Answer:

Usually open heart surgery can be performed at your age, which is not a contraindication per se. Other treatments using catheters are available for different types of heart diseases, but only your doctor can tell the best option for your situation.

Answer:

Depending on the severity of the blockages as well as their location in the coronary arteries, either of the treatments you mentioned can be indicated. Another option could me medical therapy if the blockages are mild.

Answer:

There are guidelines on the treatment of hypertension. Whenever it is hard to control with lifestyle changes and medications, a search for secondary causes is indicated (such as renal artery stenosis and hormonal causes). Only your doctor can give you this orientation.

Answer:

You are too young to have hipertensive crises, need to investigate if there are secondary causes for high blood pressure - such as renal arteries and hormonal causes.

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Hard to tell you using just the info you wrote. Maybe better to contact your doctor to make sure.

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With a low blood pressure it seems prudent to contact you doctor. He might feel like reducing the dose or even stopping this medication.

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Seems like you have ischemic cardiomyopathy. In that situation, on top of medications and angioplasty, an implantable defibrillator is known to prolong life even in assynptomatic patients who never experienced arrhythmic events before.

Answer:

LAA isolation sometimes is necessary to control AF, as seems to be the case with you. However, when this is done there is a need for long term anticoagulation therapy in a large proportion of patients, since the LAA is the source of more than 90% of the clots associated with AF. After isolation, most appendages lack adequate contraction to pump the blood out, creating the environment for clot formation. We consider stopping anticoagulation in those special circunstances where there is a good flow velocity in the LAA (due to dissociated firing after isolation) and when there is good atrial contraction on the mitral inflow doppler (evaluated using the TEE). Only the cardiologist taking care of you will be able to tell the pros and cons of stopping anticoagulation after checking the TEE results and your baseline stroke risk.

Answer:

If the ligation is not complete then it is not likely to protect you from stroke. The alternatives are to either consider oral anticoagulation (pros, cons and risks need to be discussed) or to attempt to achieve closure which is what has been suggested. Technically with some of the LAA gone it would be more difficult and so feasibility and success would depend on the imaging and the physician/centre experience.