WHY heart stents FAIL?

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  • čas přidán 6. 06. 2024
  • Heart stents are devices used to open up blockages of the arteries supplying the heart muscle. Modern day stents are extremely safe but there are several important issues that can arise with stents that may lead to complications. When stents fail, this often happens when excess scar tissue builds up inside the stent causing the artery to become narrowed again (called stent restenosis) or if the stent fills with blood clot, this can cause an acute heart attack (called stent thrombosis). Here Professor Barlis provides an overview of some of the reasons that may lead to stent restenosis or thrombosis.

Komentáře • 391

  • @michaelorr8512
    @michaelorr8512 Před 9 měsíci +64

    I have seven coronary artery stents inserted in 2009, I’m now 77 and was a heavy smoker in my younger years. I take my medicine, keep a healthy diet, cycle and walk weekly and feel great.

    • @aaronweiser5421
      @aaronweiser5421 Před 9 měsíci +4

      Congratulations to you.

    • @jyotisirkiclass8347
      @jyotisirkiclass8347 Před 6 měsíci +1

      What is your diabetes history...

    • @kassproduction2008
      @kassproduction2008 Před dnem

      I'm 55 years old and got a heart attack on June 3, 2024 , inserted 5 stents, I'm very scared of that, I feel like my expensitive can reduce because 5 stents

    • @kassproduction2008
      @kassproduction2008 Před dnem

      Why seven stents? You go also heart attack?

  • @stevanrose7439
    @stevanrose7439 Před 9 měsíci +28

    My dr 👨‍⚕️ that put my stints in said that I was good to go and if I had any other issues it would be something else. But I walked into the ER two years later and died at the window they called code blue on me. It was one of the stints that had turned and caused a blockage. They reopened it and sent me to KU med in KC. Where they did a 4x bypass on me. Now a year later I’m doing okay but it has taken the wind out of my sails a bit at 71 years old. I thank the Lord every morning for the start of a new day. 😀

    • @scottwheaton9689
      @scottwheaton9689 Před 8 měsíci

      I also had a quad bypass 1 yr ago at 66yrs old which also took the wind out of my sails too. I was in general decent health maybe 8-10 max overweight at times with 150 cholesterol & slightly high Bp both under control with meds but had 1 heart attack& 2 stents installed prior to the episode where I went in for s 3rd stent due to symptoms I was having only to be quickly removed from the or telling me when they went into to install the 3rd stent my arteries were so bad I needed a quad bypass asap which was a shocker for sure!. I was slso dealing with my 91 yr old mom’s issues at the same time I had the quad bypass which shortly after that turned into helping her through the pain & anguish of her pancreatic cancer Diag with 2 months to live which I helped her thru with hospice until dhe passed a couple months ago. But all the time effort & stress helping her go thru that along with watching her quickly fade away & die with me by her side tile he last breathe along with the stress involved with wake & burial not yo mention now dealing with her 91 yrs if stuff & her house has had me eating a horrible diet ever since I had the quad bypass because I didn’t have the energy shop,cook & eat properly for myself after I was going all that for mom on a daily basis esp after her cancer Diag.
      Do I hope I haven’t font too much damage to my heart & vascular system in this past yr+ eating terribly,

  • @bernardmauge8613
    @bernardmauge8613 Před 9 měsíci +24

    The main reason for stent failure is what caused the need for the procedure in the first place.Having your internal plumbing done and going back to fast food is no going to work. After having had three stents done, I changed my diet et reduced my weight to a normal BMI. Having been diagnosed as pre diabetic, I decreased my caloric intake, using also daily intermittent fasting, zero sugar and near zero carbs. Ten years later still prediabetic but almost normal range, perfect weight plus daily physical activities. The cardiologist did his homework. Did you do yours?

  • @nasimanjum6371
    @nasimanjum6371 Před 3 měsíci +7

    I have two stents placed in my atries since last 17 years , so far they are doing fine.

  • @user-pt6rm7wf3s
    @user-pt6rm7wf3s Před 2 měsíci +10

    Don't know how I'm here. I've had 5 heart attacks. And now 6 stints in my heart meds for life. I'm just now taking it so very seriously. Trying hard to reverse the damage and habits. Not easy. Eating everything good, stopping smoking, water ,green tea, almond milk are my only drinks. Had to learn all the foods along with olive oil, turmeric, cloves. I hope to live awhile longer. Also prayer I'll say has absolutely helped, light exercise also very good. I hope I've learned, I also hope I'm learning to calm myself. Zero more stress for me. Can't take any more. Unfortunately at 57 I'll have to retire. For good. GOD BLESS YOU ALL PLEASE TAKE CARE AMEN.

    • @FiveisGrace
      @FiveisGrace Před 2 měsíci

      Your story inspired me. My Mom had 2 heart attacks in 2022. I looked around to see if there were other situations like hers and hadn't found any. God is definitely a healer. You all are truly blessed. More peace, light and life to you.

    • @HeartMatters
      @HeartMatters  Před 2 měsíci

      Your feedback is very appreciated!

    • @HeartMatters
      @HeartMatters  Před 2 měsíci

      Thank you for sharing your feedback and experience.

    • @stephenfleming5979
      @stephenfleming5979 Před měsícem

      The almond milk drink is garbage is sugar

  • @raymode101
    @raymode101 Před 7 měsíci +6

    I has a stent put in sept 21 2023 . I’m 55 male . I’ve changed my bad eating habits . I’m back at gym working out like I have the past 30 years. I’m happy I’m alive . I hope the stent lets me live another 10 to 20 years 🙏🏻🙏🏻🙏🏻

  • @charlestait5303
    @charlestait5303 Před rokem +150

    My stent is 20 years old and still working fine.

