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Stents? #2857817
10/10/18 03:53 PM
10/10/18 03:53 PM
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patrolman Offline OP
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So I went to have my scan yesterday. It was actually to be a "nuclear stress test." However when I got there the MD told me to be 100% certain about what was causing the chest tightness (and the EKG anomalies during the normal stress test) he suggested an angiogram. We skipped the nuclear stress test.

He gave me the three outcome scenarios- 1) no blockage and then back the drawing board to figure our what is causing the issues, 2) minor blockages which would be treated then and there with stents or 3) multiple blockages at which point by pass surgery would be necessary.

Scary shit.

Of course, my first question was , "Can I still surf and run?" He suggested I wait until after the test (next week).

Of course, then obsessive compulsive as I seem to be, I went on line to find out about running marathons after having stents inserted.

Anybody here have experiences with stents or angioplasty?

Re: Stents? [Re: patrolman] #2858229
10/10/18 11:44 PM
10/10/18 11:44 PM
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Ever heard of Plavix?

Do you consider surfing a contact sport?

Start doing research on anticoagulation post stenting. Beware the source of the material.

If you can understand medical journals they can provide a wealth of insight.


Q: Secret aspiration?
A: Buy Pezman's mag and turn it into a piece of crap.
Re: Stents? [Re: patrolman] #2858921
10/12/18 04:59 AM
10/12/18 04:59 AM
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Originally Posted By: patrolman
.....Anybody here have experiences with stents or angioplasty?


I don't have any experience with stents, but I have knowledge about "blockages". Blockages are caused by buildup of amyloid plaque and VLDL cholesterol.

Arteries are required to expand and contract as the heart pumps. Plaque builds up inside arteries. Plaque does not expand or contract. The plaque cracks and breaks when the heart pumps. Very low density lipoprotein (VLDL) cholesterol particles are frequently present in patients with arterial plaque. The VLDL particles collect in the cracks until they cause blockages.

What causes plaque and VLDL cholesterol? Glycation .....sugar-ization .....causes both. So it's no wonder that people with artery plaque are the same people with high VLDL counts. Get off of the carbs and onto fats.
.

Last edited by squidley; 10/12/18 05:29 PM.
Re: Stents? [Re: patrolman] #2858985
10/12/18 01:25 PM
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jeff
PM my brother at Sways he can tell you all about them had multiple procedures and over 5 stents before eventually getting his chest cracked open

I need the same procedure as yours
they tried to treat mine with medication but its been about a year and my quality of life is only deteriorating
pretty much have been having Ventricular Tachycardia symptoms for over 3 years now and its getting worse with each weekend. I'm good for one thing a weekend and then i'm down and out for the rest of the day recovering

Also having frozen shoulder joints hasn't been helpful in losing weight but not being able to exert myself for any period of time with out going through these Ventricular Tachycardia symptoms sucks

too much Hinode and not enough surfing I guess


waSUPcuz? shaka ala n da mooleh bulls..
Re: Stents? [Re: patrolman] #2859116
10/12/18 08:05 PM
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Hey Squidley, my primary MD didn't think it was the heart because my blood pressure is normal and my cholesterol is good (normal overall count, high count of the good cholesterol). I'm still hoping...

Bernie, I will try to contact your bro. Shark Country right?

I've been doing PT for the shoulder and neck now for a few months and it doesn't seem to help. I surfed last week and within an hour my shoulder was sore. I can still surf but it's just uncomfortable.

I know I'm addicted to exercise because my first thought was "Am I going to be able to run the LA Marathon this year?"

Re: Stents? [Re: patrolman] #2859141
10/12/18 08:44 PM
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Jeff
yup Sharkbait (Harry)


waSUPcuz? shaka ala n da mooleh bulls..
Re: Stents? [Re: patrolman] #2859207
10/13/18 01:38 AM
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Originally Posted By: patrolman
Hey Squidley, my primary MD didn't think it was the heart because my blood pressure is normal and my cholesterol is good (normal overall count, high count of the good cholesterol). I'm still hoping...


There are 4 major gene type people where cholesterol is concered. It puts constraints on broad statements about cholesterol test results. In the end there are only two tests that matter, and they don't include "good cholesterol" (HDL) count.

1. Triglycerides. They represent ingested fat. The liver converts triglycerides into HDL and LDL cholesterol. When carbs glycate the liver it curtails cholesterol production, and blood triglycerides rise. You want low triglycerides.

