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LAD dissection
2004-04-21 03:27:23
I have been diagnosed with a dissected LAD, ( 20mm ).
Troponin was 3.9 Heart Cath shows all clear except for the dissected LAD. Currently using Toporol, Plavix, and aspirin. What type of recovery could I expect, and could I expect to return to normal athletic activity ? (competitive cyclist) Thanks.
2004-04-21 04:35:55
roadcyclist wrote:
> > I have been diagnosed with a dissected LAD, ( 20mm ). > Troponin was 3.9 > Heart Cath shows all clear except for the dissected LAD. I would guess that you were stented. > Currently using Toporol, Plavix, and aspirin. > > What type of recovery could I expect, and could I expect to > return to normal athletic activity ? (competitive cyclist) Near immediate depending on the healing of the puncture wound in your femoral artery. Your cardiologist should have advised you on how many days of rest before resuming strenuous activity (typically 3-7 days). > Thanks. You are welcome. An additional concern would be whether your lipid profile is optimal for someone with coronary disease. If not, statins should be considered as a measure of secondary prevention. Because you suffered a heart attack, an ACE inhibitor should be considered to prevent remodeling of your myocardium. Servant to the humblest person in the universe, Andrew -- Dr. Andrew B. Chung, MD/PhD Board-Certified Cardiologist http://www.heartmdphd.com/ ** Who is the humblest person in the universe? http://makeashorterlink.com/?W1F522557 What is all this about? http://makeashorterlink.com/?J2DB148A7 Is this spam? http://makeashorterlink.com/?N69721867
2004-04-21 16:46:32
On 20-Apr-2004, "roadcyclist" > I have been diagnosed with a dissected LAD, ( 20mm ). What is the dissection from? -- Winning against heart attack and stroke http://www.sonoscore.com
2004-04-22 00:59:33
"Dr. Andrew B. Chung, MD/PhD" news:4086326B.3160@heartmdphd.com... > roadcyclist wrote: > > > > I have been diagnosed with a dissected LAD, ( 20mm ). > > Troponin was 3.9 > > Heart Cath shows all clear except for the dissected LAD. > > I would guess that you were stented. Hmm,...no I was not. They, of course, suspected blockage are were set to stent, but all was clear when they found the 20mm dissection. They removed the cath and I have been placed on meds only,... I found that puzzling. Would you think so as well,..?? > > > Currently using Toporol, Plavix, and aspirin. > > > > What type of recovery could I expect, and could I expect to > > return to normal athletic activity ? (competitive cyclist) > > Near immediate depending on the healing of the puncture wound in your > femoral artery. Your cardiologist should have advised you on how many > days of rest before resuming strenuous activity (typically 3-7 days). Immediate huh,..?? The dissection is a 20mm tear, not exactly a puncture. He stated I would not race again, and would not entertain me being on my bike for six weeks, and then it was, "we'll talk",... > An additional concern would be whether your lipid profile is optimal for > someone with coronary disease. If not, statins should be considered as > a measure of secondary prevention. Because you suffered a heart attack, > an ACE inhibitor should be considered to prevent remodeling of your > myocardium. Hmm,...yeah, but I cannot remember any of the lipid results. Guess I will have to get a copy and find out what they were,... Thanks for you assistance.
2004-04-22 01:22:20
roadcyclist wrote:
> "Dr. Andrew B. Chung, MD/PhD" > news:4086326B.3160@heartmdphd.com... > > roadcyclist wrote: > > > > > > I have been diagnosed with a dissected LAD, ( 20mm ). > > > Troponin was 3.9 > > > Heart Cath shows all clear except for the dissected LAD. > > > > I would guess that you were stented. > > Hmm,...no I was not. They, of course, suspected blockage > are were set to stent, but all was clear when they found the > 20mm dissection. They removed the cath and I have been > placed on meds only,... > > I found that puzzling. Would you think so as well,..?? > That would depend on the blood flow. If there was good blood flow, then it would be a judgment call. > > > > > > Currently using Toporol, Plavix, and aspirin. > > > > > > What type of recovery could I expect, and could I expect to > > > return to normal athletic activity ? (competitive cyclist) > > > > Near immediate depending on the healing of the puncture wound in your > > femoral artery. Your cardiologist should have advised you on how many > > days of rest before resuming strenuous activity (typically 3-7 days). > > Immediate huh,..?? That was with the guess that you were stented, which apparently did not happen. > The dissection is a 20mm tear, not exactly a > puncture. If you were stented, the dissection would have been "fixed." The puncture was referring to how the catheter entered into your femoral (groin) artery. > > He stated I would not race again, and would not entertain me being on > my bike for six weeks, and then it was, "we'll talk",... > It sounds like your cardiologist has unilaterally decided what choices you would have. > > > An additional concern would be whether your lipid profile is optimal for > > someone with coronary disease. If not, statins should be considered as > > a measure of secondary prevention. Because you suffered a heart attack, > > an ACE inhibitor should be considered to prevent remodeling of your > > myocardium. > > Hmm,...yeah, but I cannot remember any of the lipid results. Guess > I will have to get a copy and find out what they were,... > > Thanks for you assistance. You are welcome. Servant to the humblest person in the universe, Andrew -- Dr. Andrew B. Chung, MD/PhD Board-Certified Cardiologist http://www.heartmdphd.com/ ** Who is the humblest person in the universe? http://makeashorterlink.com/?W1F522557 What is all this about? http://makeashorterlink.com/?J2DB148A7 Is this spam? http://makeashorterlink.com/?N69721867
2004-04-23 00:54:30
"Sonos" news:rqydnQ9herm6OBvdRVn2hg@giganews.com... > > On 20-Apr-2004, "roadcyclist" > > > I have been diagnosed with a dissected LAD, ( 20mm ). > > What is the dissection from? Unknown. I would imagine just "too" much pressure on the muscle tissue. No one said anything about "what caused it",...
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