A great series of videos full of valuable information delivered in a simple and easy format. Thank you very much for giving up so much time to make all these covering such a diverse range of heart related topics. I'll guarantee you've saved many lives through this information and helped people like me with stents to stay safe and well. Can't thank you enough.
Thanks so much for the invaluable information in your series Professor Barlis. Having gone through the procedure 2 weeks ago in Melbourne, its fantastic to get a greater understanding of what is and can occur, warm regards, Jeff
Very informative and insightful! Thank you for sharing. Until recently, I had not had a loved one who had undergone a stent procedure. This allays my apprehension about this process ♥️🙏🏻
My stent closed up in my LCA after six years. They went in to open it up and pierced the lining with the guide wire. Had to wait a couple months to get the stent put in. Having it done today.
Thanks heaps for your videos - very informative. I live in Tasmania and had a STEMI two years ago and a stent inserted into my LCA. As a fit, vegetarian in my early 50's, having a cardiac arrest came as quite a surprise (to say the least). I don't know why it happened, but workplace stress seemed like the most likely culprit. I'd be really interested in knowing about any research examining life expectancy post-stent insertion. I know there are a multitude of variables at play, but I really want to know if I take care of the lifestyle factors as best I can and take my medication without fail, how long I could reasonably plan on living.
Thanks Dean for your feedback and for watching. This is a common question I am seeing come through the comments, we will address this in an upcoming video, thanks for your suggestion! In essence however, one thing I do inform my patients that the stent should not be seen to have a finite limit / lifespan. Once placed, it becomes integrated within the artery and the metal covered by a layer of tissue.
reason is fruits and sugar. these creat inflamation in body, otherwise vegetarian or healthy keto(with alot of veggies) are good for heart, and diminish inflamation.
Excellent video, I'm binge watching videos on anything related to post stent procedure, and I'm trying to narrow down to a few key markers. Cholesterol , salt, sugars . Diet for life without saturated and trans fats. But as the old saying goes, too far East is West. So now must make sure not if using too much olive oil to replace butter and spreads. Salt, especially in breads so using a target of 1.5gr sodium/ day. Sugar surprisingly seems to be the easiest to eliminate. As i loved cooking "well"☺️☺️ up to now, tackling the cholesterol and salt without being totally paranoid is my goal. In relation to this video, follow up on stents would be interesting to look at video returning to jogging , some exercises. Etc. Thanks for taking time to post these excellent videos.
Thanks for the information prof.Barlis.. I got the first stent 7 years ago.. and now I had in-stent restenosis.. What exactly happened is that the artery before the stent was bent (forming an angle that blood had difficulties passing), in the middle of the stent the restenosis was about 70% and at the end of the stent the artery was narrowed.. what the cardiologist decided to do was to put another two stents into the old one to solve the situation.. What can be the reason that an artery can bend above the stent and narrow below the stent?
Hi Peter, definitely many factors here, this is rather complex, especially in parts of the artery where a stent is placed within an area that contains plaque, there is a higher risk of progression into the future. Also, sometimes, stents can trigger small microscopic 'tears' or dissections of the artery that often heal on their own but in some cases they result in renarrowing at the ends of stents
I tried to get my cardiologist to put in a stent when I had a .018 troponin score a few months ago but he wouldn't. Two months later, I was in the ER with another apical MI, so he perfused me with a 43 mm stent in the circumflex, even though much of that area is dead from a previous MI. Bottom line, don't let your doctor talk you out of a stent, even if it's in an area of previous infarct, because COLLATERAL arteries can develop around blockages that perfuse areas around the infarct. LVEF went from 30 to 55 after the procedure, so aggressive treatment has benefits.