2. Very low density lipoprotein (VLDL) count. These are basically the dead cholesterol particles which a glycated liver produces. You want very low VLDL count.

Ask to see your cholesterol test. Some old school doctors omit one or both of these tests. If you don't see them listed then get a new test with these tests included. Do whatever it takes to get them.
.

Re: Stents? [Re: patrolman] #2859334
10/13/18 05:28 PM
10/13/18 05:28 PM
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been through most everything except getting my chest cracked open. 5 or 6 stents. Pacemaker. IV Filter. etc. The PET scan and angiograms are like a road map for doctors. Stents were the result of blockages around the heart and bp that was off the charts. I'm now around 116/60, 60 bpm. Work out daily (40 min to 60 min a day on elliptical, pull-ups, etc). No longer pressure in chest or breathless after going up/down 10-15 stairs. No more surf since knee replacement at 65 which is a bummer but watching my kids and grand kids surf is personally rewarding. Listen to your doctor but always try to get the most experienced cardiologist or, doctor's doctor when requiring a specialist.

Re: Stents? [Re: squidley] #2859413
10/14/18 01:32 AM
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Originally Posted By: squidley
Originally Posted By: patrolman
Hey Squidley, my primary MD didn't think it was the heart because my blood pressure is normal and my cholesterol is good (normal overall count, high count of the good cholesterol). I'm still hoping...


There are 4 major gene type people where cholesterol is concered. It puts constraints on broad statements about cholesterol test results. In the end there are only two tests that matter, and they don't include "good cholesterol" (HDL) count.

1. Triglycerides. They represent ingested fat. The liver converts triglycerides into HDL and LDL cholesterol. When carbs glycate the liver it curtails cholesterol production, and blood triglycerides rise. You want low triglycerides.

2. Very low density lipoprotein (VLDL) count. These are basically the dead cholesterol particles which a glycated liver produces. You want very low VLDL count.

Ask to see your cholesterol test. Some old school doctors omit one or both of these tests. If you don't see them listed then get a new test with these tests included. Do whatever it takes to get them.
.


Hey Squid, my numbers from my blood test on 8-21 were-

Total cholesterol 205 (normal below 200)
Triglycerides 137 (normal less than 150)
HDL (good) chleserol 80 (normal above 40, excellent if above 65)
LDL (bad) cholesterol 98 - (desired level under 130, best under 100)

Did not see VLDL.

I did not take the Cardiologists advice. He told me not to do any long runs until after the angiogram. I did a run today. Started really slow (for me) and after five minutes I felt the chest tightness. I eased up even more and was considering stopping, But after another ten minutes the tightness disappeared. This has been the pattern. I continued running paying close attention to any sensation in my chest but none came and I ended up running ten miles.

Angiogram is on Wednesday. Keeping all my limbs crossed....

Re: Stents? [Re: patrolman] #2859421
10/14/18 02:03 AM
10/14/18 02:03 AM
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Stents...when your cleared to poop you're fine to train, surf, run, etc...


Originally Posted By: StuAzole
The deference given to veterans is insane. They signed up, did their job and got paid for it. Fine.
Re: Stents? [Re: john4surf] #2859441
10/14/18 03:02 AM
10/14/18 03:02 AM
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My 90 Y/O dad had a stent placed for a big aneurysm back in July. It was getting dangerous.

For most people it's an outpatient surgery these days. They kept him overnight because he's 90.

Picked him up from the Hospital the next morning and took him home. Wheelchair mandatory at the hospital to get him out to the car. He popped out of the passenger seat and walked into the house under his own power.

Didn't even faze him. roflmao

Re: Stents? [Re: Coat Hanger] #2859656
10/14/18 07:10 PM
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Originally Posted By: Coat Hanger
Stents...when your cleared to poop you're fine to train, surf, run, etc...



How does getting hit in the head with your board (or someone else's) work out when someone is taking Plavix or other platelet or coagulation inhibitors?

Hitting the reef?

How about fin cuts?


Q: Secret aspiration?
A: Buy Pezman's mag and turn it into a piece of crap.
Re: Stents? [Re: casa_mugrienta] #2859721
10/14/18 09:37 PM
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Plavix often results in heavy bruising when one bumps an arm, leg, etc., on a hard object. Nicked my face in a few areas while RVing around the West recently, took some time and pressure to stop the bleeding. Reef hits, fin cuts, etc., may result in a road map to your position for mister great white...

