Medical Questions? Ask a Doctor Online!
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do they say your heart attack was due to the coronary ectasia, from arterial spasm? Do you have full heart function at present after the MI?
so this is a good question because there is an answer, but research is ongoing and when it gets to 'best' practice in your situation different doctors might choose different therapies
that being said
HERE ARE THE RECOMMENDATIONS
and you are properly being stopped from the plavix
the reason is that the added benefit of plavix with aspirin
and the added risk of bleeding is high
so it IS a balancing act
Aspirin is the workhorse here
and your physician is following the most recent guidelines in discontinuing your plavix after twelve months.
it should simply be stopped
once a day
it's congenital... meaning... you have likely had it since birth
it simply means a narrowing and twisting of the coronary artery
there is no way for me to answer that without seeing your records. arterial spasm can cause some infarcts. the usual cause is a plaque of cholesterol that ruptures and then clots, but it doesn't sound like that was the case in your situation.
as far as what you can do to prevent another event that's pretty simple. take your aspirin, keep your cholesterol low, don't smoke, and keep in good shape. if you have high blood pressure make sure it is treated, if you have diabetes keep it under tight control. that's about it.
you are most welcome.
it sounds like you are being well cared for by a good physiican
these are all good questions for him/her as well
do you have any final questions for me?
anything else for me today?