    • @piratesmurf4251
      @piratesmurf4251 Před rokem +3

      Did u give up meat or

    • @charlestait5303
      @charlestait5303 Před rokem +10

      @@piratesmurf4251 after18 years I went Keto now I’m Keto/Vor

    • @princesstanya252
      @princesstanya252 Před rokem +17

      My stent 15 years old and still working

    • @fhgg7644
      @fhgg7644 Před rokem +4

      @@princesstanya252 is your stent Still work?

    • @fhgg7644
      @fhgg7644 Před rokem +4

      @@charlestait5303 is your stent Still work?

  • @denniscliff2071
    @denniscliff2071 Před rokem +29

    My stent was placed almost three months ago and is working perfectly. The procedure and the hospital stay was an amazing experience. A very excellent video. Thank you.

    • @locoman888
      @locoman888 Před rokem +9

      I had a triple bypass. I asked for stents but arteries too calcified so they went around. I feel great more than one year out from the operation.

  • @brookelynrhodes1998
    @brookelynrhodes1998 Před 7 měsíci +14

    My dad got his first stent a couple weeks ago and it was an emergency one because one of the arteries had a bad blockage. He got his second one today, which was scheduled.
    He hasn't had a heart attack yet so I guess I can say the stents were put in the nick of time.
    Apparently, he has three blockages but only two of them required stents. He's had higher levels of cholesterol for years from what I know.
    I just hope his don't fail, he is only 50.

    • @prachi9473
      @prachi9473 Před 27 dny

      Hi same story just that my father had 2 stents put together..my father 51...being a daughter I m so so scared

  • @leonardleonardlove20
    @leonardleonardlove20 Před 5 měsíci +6

    I have a total of 12 stents in my heart and I did everything my Doctor told me to do and still was having a stent or 2 being put in every couple yrs and I now take 8000 fus of Nattokinase twice a day on empty stomach and I take 300 mcg of MK-7 K2 twice a day with 5000 iu D3 with meals and it's now been 6 yrs since I have had any heart complications since I have started this and Give God all the glory for living long enough to now have 8 grandchildren and two great grandchildren at the young age of 60

  • @carlpugh-iy4wv
    @carlpugh-iy4wv Před rokem +8

    HI Peter . After just having has one stent installed I find watching your videos and advise so encouraging as its new to most people going through this fantastic life changing operation .
    I had the pleasure of building many of hospitals in Australia from 2007 to 2014 where one hospital was where they helped to develop the plastic heart at the Prince Charles hospital north Brisbane .
    Thanks for the great guidance that you offer
    Carl Pugh UK

  • @richb4099
    @richb4099 Před rokem +37

    Thankyou very much for the very good and easy to understand information Dr. I've had a major H.A. and had 2 stents done. One required the drilling procedure. I am feeling very well after over a year+ and take a lot of meds. Was pretty fit before and never thought I'd be having an event like I did. Cholesterol and hardening of the arteries got me.......Exercise a lot and try my best to keep fit. I was a jogger for years and years and turned to brisk walking as I aged. I walked miles not long before my "widowmaker" as I did as much as possible right until that event! I Changed my diet to eliminate the bad stuff and eat healthier. Lost some weight but gained back some and am much stronger again...... 75 years old.....I'm very appreciative for my cardiologist and the cath labs and modern meds that saved my life!!

    • @greganweiler557
      @greganweiler557 Před rokem +1

      Don't take Satin drugs like Lipitor. I was allergic to Ramipril and could have died had I not stopped. I haven't take those drugs for 7 Years now. I take Nutraceuticals now and 81 aspirin

    • @disscustinglybeautiful1652
      @disscustinglybeautiful1652 Před 11 měsíci +6

      It's hereditary. Same happen to me. Ate healthy excersized . My blood just has more fat.

  • @cherirose6660
    @cherirose6660 Před 8 měsíci +12

    Thank you so much Doctor!! I had a 99% blockage of LAD artery on August 25 and had a stent put in, and I now realize that saved my life. I’m 74 and will be starting Cardio Rehab tomorrow, making diet changes even though I was vegan for 7 years I need to cut back on saturated fat and I’m eating fish and eggs now too. Cannot wait to get into an exercise routine because I finally realized even though my weight is 120 lbs. and people think I look 15 years younger that I could’ve had a major heart attack any minute! I so appreciate you helping each and everyone of us who have had this procedure, and may God bless you always❤❤

    • @Kanakx
      @Kanakx Před 6 měsíci

      Did you have heart attack?

  • @chiron3489
    @chiron3489 Před 9 měsíci +22

    I had two stents implanted in my main artery in 2010. Both failed by 2017. Fortunately my body made its own by pass using another artery. Rare but it happens. This was a miracle IMO.

  • @user-vi5kr7rf3w
    @user-vi5kr7rf3w Před 9 měsíci +5

    Well I’ve had mine a year and without the intervention I would be dead, so every day is a bonus. The NHS saved me and I’m happy to be here but I’m totally aware I’m on borrowed time! Live life and accept the cards yer dealt!

  • @w96725
    @w96725 Před rokem +2

    VERY WELL GIVEN! THANK YOU FOR TAKING YOUR TIME TO EXPLAIN THIS SO CAREFULLY IN LAYMEN TERMS.

  • @usaearthling
    @usaearthling Před 8 měsíci +7

    Very helpful information. My 32-year-old cousin had a near fatal heart attack, had a stent put in the wrist. He does not smoke, drink or do drugs. We are trying to get info on how he needs to follow a different way of life. He eats out occasionally, but still think that is his only mistake, eating food that isn't healthy. He is not overweight at all. He works 2 jobs and was very healthy until this happened. Thanks for all the info on this video, it helps to understand how the stent works and the requirements for a better life.

    • @paulasamec8715
      @paulasamec8715 Před 3 měsíci +2

      Stress is almost as deleterious as sugar, refined carbs and seed oils. It was a decades long stress that has caused my Angina pectoris and the doctor’s statement that I needed a bypass surgery. He didn’t want to give me stents, I suppose his words indicated that I would need too many stents. Now I’m taking nattokinase, arginine, Co-Enzym Q10, a beta blocker, aspirin and some other supplements, avoid carbs and stress, and go to a gym to work out, swim and use the sauna twice a week. Now and then I fast. I hope that this strategy will prevent a heart attack or stroke.