Re: Stents? [Re: patrolman] #2859807
10/15/18 04:39 AM
10/15/18 04:39 AM
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Rotting away on the 405
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Brain tissue doesnt respond to bruises so well.

Re: Stents? [Re: patrolman] #2860542
10/16/18 07:10 PM
10/16/18 07:10 PM
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gnarly. hope u'll be ok patrolman. cheers


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Re: Stents? [Re: patrolman] #2860786
10/17/18 03:19 AM
10/17/18 03:19 AM
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Originally Posted By: patrolman
Originally Posted By: squidley
Originally Posted By: patrolman
Hey Squidley, my primary MD didn't think it was the heart because my blood pressure is normal and my cholesterol is good (normal overall count, high count of the good cholesterol). I'm still hoping...


There are 4 major gene type people where cholesterol is concered. It puts constraints on broad statements about cholesterol test results. In the end there are only two tests that matter, and they don't include "good cholesterol" (HDL) count.

1. Triglycerides. They represent ingested fat. The liver converts triglycerides into HDL and LDL cholesterol. When carbs glycate the liver it curtails cholesterol production, and blood triglycerides rise. You want low triglycerides.

2. Very low density lipoprotein (VLDL) count. These are basically the dead cholesterol particles which a glycated liver produces. You want very low VLDL count.

Ask to see your cholesterol test. Some old school doctors omit one or both of these tests. If you don't see them listed then get a new test with these tests included. Do whatever it takes to get them.
.


Hey Squid, my numbers from my blood test on 8-21 were-

Total cholesterol 205 (normal below 200)
Triglycerides 137 (normal less than 150)
HDL (good) chleserol 80 (normal above 40, excellent if above 65)
LDL (bad) cholesterol 98 - (desired level under 130, best under 100)

Did not see VLDL.

I did not take the Cardiologists advice. He told me not to do any long runs until after the angiogram. I did a run today. Started really slow (for me) and after five minutes I felt the chest tightness. I eased up even more and was considering stopping, But after another ten minutes the tightness disappeared. This has been the pattern. I continued running paying close attention to any sensation in my chest but none came and I ended up running ten miles.

Angiogram is on Wednesday. Keeping all my limbs crossed....


Hey Jeff
I won't give you my numbers but they are 10 times worse
hope you got a hold of my brother. He told me he still has 5 stents plus a cracked chest

I have something similar as you described but I don't have chest pains,
I just start rapidly over heating to the point where I can't catch my breath and get dizzy after about 30 minutes to an hour of any kind of activity. Doesn't matter how strenous, like an old car I just start over heating and can't catch my breath.

I even bought these icepacks for my neck and a vest full of icepacks to try and cool down but it doesn't help. Even bought one of those sombreros with a built in solar powered fan and one of those chilling head bands for use while doing the yard doesn't make a difference the timing is always about the same plus It always seems to take a whole day to recover so I'm only good for one major house chore a weekend these days.

Recently I started taking my blood pressure and hour or two after coming in taking a shower and resting and the weird thing is that although my blood pressure is normal my pulse rate is off the roof like near double and stays that way until I recover the next day. I did some research and found the. Article below which is kind of my symtoms in a nutshell.
The cardiologist already told me last november that I have a blockage and have had one for some time but they wanted to try to use medicine (pills) to try and fix it with the last resort remedy being an angiogram/angioplasty. At this point I'm willing to settle for the angioplasty and stents as needed to get my quality of life back so I can get back in the water where I belong.

Take a look at the info and see where you fit. There are two other lessor levels of high pulse rate issues,

Quote:
Ventricular Tachycardia

Ventricular tachycardia is a fast heart rate that starts in the heart's lower chambers (ventricles). This type of arrhythmia may be either well-tolerated or life-threatening, requiring immediate diagnosis and treatment.
The seriousness depends largely on whether other cardiac dysfunction is present and on the degree of the ventricular tachycardia.

Explaining the problem
In cases of ventricular tachycardia, electrical signals in the heart's lower chambers fire abnormally. This interferes with electrical impulses coming from the sinoatrial (SA) node, the heart's natural pacemaker.
The disruption results in a faster than normal heart rate. This rapid heartbeat keeps the heart's chambers from filling completely between contractions, which compromises blood flow to the rest of the body.