Without any prior history, I had a sudden heart attack. OK, I was overweight and suffered from shortness of breath but deluded myself into thinking that it only occurred when I had a big meal. On a Sunday, I went out for a short walk and after half a block I had to stop immediately. I was totally out of breath. I went home and could not get comfortable in any seated position. I had no other symptoms. Nonetheless, we contacted a doctor and he told me to get to an ER emergency. I did so and was admitted the New York Hospital where my cardiologist was on the staff. They gave me some emergency treatment and the next day, after some preliminary tests scheduled me for a stent implantation. No anesthesia is necessary because they work through the bloodstream from a tiny hole in the groin and the inside of the blood stream has no nerve endings. The procedure took maybe 1.50 hours and then I had to lie still while the tiny hole clotted since it was in an artery. It was all fine. The net day, I felt like a new man. I danced around my ward in the hospital. Then, nine people in white coats came in and I accurately figured "uh oh". They told me I had suffered a heart attack but without any clinical significance - I think this meant that there was no damage to my heart. Then I lost some excess weight and changed my diet. BTW, the stent was implanted in June of 2005 when I was 66. I am now 83 and have had no further attacks. I did have another stent put in about 5 years ago after a long vacation in a very hilly city but there was no heart attack. Without my original stent, I would not be here. I am on a statin drug and was on Plavix for a while but have been off that for years. The procedure has little risk these days and is far better than open heart and other, more complex surgery. If your problem can be resolved with a stent, go for it.
as far as I can tell, stents are a money generation method for stent makers. They really are not much more successful than medication except in emergencies; but in all cases open heart surgery is the way to go...but cardiologists cannot do this procedure so they go along with stent makers...correct me if i am wrong; but there must be some truth in this statement because as far as I can see, bypass surgery is always better than stents. Still it is an amazing technique that cardiologists can do with the wire and amazing that they have the courage to do such a repair. So I must praise them.
Thank you for your feedback. Surgery has a major role, it has prognostic benefits over stenting when there is significant disease in the left main coronary artery or left anterior descending artery. Short of that, undergoing major open heart surgery with risks that are considerable, should only be reserved for when medications fail or stents are not feasible. Surgery may also not be the best option or even possible when cholesterol plaque involves the entire artery whereby the surgeon is unable to stitch the bypass onto a healthy artery. Thanks for supporting the channel!
Can you please advise on alcohol, is it better to cut back on consumption. You didn’t mention it in this vlog, or is it just common sense to keep it very low. Suzy
I got 2 stents in 2018 so based on this I would have to believe they were drug eluting stents yet 2 years later they blocked. Did I look after them? Well I didn't get the toothbrush out and polish then regularly, but I have a very low cholesterol diet, high in greens etc.and consume almost no seed oils (mostly olive oil) and don't have diabetes, so I'm doubtful the answer is "if I look after them" and/or "if they are the right stents".
@@alve99 at the time I would have 1 apple per day and 20g of 70% dairy free dark chocolate. I can't remember if I was eating breakfast back then if I was it would 1/4 cup of ROLLED unsweetened oats with 1/2 a cup of low fat milk. Lunch is always 7 grain whole meal bread with 38g of lean ham 1 cocktail tomato and around 8 leaves of baby spinach. Dinner was always ~120g of protein, either duck (fat removed), kangaroo, lean beef, chicken or salmon. protein always oven baked with a sprinkling of olive oil. I think they just don't take into account how your immune system reacts to foreign substances, and how well you heal. I had a quad bypass 2 years later because of the stents occluding and the 3 places they stitched where the drainage tubes came out were stitched up with dissolving stitches and all 3 you can see where the stitches have been enveloped with fibrin and are still visible yet where the breast bone was cut, the skin has healed so well there's almost no scar. My cardiologist comments on it every time I have a follow up visit.
thanks for reply. in my opinion you were eating too many carbs and meat as well. as you are most likely insulin risistent you should avoid fruits and any sweats untill you are insuline receptant, after that you may eat small amount of seasonal fruits once or twice a week. olive oil is really realy good. above is the case when had blockages with neoatherosclerosis which collects inside stent, which is most likely your case as reaction to injury blockage is very quick usually with in year.@@etmax1
For me, I have found that sometimes even with a little cut or a scratch, the blood doesnt stop, which is annoying, rather than dangerous (I dont want to leave a stain on clothing or a tablecloth). The solution is to use a plaster or even a tissue (preferably with some pressure applied) for a few minutes. That normally stops the blood.
