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rabbu1234, February 8,  2019  9:26am EST

New Heart Patient.. SCARED…

Hello, I am only 38 years old and proud father of a 20 months Old Son…. I was healthy but gained some weight over last couple years and stressful life due to some family issues… recently I had chest pain while working out in the gym and went emergency and diagnosed with stable angina… on 31st of January Dr. did a heart cauterization and found one of my three major arteries are blocked more than 95%.... they placed a stent and I feel much better after the placement of the stents… but I am very scared of stent stent thrombosis.. ay advice how to prevent stent thrombosis will be greatly appreciated..     

2 Replies
  • AHAASAKatie
    AHAASAKatie, February 11,  2019  10:04am EST

    Good morning, you have come to the right place for help and support!  According to this AHA journal article How to Minimize Stent Thrombosis it is fairly rare. Can I ask why you are concerned about this? Did your doctor mention is was a possibility? I have a stent due to DVT and at 8 months the surgeon did a simple procedure to check and make sure it was functioning properly. I am not sure if they do that type of procedure for heart stents, but it is certainly something you could ask. Thank you again for sharing where you are in recovery and what concerns you the most. Please know we are here to help and support. Best Katie 

  • NurseTessa
    NurseTessa, February 11,  2019  12:39pm EST

    Good morning Rabbu, I echo Katie's response, stent thrombosis is rare. The best way to prevent stent thrombosis is follow your doctor's prescription regarding aspirin, and/ or plavix or other anti-clotting medication. Depending on the type of stent you received, and your own cardiac artery anatomy, your medication regimen will be different. I would ask your doctor about why type of stent he placed (drug eluding or bare metal) and what the current recommendations are for medications. There is constant research going on to test stents and the best medication regimen for the type of stent.  Here is a quote from a Mayo Clinic article: https://www.mayoclinic.org/diseases-conditions/coronary-artery-disease/in-depth/drug-eluting-stents/art-20044911

    • Take aspirin. Your doctor will recommend that you take aspirin daily and indefinitely to reduce the risk of clotting inside the stent. Follow your doctor's instructions on how much and what type of aspirin to take.
    • Take additional anti-clotting medication. People with stents are given prescription anti-clotting medications, such as clopidogrel (Plavix) or ticagrelor (Brilinta). People who have drug-eluting stents need to take medications, such as clopidogrel or ticagrelor, to reduce the risk of stent clotting for at least one year after the stent is inserted. For most people with bare-metal stents, additional anti-clotting medication is only recommended for one month after stent placement.

      Ask your cardiologist how long you should take anti-clotting and other medications. The answer will depend on your type of blockage, the type of stent and your risk of bleeding. Don't stop taking aspirin or other anti-clotting medications without consulting your cardiologist.

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