAL LAD,3.0X19mmBIOMIME AURA STENT(DES),R/F:SMOKER ICD CODE J 41.0

After the above procedure with in 15 days I've faced the same previous conditions and breathless ness, giddiness then rushed to hospital and conducted CAG the findings are:
OSTIAL RAMUS 95%STENOSIS AT PRESENT MEDICINES ONLY AND O/o location, CLEAR TO LAD STENT?
Further I went to OTHER HOSPITAL 300 KM AWAY FROM OUR CITY as I felt I was Neither properly diagnosed/Nor properly treated.
There in the new hospital as per the advise of the senior cardiologist we agreed them to proceed for Check Angiogram and diagnosed as
Unstable Angina NSR, MODERATE LV DISFUNCTION. [EF-40%], and with the same complaints on emergency I was admitted in the hospital several times for observation. Finally after a month of time they have conducted
CABG. On 28-09-2015
operation: coronary Artery Bypass grafting surgery (off pump)
1.Left internal mammary artery to left anterior descending artery
2.Saphenous vein graft to Ramus.
3. Saphenous vein graft to Diagonal.
Further, after with post surgical complication in the process that I’m recovering, Again the chest heavy ness! got found a difficulty—


Implanted a Stent on 06-04-2016
and diagnosed as:
#CAD-ANTERIOR WALL MI, S/p TNK
#S/p CAG –TVD
#S/p PTCA with stent to LAD (01-07-2015)
#S/p CAG-Mild ISR of LAD stent
#S/p CABGs 28-09-2015-LIMAto LAD, SVG to RAMUS and D1
#S/p CT CAG 04/04/2016- PATENT GRAFTS, SEVERE DIFFUSE ISR IN LAD
#S/p CAG-DOUBLE VESSEL DISEASE [06/04/2016](OSTEAL LMCA 90% STENOSIS)
ADHOC PTCA+ STENT TO LMCA TO LCX (DES) WITH IABP SUPPORT

Later with some complications and I’ve tried to improve my daily activities like walking twice a day for 1hr wholly. Again and as in different kind now I’ve got a severe neck tightness while I’m in morning walk and rushed to hosp. then admitted and implanted
Two Stents on 19/10/2016 and diagnosed as:

#S/p CAG (19/10/2016)-LMCA+Two Vessel Disease,Patent LIMA to LAD,SVG to Diagonal and RAMUS.

After the procedure conducted to me on the day 19th oct’ 2016 the symptoms are not relieved completely facing the same symptoms even now, after 5 min walk getting neck tightness and slowly palpitations., and can’t even bare a minimal strain like even I can’t perform my daily routine works.

So, Please kindly justify my previous procedures and advise me the right diagnosis/treatment.

In the bottom line:

6 Angiograms,

1(3 vessel) CABG, 1 CT Angiogram,

1(diffused)+1+2 =Total 4 Stents Pre and Post CABG

Medicines using is given under:

1.ECOSPRIN-150mg-------BD
2.RANOZEX-500mg--------BD
3.CLOPITAB-75 mg--------BD
4.NICORAN -5 mg-------BD
5.PREGABLIN-50mg-------BD
6.DILZEM SR-90mg-------OD(8 am)
7.MET XL -25 mg-----OD (8 am)
8.Atorvastatin-80mg------OD (9 pm)
9.Restyl -0.25mg-----OD (9 pm)
10.Pantodac-40mg ---OD (6 am)
11.Cremaffin 15ml---OD sos

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 16161
   Posted 12/26/2016 7:35 PM (GMT -6)   
Hi Dak & welcome to the forum. It sounds like you have had a lot of different things going. None of us are drs here at Healing Well, therefore we cannot give you a diagnosis let alone justify all of the tests & procedures that has been done. Your questions needs to be directed to a cardiologist. If you are not satisfied with the head of cardiology, I urge you to keep looking for a dr that you are comfortable with. If there is one dr that you need to like & trust that is your cardiologist. I am guessing that you do not live in the states. Keep looking for a dr that you feel you can trust.

Let us know how you are doing. Take care.
Susie
Moderator in Chronic Pain & Psoriasis Forums

dak123
New Member


Date Joined Dec 2016
Total Posts : 2
   Posted 12/26/2016 10:02 PM (GMT -6)   
Thank you susie, I'm very grateful to you if you forwarded my query to any of such cardiologist. I am also looking for the chances of recovery or risk of further radiation effects to my previous procedures performed?

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 16161
   Posted 12/27/2016 12:58 PM (GMT -6)   
Dak, here in the states a dr will not review someone's medical records & make any kind of comments or a diagnosis without seeing the patient. The main reason would be the potential liability issues the dr would be faced with. It is very difficult over here to have a dr say another dr was wrong or did something he should not have.

I do think you need to find yourself a cardiologist for another opinion. Take care.
Susie
Moderator in Chronic Pain & Psoriasis Forums
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