    • @usaearthling
      @usaearthling Před 3 měsíci

      Thank you for that info and the fact that you personally went through this is much more personal. I wish you long life health, and appreciate you sharing with us. 🙏@@paulasamec8715

  • @marthaellenconner98
    @marthaellenconner98 Před rokem +29

    Very informative and insightful, especially for a lay person. Easy to understand video. Thank you for sharing . Addressing so many questions that I’ve had about a loved one who had a stent procedure 🙏🏻

  • @MrFralopez4636
    @MrFralopez4636 Před rokem +28

    Thank you very much Dr for relieving a lot of the anxiety about my recently placed stent.

    • @lynndornan9766
      @lynndornan9766 Před 6 měsíci

      I have 13 stents since the late 1990,s and while undergoing an Aortic Aneurysm in March of 2023 it require passing through one of these stents in order to make this repair. During surgery this stent came apart and required a difficult procedure to locate,contain and retrieve the pieces. Having a number of these stent’s how common is it for them to come appart?

  • @xelakram
    @xelakram Před rokem +4

    Thank you so much for this very excellent and detailed description of the dangers of having a stent implanted. It was most informative.

  • @oliver2846
    @oliver2846 Před rokem +10

    Thank you very much I have just come out of hospital having a stent inserted and this information has been very assuring for me.

  • @user-ww5ur4ne6i
    @user-ww5ur4ne6i Před 7 měsíci +2

    Thank you for being so honest, appreciate it-having it done tomorrow.

  • @MrJoncz
    @MrJoncz Před rokem +15

    I had a major H/A just about ten years ago. The dr. had to put three stents in my left ventricular artery. I'm still kicking. My landlord had just the balloon part done over 30 years ago. He is 93.

  • @bernardbinarbayang8001
    @bernardbinarbayang8001 Před rokem +5

    Thank you very much Doctor. Very informative, especially for those who have and managing stent or those intend to make arrangements to install stent. God bless 🙏

  • @genaro5766
    @genaro5766 Před 9 měsíci +2

    I liked the video . Now I have quite a few questions to ask my Cardiologist next week for my yearly checkup . Thank you for the information .

  • @akkarparkiamopas3401
    @akkarparkiamopas3401 Před 11 měsíci +3

    This is a good topic I had been looking for. Thanks

  • @bradfordduarte1269
    @bradfordduarte1269 Před rokem +3

    Thanks for the video & making it easy to understand.

  • @a_missippian
    @a_missippian Před 9 měsíci +2

    good information, well presented - many thanks & cheers from the Delta

  • @green4black
    @green4black Před 8 měsíci +4

    I had a stent put in my LAD one month ago, via a catheter through right wrist / radial artery. I had severe pain in my right arm for 2 weeks after the procedure. Was in and out of hospital to get imaging and tests, all were negative for clots or bleeding. My cardiologist said it’s rare for a patient to have such pain after the procedure but that the catheter can disturb the area along the pathway it takes. Despite all that, I’m still glad I did it and grateful. I don’t think I’d be here without it.

    • @jakeaurod
      @jakeaurod Před 6 dny

      Mine was installed through the groin in the right femoral artery. Unfortunately, the seal failed and it bled into my leg creating a large hematoma that made my leg black and blue and painful for 6 weeks. Luckily, I was still in the hospital, and the nurses came running. The head nurse asked if she could have them all there to witness it because it was rare, so they all took turns putting their hands in my crotch to feel the warm, wet, spurting sensation. Then she looked at me and said, "I'm not gonna lie, this is gonna hurt... a lot." and put her full weight on my thigh to stop the bleeding. It took 10-20 minutes of pain but it worked.

  • @rickhatesmisleadia7101
    @rickhatesmisleadia7101 Před 8 měsíci +5

    had 3 installed a few years ago and the only problem I have is dealing with the meds. Made a few life changes and feel good.

  • @dmararies
    @dmararies Před 9 měsíci +7

    Sorry to pop your bubble. Cholesterol is NOT the cause of arteriole sclerosis. Sugar is! Sugar is an irritation to the lining of the blood vessel and comes in many forms and products. It is difficult to stay away from it.
    I am 80 years old. I had my first stent in 2001. I had my second in 2015. I then got smart. Sugar was greatly reduced. I eat a Keto diet (a low carb diet). I drink Apple Cider Vinegar very often. My cardiologist is amazed at how well my heart looks and operates. My tubes are clear. I see him once a year for a stress test.
    Statins do not help a patient. They only help Big Pharma! Cholesterol is needed to repair cell membranes, produce many hormones in the body, FEEDS THE BRAIN, any many more things.
    Clean up your diet and everything will go well.

  • @qstrian
    @qstrian Před rokem +8

    As a plumbing engineer, I’m reminded of the cardiac surgeon’s humorous aside, ‘heart health is a function of electrical & plumbing.’

  • @rich1328
    @rich1328 Před 11 měsíci +7

    I have 54 stents over a 22 yr period, and thank God I am doing fine. Also have one in my gut, and one in my left carotid artery.

  • @MrRatherino
    @MrRatherino Před 6 měsíci +2

    USA just had 2 in Sept..have to go along with advice and hope fo the best..helpful info and love the painting!

  • @jasonf1451
    @jasonf1451 Před rokem +5

    Very helpful, thank you Doctor.

  • @performancedownunder5773
    @performancedownunder5773 Před 2 měsíci +1

    Thank you for an absolutely fascinating insight into the thought planning and responsibilities associated with performing and receiving this treatment.