Prof Barlis,That camera which can visualize inside the coronary arteries,is it available in cardiac centres worldwide?It appears to be better than coronary angiogram.
Very common scenario, there are some alternatives that your doctor may consider to statins, we will have a broad discussion on this topic on an upcoming Statin episode. Thanks for supporting the channel.
@@azahzuddinhamzah361 Thank you! I'd been using garlic and cider vinegar for a long time now. Recently stopped eating eggs, altogether, and added amla. Trying to add green tea, but am concerned about caffeine and high blood pressure, as I'm already drinking two cups of coffee per day. May switch to decaf coffee to accommodate the added caffeine in green tea.
I had stent put in 6months. ago now I'm back in after it narrowed 2nd heart attack I don't know if it was my fault I tried change eating habits but found it hard to do now I have to try harder I'm 64 6. 2. 15 stone was told it could keep repeating itself if. Don't change eating habits
Go on a plant based diet. There’s a lot of food out there that have zero cholesterol zero animal products that are delicious. Beyond meat and chicken taste just like it but it’s vegan. There’s many other frozen foods at the store that are plant based? Are you taking a statin and a baby aspirin every night before bed??? Try intermintate fasting and light exercise like walking or jogging everyday for an hour. No smoking. You will lose weight fast and your cholesterol numbers will drop. You need to get your A1C and blood pressure in the normal range and you’re good to go. Cut out sugar. You don’t need it. No sodas, no sugar free drinks. No candy. You can drink water only and you will get use to it very fast. Good luck
@@BW-kv9wj never will be vegan and tell me if vegan really don't want to eat meat why is it that they call there product chicken sausages beef burger ect ect .you do not need to be a dam vegan even them have have cholesterol problems . Just eat a sensible diet plenty of fruit and vegetables with real fish and red meat 2 or 3 times a week
@@anitakerry3032 OK go ahead. Only animal products have cholesterol. Red meat, chicken and fish have cholesterol. If you want to consume cholesterol, especially if you have heart disease, then you’re just asking for trouble. Additionally, you mention eating fruit. Fruit has fructose and you are consuming sugar. You should only be eating vegetables and stay away from fructose unless you want problems with insulin resistance; another cause for heart attacks and stokes.
I had what they are calling a mild heart attack a couple of weeks ago. My troponin was raised, but not very much (131). They wanted to do an angioplasty a couple of days later. I told them I didn't want a stent, and they said they wouldn't unless it was completely necessary. After the procedure I was told they put in two stents in my LAD due to 80% blockage. I am very discouraged because I believe medication and exercise would have done just as good as a stent without the possible side effects or stent blockage. I am right in thinking this?
Good question! not much in terms of differences are seen with modern day stents. We will address this based on your question on an upcoming video as there are several various types/brands of stents used across the world and what may be relevant in some countries may not in others. Thanks for supporting the channel!
A great series of videos full of valuable information delivered in a simple and easy format. Thank you very much for giving up so much time to make all these covering such a diverse range of heart related topics. I'll guarantee you've saved many lives through this information and helped people like me with stents to stay safe and well. Can't thank you enough.
Thanks so much for the invaluable information in your series Professor Barlis. Having gone through the procedure 2 weeks ago in Melbourne, its fantastic to get a greater understanding of what is and can occur, warm regards, Jeff
Thank you Jeff and best wishes!
Thank you, that is most reassuring
Glad to know that it is very helpful for people with stent like me thank you doctor
Very informative and insightful! Thank you for sharing. Until recently, I had not had a loved one who had undergone a stent procedure. This allays my apprehension about this process ♥️🙏🏻
Thank you for this information.
Thanks for this video , I’ve just had a stent put in a week ago
My stent closed up in my LCA after six years. They went in to open it up and pierced the lining with the guide wire. Had to wait a couple months to get the stent put in. Having it done today.
