No, it is not recommended to take Aspirin without evidence for atherosclerosis or coronary artery disease; its pure protecitve power is low, but it increases the risk of bleeding significiantly.
When you were really allergic 20 years ago to some agent, the likelihood of still being allergic is high
Difficult to give a good answer without knowing the details.
IN general, you wait until Troponin or other blood markers have normalised following a heart attack, however when the risk of having another heart attack while waiting is too high then urgent surgery makes sense. You have to follow the specialist of your choice who knows the details of your angiography in detail
I think this is a difficult perspective. At the age of 85 heart and pulmonary problems add their risks. You need a team approach of INternal Medicine, cardiology and pulmologist to find the best treatment; you have to prepare yourself, that he will not recover
I think he needs urgent cardiac evaluation, most likely including transthoracic echo and coronary angiography! he needs to see a cardiologist, he may be a candidate for stenting or even bypass surgery depending on the findings in the angiography.
A small proportion of patients undergo ablation for the third time. Chance of of success depends on various factors such as left atrial size, con commitant valvular heart disease and so on. Assuming your left atrial size is normal, it would be reasonable to attempt ablation for one last time.
The fact that your heart rates were normal during your symptomatic periods, your symptoms of constant vibration in chest are unlikely to be related to heart disease.
Your risk of thrombo embolic episodes depends on the frequency of AF episodes/ risk factors such as hypertension, diabetes, age, previous stroke or symptoms related to heart disease. It appears your only risk factor may be hypertension. Assuming you are in normal rhythm all the time you could either continue Rivoraxaban or switch over to aspirin.
You probably have a rate responsive pacemaker (your pacemaker increases your heart rate according to your activity). You could ask your cardiologist to make your pacemaker slightly less rate responsive.
Yes, I would recommend to take a new drug; on one hand the possible interactions in your case are lower on the other hand patients comfort is higher ( no need for INR tests)
You only implant stents in those vessels which show a significant stenosis that means >70% stenosed area. That leads in some patients to repetitive stenting when the atherosclerotic process is going on. it is of major importance to stop this process by reduction of risk factors like smoking or high blood pressure etc.
Dr. Andrea Natale
Dr. Andrea Natale is a board certified electrophysiology expert and practices at executive medical director of the Texas Cardiac Arrhythmia Institute at St. David's Medical Center in Austin, Texas. Dr. Natale also is the Senior Medical Director at Pacific Atrial Fib and Arrhythmia Center in San Francisco. He visits MetroHealth in Cleveland, and Akron General, Ohio. He has pioneered a new circumferential ultrasound vein-ablation system to correct atrial fibrillation and performed the procedure on the world's first five patients. For further details Please visit :Link
Dr. Dhanunjaya Lakkireddy
Dr. Dhanunjaya Lakkireddy, MD, F.A.C.C, FHRS. is a board certified electrophysiology expert and practices at Mid-America Cardiology and The University of Kansas Hospital Clinics in Kansas City, KS, USA. He has several distinctions in clinical and research career to his credit and serves as an associate editor for Journal of Atrial Fibrillation.For further details Please visit :Link
Dr. Dhanunjay Lakkireddy, MD, F.A.C.C, FHRS, The Kansas City Heart Rhythm Institute (KCHRI), KS, USA.
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