  • @andrewnichols1240
    @andrewnichols1240 Před rokem +5

    Thank you. Wish I could have you beside me when my stent doctor pushes me into this procedure. It's a lonely feeling when death knocks at your door. I pray God's perfection

    • @jandejong1286
      @jandejong1286 Před 9 měsíci

      Stents needed cause a creator did his job just not perfect….

  • @piratesmurf4251
    @piratesmurf4251 Před rokem +15

    Am 41 years of age got a stent. One aretry was 80% blocked. Got the stent in NYC. I stop eating out fast food. I eat more vegetables blueberry but i still cant let go of chicken fish etc. Beef once every two weeks lean. Cook with olive oil. Only

    • @katiem4539
      @katiem4539 Před rokem +7

      Chicken & fish is good for you! So good job!

    • @susanstubel3736
      @susanstubel3736 Před rokem +6

      It looks like the important thing is to eliminate sugar and foods that convert into sugar (including fruits and some veggies)Go for protein and green veggies. Or you better do your own research; but sugar has to go. Good luck

    • @piratesmurf4251
      @piratesmurf4251 Před rokem +2

      @@susanstubel3736 sugar is hard to give up dam it’s real hard but I have givin up a lot. So far but spittle here or there. Man life sucks

    • @susanstubel3736
      @susanstubel3736 Před rokem +4

      @@piratesmurf4251 I know, but it can be done. One day at a time and you'll be surprise at what you can accomplish. Good luck!!!

  • @keithb2055
    @keithb2055 Před rokem +9

    Thankyou for this knowledge. Had 3 heart stents put in 4 days ago, doctors were happy with the results, found it uncomfortable by the 3rd stent but ok. Now on the mend but was worried about stents failing. I dont smoke, not diabetic and take the med regular. Hopefully I'll never have to go through it again.

  • @randyk7699
    @randyk7699 Před měsícem +1

    Excellent Video

  • @davidpearce9150
    @davidpearce9150 Před 11 měsíci +11

    September 2023, i will be celebrating my 21st
    Anniversary with my one and only stent placed
    After a heart attack i was very lucky to survive.
    I also understand they have improved the stent
    Since 2002 even when i was very close the death
    I was never fearful, life is full of up's and downs
    And I've had a few more downs since my attack
    Stay strong look on the sunny side 😅😊❤.

    • @faizaisrar6401
      @faizaisrar6401 Před 6 měsíci

      How did you take care of yourself after a stent?

  • @jeffreyhall2136
    @jeffreyhall2136 Před 8 měsíci +6

    I was having some chest discomfort periodically in 2005 at the age of 48. My Rt cornary artery was 85% blocked. An angioplast was done and had a stent placed. I've been fine ever since.

  • @crabbycreates2943
    @crabbycreates2943 Před 9 měsíci +4

    My stent was placed in 2019. I'm 74. So far, so good, but now I'm experiencing symptoms of poor circulation. I'm scheduled for another stress test in September. Here we go again!

    • @lucyg3931
      @lucyg3931 Před 9 měsíci +4

      Please be careful! Be sure to have someone with you when you get home. I have a long history of coronary artery disease, with an emergency triple bypass in 1998. Over the years I had 3 more stents added. Because of increased debilitating angina for over a year, this past February I had a dobutamine stress test - the cardiologist was present and said it was normal. I was sent home, and about 30 minutes after arriving home I had a heart attack. Subsequent angiogram showed multiple blockages, 1 collapsed bypass graph and 1 blocked stent. Angioplasty with 3 new stents over 3 hour procedure. Stress test doesn’t necessarily tell the whole story. I wish you all the best ! I’m just one person - I’m sure most patients do well after stress tests and I am the exception to the rule.

  • @PastorDanWhite
    @PastorDanWhite Před rokem +3

    Thanks doctor. Very helpful. I had a heart attack on March 28. Taken to ER What n ambulance. Stent put in. Will have two more stents in a couple of weeks.

  • @ChristianeBourdon
    @ChristianeBourdon Před 28 dny

    Thank you for this very good explanation 👏

  • @richgl31
    @richgl31 Před 5 měsíci +4

    I was 42 (I’m 48 now). I had 5 stents after an MI ;although I didn’t know I had one ( stents placed: total occlusion in circumflex - so 3 there, then 1 in distal LAD and 1 in proximal RCA). I smoked a bit in my twenties, but also a gym goer, football player, half marathon runner on a couple of occasions ; so generally very fit on all markers. A combination of factors for me- stress from work I think, not sufficient rest (had young family too), genetic predisposition etc. So now- I’m back to running 5km runs and working out, don’t do competitive sport though😕. No chest pain that I was aware of before or after. The only issue I had before was I was aware I was VERY tired on occasion before. So all good really… I have changed the diet a bit, cutting down on sugar, oils and mainly pescatarian with only turkey- that’s about it. I am going to get 40 years out of these stents!

    • @Cobalt1520
      @Cobalt1520 Před 5 měsíci +1

      I hope so, and 40 years from now they will have another even better thing to replace stents!

    • @richgl31
      @richgl31 Před 5 měsíci +1

      @@Cobalt1520 Yes, I think they are on the way to working out how individuals need individually tailored treatment. Also I expect many to be able to diagnose at home on domestic tech ; monitor calcium scores in arteries etc. I am hoping next they find a non-invasive way of monitoring inside stents. I heard there was some ‘smart stents’ being developed- so maybe that’s the next step?.

    • @Cobalt1520
      @Cobalt1520 Před 5 měsíci

      @@richgl31 About time we start "inventing" something more useful than smartphones, apps for smartphones, streaming services to watch on the tablet which is a bigger smartphone. We cloned a living being 30 years ago, what have we done of significance in that field since then??!! Ancestry sites?
      Imagine the potential : patient organ growth for transplant without rejection and drugs; limb replacement/transplant; autoimune diseases' cure thru genetic therapy; etc etc, Instead we have Instagram.

  • @Speedo123100
    @Speedo123100 Před 8 měsíci

    Thanks for the warning.