Wishing you the best!
Are you put new stent inside the old stent
Big pharm :) love's these videos :)
thank you Mark for your feedback on this.
Thanks heaps for your videos - very informative. I live in Tasmania and had a STEMI two years ago and a stent inserted into my LCA. As a fit, vegetarian in my early 50's, having a cardiac arrest came as quite a surprise (to say the least). I don't know why it happened, but workplace stress seemed like the most likely culprit. I'd be really interested in knowing about any research examining life expectancy post-stent insertion. I know there are a multitude of variables at play, but I really want to know if I take care of the lifestyle factors as best I can and take my medication without fail, how long I could reasonably plan on living.
Thanks Dean for your feedback and for watching. This is a common question I am seeing come through the comments, we will address this in an upcoming video, thanks for your suggestion! In essence however, one thing I do inform my patients that the stent should not be seen to have a finite limit / lifespan. Once placed, it becomes integrated within the artery and the metal covered by a layer of tissue.
reason is fruits and sugar. these creat inflamation in body, otherwise vegetarian or healthy keto(with alot of veggies) are good for heart, and diminish inflamation.
Excellent video, I'm binge watching videos on anything related to post stent procedure, and I'm trying to narrow down to a few key markers.
Cholesterol , salt, sugars .
Diet for life without saturated and trans fats. But as the old saying goes, too far East is West. So now must make sure not if using too much olive oil to replace butter and spreads.
Salt, especially in breads so using a target of 1.5gr sodium/ day.
Sugar surprisingly seems to be the easiest to eliminate.
As i loved cooking "well"☺️☺️ up to now, tackling the cholesterol and salt without being totally paranoid is my goal.
In relation to this video, follow up on stents would be interesting to look at video returning to jogging , some exercises. Etc.
Thanks for taking time to post these excellent videos.
Thank you Patrick also for your time in sharing your thoughts and experience.
my mother had heart attack on 6th sep 2022 and stent was fixed but face sweating usually occurs without even working. what could be the reason for it?
Thanks for the information prof.Barlis.. I got the first stent 7 years ago.. and now I had in-stent restenosis.. What exactly happened is that the artery before the stent was bent (forming an angle that blood had difficulties passing), in the middle of the stent the restenosis was about 70% and at the end of the stent the artery was narrowed.. what the cardiologist decided to do was to put another two stents into the old one to solve the situation.. What can be the reason that an artery can bend above the stent and narrow below the stent?
Hi Peter, definitely many factors here, this is rather complex, especially in parts of the artery where a stent is placed within an area that contains plaque, there is a higher risk of progression into the future. Also, sometimes, stents can trigger small microscopic 'tears' or dissections of the artery that often heal on their own but in some cases they result in renarrowing at the ends of stents
I tried to get my cardiologist to put in a stent when I had a .018 troponin score a few months ago but he wouldn't. Two months later, I was in the ER with another apical MI, so he perfused me with a 43 mm stent in the circumflex, even though much of that area is dead from a previous MI. Bottom line, don't let your doctor talk you out of a stent, even if it's in an area of previous infarct, because COLLATERAL arteries can develop around blockages that perfuse areas around the infarct. LVEF went from 30 to 55 after the procedure, so aggressive treatment has benefits.