Causes of ventricular tachycardia
Ventricular tachycardia is most often associated with disorders that interfere with the heart's electrical conduction system.

These disorders can include:
* Lack of coronary artery blood flow, depriving oxygen to heart tissue
* Cardiomyopathy distorting the heart's structure
* Medication side effects
* Illicit drugs such as cocaine
* Sarcoidosis (an inflammatory disease affecting skin or body tissues)

Range of symptoms
Symptoms for ventricular tachycardia vary. Common symptoms include:
* Dizziness
* Palpitations
* Shortness of breath
* Nausea
* Lightheadedness
* Falling unconscious
* Cardiac arrest, in extreme cases

Treatment options
The cause of your ventricular tachycardia will inform your treatment options. Possible approaches include:
* Medication
* Radiofrequency ablation
* Surgery
* Immediate electrical defibrillation, in extreme cases


waSUPcuz? shaka ala n da mooleh bulls..
Re: Stents? [Re: oneula] #2860831
10/17/18 04:37 AM
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Hey Bernie, I go in tomorrow AM for the angiogram, Hoping for the best. I hope you get the treatment you need. I was reading on a running forum how some people's performance improves after stents. I've never had any breathing issues which is why my primary care MD's diagnosis of asthma left me perplexed. I never noticed an tachycardia. In fact during my treadmill it took a long time to get my heart rate up.

Re: Stents? [Re: patrolman] #2862016
10/19/18 01:39 AM
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So I had good news and bad news. Good news is I did not have arterial blockages, no large build up of plaque. So, in a snse my primary care MD was right.

The bad news- you know how the heart is a muscle and you see the veins supplying the blood on top of the heart? Well, what was causing the chest tightness is that one of the veins that supplies blood to the heart is partly under some muscle. I guess it is a defect that I've always had. So when the heart starts working the muscle contracts on top of the vein and restricts blood.

The bad news is they can't put in a stent because the muscle might crush it. They could crack open my chest and cut that bit of muscle off but that's extreme. So the MD is trying some low dose beta blocker which lowers blood pressure and slows the heart. We will see if that alleviates the symptoms.

One mystery is why the pain goes away. He speculated that maybe the other veins take up the slack as the heart gets busy. Makes me think that maybe the beta blocker will interfere with that???

Re: Stents? [Re: patrolman] #2862077
10/19/18 05:46 AM
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good news Jeff (about the plaque)
they were able to see all this with an angiogram or did you get some kind of scan?

I'm on some kind of blood pressure medicine myself that hasn't made a difference for me

I saw my GP wednesday and she said she would talk top the cardiologist about my new heart rate findings. She said if I truly had a blockage I should have chest pains but its kaiser. My dad died of complications from an enlarged and his last 20+ years weren't pleasant but he didn't have chest pains. But they told me I didn't have an enlarged heart from the echogram, ekg and stress test.

I want the roto rooter procedure too

Take care


waSUPcuz? shaka ala n da mooleh bulls..
Re: Stents? [Re: patrolman] #2862191
10/19/18 03:19 PM
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Hey Bernie. They diagnosed the "myocardial bridge" during the angiogram. They told me right away while I was still on the table. The cardiologist showed me how one vein (which shows up black on the scan) would periodically disappear.

I started on the beta blocker that night (Wednesday) and, maybe I'm just hyper aware right now, but it seems to have the opposite effec of the intended efectt- I never felt tightness unless I was running and then only the first 15 minutes or so. Instead, last night I was feeling a little tightness lying down. Also, it was supposed to make me drowsy and I was awake all night. I kept thinking maybe easing the blood pressure is making the compression on the vein tighter??? That's a total layman talking though...


The tachycardia sounds more complicated. The "electrical conduction system" and "radiofrequency ablation?" Mine are nuts and bolts and your's are transistors and resistors.

Hoping for the best for both of us.

ps If I were to pass on right now at least my surf life would feel kind of complete- I got one of those really memorable waves on Sunday, a "wave of the day" set wave at Malibu and one of my best friends was paddling out and saw it. Rode almost to the pier. I got out after that (only 3 waves in 2 hours...Malibu madness...but that one made it totally worth it).

Re: Stents? [Re: patrolman] #2871740
11/07/18 01:09 PM
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This is not coronary artery disease and may or may not be due to the venous supply to your heart. It's a complex syndrome likely but the beta blocker is worth a shot.


Peace,
Surf Doc
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