  • @MadBison66
    @MadBison66 Před 9 měsíci +8

    I suffered a Cath Dissection in 2011 that resulted in an emergent Double By-Pass, that could have been a triple. Not a good day, there were other complications. Fast forward to 2022 and I started developing Angina and conducted another Cath that was unsuccessful and resulted in a Heart Failure Diagnosis. I was personally referred to Dr. Jaffer's Team at Mass General and conducted 2 CTO/PCI procedures for a total of 8 stents. Dr. Jaffer was able to re-open the occlusion that was not resolved during the 2011 By-Pass. I have since gone 65% Vegan with 25% based on low-fat Greek Yogurt, a sprinkle of low fat Feta on a salad and a little milk in my coffee. No red meat. More fish. More beans. 4 miles in 35 minutes on the elliptical 4 days a week.

    • @jakeaurod
      @jakeaurod Před 6 dny

      I wonder if that's what happened to my mom. She went in for an elective, non-emergent angioplasty a few weeks ago and never came home... although her ashes may arrive today. Unfortunately, the hospital that she started at doesn't do bypass surgeries, and by the time they airlifted her to another hospital her heart had developed a septum rupture and her health was too degraded for her to survive any surgeries.

  • @hudsonchalmers6504
    @hudsonchalmers6504 Před rokem +14

    Thanks Doc. Wish my cardiologist was as informative

  • @brizeeuk
    @brizeeuk Před rokem +11

    Thank you for giving me a better understanding ... I am a fit and active 60 year old guy and have just been told i have a 15mm lenghth of non clacified plaque in the mid to left main stem causing up to 50% stenosis. The CT FFR onLAD is significant at 0.7 But strange as i dont get pain unless i really do excert myself. I am a runner and somtimes i get pain and sometimes not. But now not running as much .
    I went for an agiogram to confirm this last wednesday . i was concerned about the risk factors and the Dr showed me the FFR image and explained to me more. Because i do not have much in the way of angina and do my routine day to day ativities i thought this outweigh the rick factor. The Dr said i can go away and have a little think about it and i will go back to see him in 3 months or before if things get worse. I have been doing a lot of research since wednesday and found you also to be a great help .as well as the Dr I am Under . He has given me medications like the ones you have mentiond too. My blood pressure and cholesteral blood test are all normal before being given my medication, so a little confused about that as well .. hope i made the right decision.

  • @bobmarshall3700
    @bobmarshall3700 Před rokem +6

    Interesting stuff. Doctor, can a stent be REMOVED if there is a problem or is bypass surgery necessary?

  • @krishnaverma3957
    @krishnaverma3957 Před rokem +4

    This is very useful information I had my stent put on 18 10 22 I would be more careful with my diabetes and high B,p Thanks

  • @vedparkash7311
    @vedparkash7311 Před 8 měsíci +1

    One Stent implanted in the Year Feb,2020 still working fine.Thanks to Dr and

  • @James-ke5sy
    @James-ke5sy Před 5 měsíci +4

    So if you have heavy blockage and they say you should get a stent. Do you get one or not?

  • @vickichavez9956
    @vickichavez9956 Před rokem +3

    Great information to know thank you

    • @HeartMatters
      @HeartMatters  Před rokem +1

      Thank you for your feedback, greatly appreciated!

  • @mwj5368
    @mwj5368 Před 28 dny

    I just was 5 days in the hospital and had 2 angiograms and one stent placed. The doctor told me it's hard to say but that stents last about 10 years... Thanks for this great video!!

  • @citizen545
    @citizen545 Před rokem +5

    Thank you so much Doc for this information...I am required to undergo Bifurcatory stenting of right Diagonal Artery and am rather nervous hearing about the high risk of renarrowing!!
    Does Chelation help in clearing arterial plaque or is stenting compulsory in my case??

  • @rajdhillon4722
    @rajdhillon4722 Před 5 měsíci +2

    I'm 47 and I thought I was healthy. Keen runner but burning in my chest resulted in me having a stent in October. Worrying time for me but all seems fine at the moment...good video 👍

  • @gazzafloss
    @gazzafloss Před rokem +17

    Once again Peter, thank you so much for this informative video. Under advice from my GP I have lost about 16 kg in body weight over the past 12 months with greatly improved results in BP, Cholesterol/Triglycerides, and general fitness levels. I was wondering if I should ask my GP if it may have been appropriate to reduce/stop some of my meds, (Clopidogrel 75mg, Perindopril 10mg, Simvastatin 40mg). This video explained perfectly why I should remain on these meds and not bother my GP unless I notice a deficit in general health, so far I'm feeling great.

    • @HeartMatters
      @HeartMatters  Před rokem +2

      Thank you for your support!

    • @leecowell8165
      @leecowell8165 Před 6 měsíci

      I decided a coupla years ago to have cardio control any meds over the PCP (relating to cardiovascular). You may wanna suggest that as cardio are generally a bit more fussy regarding that lipid panel. Anyhow don't try to play "doctor".

  • @davidlam3125
    @davidlam3125 Před rokem +3

    Thanks for sharing

  • @sammadonline
    @sammadonline Před 7 měsíci +2

    I had a couple of stents put in 4 days ago. I am 43 years old and had a stuttering heart attack similar to the one that killed my father when he was only 42. I feel fine so far but I am aware I need to make some changes to my diet. I am otherwise physically in top condition. I was working out 5 days a week in the gym and cycling etc on weekends. I have been asked to stop that activity for a month and to rest and recuperate. I am hoping these stents will last me a while. I am promising to be careful with my medication.

  • @marilynhodgkinson5299
    @marilynhodgkinson5299 Před rokem +7

    Thank you Dr very useful information. I had a stent placed in my main artery which was blocked 98% 2 weeks ago. I am on all those medications you mentioned, l have to see my Cardiologist in 1 week. There are questions l can ask him now. Very interesting thank you so much.

    • @alierem4266
      @alierem4266 Před rokem +4

      A large cohort of heart stented ppl are highly confused about differing opinions of Drs on statins, --basically pro and opposing.--
      Lay patients in much confused position with this question. Some Drs opposing their use on basis that over time, statins can do more harm than good, whereas other Drs maintain stance that 'disciplined diet plan' is more beneficial in living with stented heart.
      Tough gig to reach definitive position on which of the forked way would be better life.

    • @HeartMatters
      @HeartMatters  Před rokem +2

      All the very best and thanks for supporting the channel!

  • @jakeaurod
    @jakeaurod Před 6 dny

    Stent-artery size mismatch happened to me. When I was 40 I presented with angina and I had two blockages, 90% and 99% in my LAD, close to each other and the doctor used one long stent (30 mm) to open both. He even noted that this saved everyone money with that choice. Unfortunately it was too narrow at 2.5 mm. About 6.5 years later I spontaneously developed an in-stent thrombosis that led to heart attack that led to cardiac arrest. Luckily the EMTs were onsite and rushed me to the ambulance where they had a LUCAS. They had to do CPR for 40 minutes. After being stablized in a hypothermic coma and flown to a trauma center, they aspirated the clot and wrote the previous stent was "remarkably underexpanded" and installed a larger stent inside it (28 mm x 4 mm). By some miracle I'm still here with barely any long-term brain damage.
    Unfortunately, my mother wasn't so lucky. I'm not sure what happened, except she went in for an elective cardiac angioplasty (non-emergent) and never came home. Well, her ashes may arrive today.

  • @leecowell8165
    @leecowell8165 Před 6 měsíci +3

    A year ago went in for catherization because I had real high calcium numbers. However they found very little atherosclerosis so no stents were installed. I've always had low LDL and total cholesterol numbers and I'm talking really low around 130/35 respectively and this is uncontrolled (no meds). I'm 81yo and unlikely to pass from anything cardiovascular related. Cardio does not understand why the high calcium numbers but it happens however I still have a lipid panel workup annually due to ageing out here.

  • @eternallens994
    @eternallens994 Před rokem +8

    Vitamin K2 with Vitamin D3 should be used if it's 'Stable Angina.' If folk can afford it, try IV Infusions of PPC. These 3 'natural' substances alone should clear some of the blockages. Stents should be used as the last option. Unfortunately UK cardiologists are too eager to put in stents. I guess if everyone figured out you can actually remove blockages they'd be out of business.

    • @ebaab9913
      @ebaab9913 Před 3 měsíci +1

      Although I agree with you about trying to undo the blockages with K2 (nattokinaise) and probiotics, from what I have read it may not get rid of all blockages but definately helps. Exercise and diet also plays a part as well. When it comes to diet it is what is good for the individual.
      But disagree about the Doctors being too keen to Stent, they do want their patients to live, and for most people life changes are hard. So they Stent and medicate. They are so overwhelmed with heart patients, they would be happy if people changed their lifestyle and avoided going to hospital.

  • @mindofown
    @mindofown Před 8 měsíci +1

    Excellent info, Thankyou! Can one end DAPT after 12 months and undertake monotherapy from then on?

  • @hirdleyreid5796
    @hirdleyreid5796 Před 2 měsíci

    That you the information is very informative I have a stent for a year now .

  • @Abdissalam33
    @Abdissalam33 Před rokem +2

    Thank you it’s super good informations but scary 😄

  • @marthaellenconner98
    @marthaellenconner98 Před rokem +5

    Thank you for reposting. Prayers for a healthy heart both physically and spiritually 🙏🏻♥️ Ezekiel 36:26 Medical science has saved and prolonged many lives but Jehovah Rapha, creator and healer of our bodies, determines the length of our days !❤

    • @jandejong1286
      @jandejong1286 Před 9 měsíci

      The creator made a mess and healing,no way,that medical science does

  • @Asylum5g
    @Asylum5g Před rokem +4

    Many thanks for such a clear explanation. Regarding procedural issues what impact can over inflating the stent have?

    • @HeartMatters
      @HeartMatters  Před rokem +2

      Excellent question, most stents are capable of expanding well beyond their particular size, depending on the material and design used. However, if a stent is overly expanded, this can create issues both within the artery (e.g. causing a micro tear such as a dissection) and also can induce some damage to the stent itself. Please also see our video on stent fracture.

    • @yolandejones6183
      @yolandejones6183 Před rokem +1

      How high must be a person s cholesterol?

    • @monichat
      @monichat Před rokem +5

      @@yolandejones6183 Please do not worry about cholesterol. Read some of the comments that say how cholesterol is not so harmful as the big pharma would have us believe.

  • @selenian0255
    @selenian0255 Před 6 měsíci +8

    I just four stents inserted in my right artery, the artery was crooked. On five meds now and will have a double bypass in a month. I hope all goes well, scary when its your heart!

  • @fastridesports5225
    @fastridesports5225 Před rokem +1

    Excellent

  • @alanchristie1959
    @alanchristie1959 Před 9 měsíci

    Good info ❤

  • @bar10ml44
    @bar10ml44 Před rokem +18

    Dr Aseem Malhotra in the UK has spent years researching statins. His conclusion is an improvement of about one percent in survival. Also as a stem cell transplant patient my haematologist advised that they are not wise. They were pushed on me every time like it was automatically being prescribed. I had to always say NO.

    • @TopVelocity
      @TopVelocity Před rokem +4

      So you have a stent and you have avoided statins?
      How long has it been?

    • @bar10ml44
      @bar10ml44 Před rokem +11

      @@TopVelocity Since April 2021. I had a private consultation with Dr Malhotra and as I mentioned after receiving a stem cell transplant its’s unwise to take statins. Will I die prematurely because of this decision? This isn’t a concern for me.

    • @TopVelocity
      @TopVelocity Před rokem +5

      @@bar10ml44 May the Almighty bless you with good health and keep you away from harm and harmful medicines.

    • @monichat
      @monichat Před rokem +8

      @@bar10ml44 You are absolutely right in not taking statins. They can cause more harm than good. Dr Malhotra is RIGHT . Same as Dr Michel de Lorgeril a French cardiologist who wrote many books, recommending not to take statins.

    • @michaelktori5178
      @michaelktori5178 Před 9 měsíci +7

      I had two stents ten years ago and refuse statins still good at 79.

  • @jonorway65
    @jonorway65 Před rokem +9

    Excellent, informative, understandable information! I humbly suggest one factor that was not included in the area of patient factors. That is simply that if one is not aware of dietary factors in maintaining adequate cholesterol levels, then the meds will be somewhat limited in their ability to keep those levels in balance.

    • @Doc236
      @Doc236 Před 7 měsíci

      If you are not genetically predisposed in varying degrees of course to high cholesterol and you take statins, niacin, zetia, omega you can eat whatever you want and not worry. Diet in the absence of genetic predisposition accounts for less than 15% of your cholesterol. I eat whatever I want. I take my meds religiously and my cholesterol averages 120 and my LDL's are lower than my HDL's AND I have a family history on one side (dad) of early cad. On the other hand if you have for example Homozygous genetic predisposition you can eat a diet of lettuce and broccoli and spinach and your cholesterol will still be 300 and you will have an MI. Forget diet. Take your meds and monitor your cholesterol and eat what you want as long as your not cursed with genes from both parents. LOL

  • @babaganoosh1969
    @babaganoosh1969 Před rokem +4

    Man don't tell me they fail..just got some 2 days ago...

  • @arcangel6104
    @arcangel6104 Před rokem +2

    How does stent restenosis and thrombosis developes? And how do we keep our stent free from complications and lasts long

  • @disscustinglybeautiful1652
    @disscustinglybeautiful1652 Před 11 měsíci +1

    I had double bypass heart surgery. The right artery they replaced ended up collapsing. They had to put two stents in the collapsed artery. Are my chances high that I will need open heart surgery again for that artery?

  • @louisepage1358
    @louisepage1358 Před 6 měsíci +1

    Would taking a clopidogrel tablet say twice a week reduce the risk of a blood clot forming in a older stent.

  • @doreenhayfield5205
    @doreenhayfield5205 Před rokem +8

    I am 92 and havec4 stents my first was 20 10 Yr my last double 20 18 he sae the same surgeon a Somalian good great and all still ok

    • @fhgg7644
      @fhgg7644 Před rokem +1

      When you put your first stent?

  • @petercyr3508
    @petercyr3508 Před 9 měsíci +5

    I am 65, slim 32" waist, active, energetic, CAC score less than 200. 5'4" male 130 lbs. No history of angina etc. Had a mild MI Nov 2022 and got a stent in my circumflex. Very subtle symptoms. ER doctor was visibly blown away when he saw the triponin test. I looked a lot better than he did!
    Can happen to anyone.

  • @georgekyrala
    @georgekyrala Před rokem +2

    Great informative video.

  • @americathegreatdistributio8367

    You made it simple but covering it all. As a stent is placed to open up the artery (or even when a drill is used to break the "calcium" & debris) the plaque still remain on the arteries wall. My question is there a chemical reaction between the plaque itself & the arteries wall that would cause inflammation, or any other form of arterial wall deterioration (although the blood is flowing as expected) in the arteries ?

    • @silveradotow957
      @silveradotow957 Před rokem +2

      Juice ,eat raw food Anna,be quite

    • @Iamllumash
      @Iamllumash Před 6 měsíci +1

      The veins are usually damaged before calcium start to stick to a certain areas of your veins. Sugar is like sandpaper to the veins & then deposits start to form..So, a good diet & exercise can help especially not smoking which has tar.. There are people who are exceptions to the rule but it's better to eat healthy, no procesd foods or sugar.

  • @itsmebubwit
    @itsmebubwit Před rokem +4

    Hi Doc.
    Very useful to me
    Doctors should have also ensure the Size of the stent to avoid problem in the future.
    Can you also feature the Collateral Viens that it might avoid bypass operation if those viens could develop? How is that? I want to know your side about this.

    • @HeartMatters
      @HeartMatters  Před rokem +4

      great suggestion, collaterals that form due to a blockage are very interested. Thank you for the suggestion and for supporting the channel!

  • @stun9771
    @stun9771 Před rokem +7

    I has a stent two years ago…I was not told what a stent was, what type it was, or what material it was made of… I had it done as I had a ‘heart attack’ due to unrecognised and undiagnosed diabetes… which was diagnosed after I was admitted to hospital…

  • @snivelinj7612
    @snivelinj7612 Před 25 dny

    I had a stent inserted just a couple of days ago. Will bending and twisting doing yardwork cause problems with my stent? What about swimming and moderate lifting?

  • @RUcookoo
    @RUcookoo Před 4 měsíci +1

    I knew a man in Texas that had 5 stints all working fine and he had an active job.

  • @indigogal2010
    @indigogal2010 Před rokem +13

    I had stints put in and did NOT need them! My cholesterol was low, I was manipulated into believing I was going to have a heart attack!!
    I never spoke to the doctor! I heard him teaching a resident say pull, no rip there! I was under sedation woke up and began kicking!! Doctor yelled stop kicking I am in a sensitive area, yes my heart ❤️. After surgery I asked to speak to Dr, never saw him. I made 3 Apts he never showed up. I took blood thinner for a yr then stopped it was making me sick. I look 10 yrs older, I have liver disease that was stable. Why do these drs just take a body and destroy them? I am in chronic pain with my back everything hurts. I have to b my own doctor. A nurse told me he didn’t need to do them it was to teach the resident. Now I have an arm I can’t use tendinitis that is so painful. I think the drug alluding stint raised the new complications with my liver. What an awful man.

    • @eternallens994
      @eternallens994 Před rokem +1

      Sorry for your trouble. Have you asked Jesus into your life - He can help you.

    • @fhgg7644
      @fhgg7644 Před rokem

      Howl old are you?

    • @eternallens994
      @eternallens994 Před rokem

      @@fhgg7644 47yo

    • @indigogal2010
      @indigogal2010 Před rokem

      @@eternallens994 very funny where I wind up I doubt the dr will b there, in answer to your question yes I have.

    • @indigogal2010
      @indigogal2010 Před rokem +1

      @@fhgg7644 68 at the time

  • @Wol747
    @Wol747 Před 11 měsíci

    Thank you.

  • @jyotisirkiclass8347
    @jyotisirkiclass8347 Před 6 měsíci +1

    How common is stent break due to metal fatigue?

  • @annenelson5165
    @annenelson5165 Před rokem +3

    In your Overview Slide "Resasons for Stent Failure" Reasons is misspelled. Just an FYI 😀 On another note, my husband had a stent put in 18 years ago, I believe it was inserted in the widow maker. And a widow maker it was, he passed away suddenly 2 days after having the procedure. He was 54 years old.

    • @monichat
      @monichat Před rokem +4

      So sorry about your husband.

    • @catpaladin1
      @catpaladin1 Před rokem +1

      My brother did too. He passed 2 days after placement. The day after discharge from hospital. He was 48

  • @jasonanthony7592
    @jasonanthony7592 Před 9 dny

    Okz so i have been a drummer for almost 25 years. Just recently did an Angiography and found out I have 3 blocked arteries and 1 artery is partially blocked. I now have 3 stents since last week. Had my check up with the doctor yesterday and he said in a week u can start work, drive your car and ride your bike. Also in 3 months i can go back to my drums. Iam on blood thinners and diet food. Its been 1 week but i still feel a bit dizzy. I haven't started my walks yet. Is this weakness due to change in my diet. Also after 3 months of rest can i go back to my gigs and touring?

  • @abrideforchrist4247
    @abrideforchrist4247 Před rokem +3

    I just had that foreign object placed in my heart... And 9 months later I still haven't recovered from my heart attack

  • @user-jp6dm8fm7p
    @user-jp6dm8fm7p Před 9 měsíci +2

    I have had a MI recently, I don't smoke drink and im 60 years old. I have been teaching yoga and Muy Thai for years. In Thailand they really push almost comically statins. I would rather have a stent than take statins. Statins seem to reduce health and wellness according to what I have read.

  • @jimakin3541
    @jimakin3541 Před 9 měsíci

    Iv'e had a heart stent since January 10, 1998 and it hasn't failed. Am I just lucky? Or, were they better made in that time.

  • @craniumlost6439
    @craniumlost6439 Před rokem +16

    I was diagnosed with a widow maker in 2016 at 85% blockage. The doctors wanted to put in a stent but I decided against it due to several factors. My mother died 2 months after getting a stent put in. I also had ITP for a long time until my splenectomy, but I tend to still bleed with a baby aspirin. I read up on everything and decided to try a fat free diet, or mostly vegan diet and started taking vitamin k27 along with vitamin b1. After 2 months, I was able to walk more than a block without stopping and walk up inclines. It's been about 5 years now, and really slacked off on the diet, which is slowly starting to affect me. So it's back on fat free, no oil again in hopes to reverse my badness once again. My bp has always been high, since 30's when I went on Atkins diet but became worse at 50's to around 200 over 110 or more without bp meds. Basic atenolol has helped to keep me alive, adding other meds off and on, but I get so many bad side effects I just can't take them full time.

    • @eternallens994
      @eternallens994 Před rokem +6

      Well done sir. Same story as yourself. I refused the stent and started K2 (MK4), Vitamin D3 and PPC IV Infusions. So far so good!!!

    • @jeffwatson151
      @jeffwatson151 Před rokem +1

      @Cranium Lost keep up the good work man that damn carnivore diet caused you a lolota grief so many people swear by that junk don't know why.

    • @monichat
      @monichat Před rokem +7

      Congratulations for having the courage to refuse the stent. Good luck, also I hope you do not take statins. They are not efficient to prevent any kind of heart disease even if you have high cholesterol. A Fench cardiologistr Dr Michel De Lorgeril wrote wonderful books, (probably translated into English) asking people to not take statins. A healthy diet, not smoking, a bit of exercice every day, are good protection.

    • @markplaton84
      @markplaton84 Před rokem +2

      With all that said did you have chest pain during any time?

    • @monichat
      @monichat Před rokem +4

      @@markplaton84 This is not a place to discuss illness, see your doctor

  • @richgl31
    @richgl31 Před 5 měsíci +5

    I think the title is slightly alarmist for people like myself who have stents. Nice big red writing to strike fear. How about introducing “Why stents CAN fail?”….. a big difference from “Why Stents fail” consider your audience- we have dodgy tickers, we don’t need alarmist (albeit clickbait) titles. 😉😂. Out of interest what % actually do “fail”? & is it “failure” of stent or patient lifestyle that influenced the failure….

  • @linaburon5672
    @linaburon5672 Před rokem

    Thank You

  • @jimstafford9409
    @jimstafford9409 Před rokem +1

    What is the procedure for a 90% stenosis on the LCA but complicated by an aneurism? Would you recommend a stent or is medication sufficient? Note: RCA with 99% stenosis recently received 2 overlapping stents. Not a candidate for bypass I am told because of unrelated medical issues.

    • @HeartMatters
      @HeartMatters  Před rokem +2

      Excellent question. I will address this in an upcoming Q&A. Aneurysms are important to consider due to their often large size and the difficulty in trying to place an appropriately sized stent in this part. Great suggestion!

  • @sonicwoofer2008
    @sonicwoofer2008 Před rokem +1

    The cardiologist do the procedure or is it the interventionist ?