Without any prior history, I had a sudden heart attack. OK, I was overweight and suffered from shortness of breath but deluded myself into thinking that it only occurred when I had a big meal. On a Sunday, I went out for a short walk and after half a block I had to stop immediately. I was totally out of breath. I went home and could not get comfortable in any seated position. I had no other symptoms. Nonetheless, we contacted a doctor and he told me to get to an ER emergency. I did so and was admitted the New York Hospital where my cardiologist was on the staff. They gave me some emergency treatment and the next day, after some preliminary tests scheduled me for a stent implantation. No anesthesia is necessary because they work through the bloodstream from a tiny hole in the groin and the inside of the blood stream has no nerve endings. The procedure took maybe 1.50 hours and then I had to lie still while the tiny hole clotted since it was in an artery. It was all fine. The net day, I felt like a new man. I danced around my ward in the hospital. Then, nine people in white coats came in and I accurately figured "uh oh". They told me I had suffered a heart attack but without any clinical significance - I think this meant that there was no damage to my heart. Then I lost some excess weight and changed my diet. BTW, the stent was implanted in June of 2005 when I was 66. I am now 83 and have had no further attacks. I did have another stent put in about 5 years ago after a long vacation in a very hilly city but there was no heart attack. Without my original stent, I would not be here. I am on a statin drug and was on Plavix for a while but have been off that for years. The procedure has little risk these days and is far better than open heart and other, more complex surgery. If your problem can be resolved with a stent, go for it.
as far as I can tell, stents are a money generation method for stent makers. They really are not much more successful than medication except in emergencies; but in all cases open heart surgery is the way to go...but cardiologists cannot do this procedure so they go along with stent makers...correct me if i am wrong; but there must be some truth in this statement because as far as I can see, bypass surgery is always better than stents. Still it is an amazing technique that cardiologists can do with the wire and amazing that they have the courage to do such a repair. So I must praise them.
Thank you for your feedback. Surgery has a major role, it has prognostic benefits over stenting when there is significant disease in the left main coronary artery or left anterior descending artery. Short of that, undergoing major open heart surgery with risks that are considerable, should only be reserved for when medications fail or stents are not feasible. Surgery may also not be the best option or even possible when cholesterol plaque involves the entire artery whereby the surgeon is unable to stitch the bypass onto a healthy artery. Thanks for supporting the channel!
Can you please advise on alcohol, is it better to cut back on consumption. You didn’t mention it in this vlog, or is it just common sense to keep it very low.
Suzy
Excellent point on the role of alcohol in heart disease, be on the look out for an upcoming episode addressing this. Thanks for your feedback
alcohol screws up the lipids etc in your liver,probably the primary cause of your stents
I got 2 stents in 2018 so based on this I would have to believe they were drug eluting stents yet 2 years later they blocked. Did I look after them? Well I didn't get the toothbrush out and polish then regularly, but I have a very low cholesterol diet, high in greens etc.and consume almost no seed oils (mostly olive oil) and don't have diabetes, so I'm doubtful the answer is "if I look after them" and/or "if they are the right stents".
do u eat more fruits Or sweat?
@@alve99 at the time I would have 1 apple per day and 20g of 70% dairy free dark chocolate. I can't remember if I was eating breakfast back then if I was it would 1/4 cup of ROLLED unsweetened oats with 1/2 a cup of low fat milk. Lunch is always 7 grain whole meal bread with 38g of lean ham 1 cocktail tomato and around 8 leaves of baby spinach. Dinner was always ~120g of protein, either duck (fat removed), kangaroo, lean beef, chicken or salmon. protein always oven baked with a sprinkling of olive oil. I think they just don't take into account how your immune system reacts to foreign substances, and how well you heal. I had a quad bypass 2 years later because of the stents occluding and the 3 places they stitched where the drainage tubes came out were stitched up with dissolving stitches and all 3 you can see where the stitches have been enveloped with fibrin and are still visible yet where the breast bone was cut, the skin has healed so well there's almost no scar. My cardiologist comments on it every time I have a follow up visit.
thanks for reply. in my opinion you were eating too many carbs and meat as well. as you are most likely insulin risistent you should avoid fruits and any sweats untill you are insuline receptant, after that you may eat small amount of seasonal fruits once or twice a week. olive oil is really realy good.
above is the case when had blockages with neoatherosclerosis which collects inside stent, which is most likely your case as reaction to injury blockage is very quick usually with in year.@@etmax1
What is the side effect of having blood thinner. For example if you get a cut in your body, Will it heal as usual ?
For me, I have found that sometimes even with a little cut or a scratch, the blood doesnt stop, which is annoying, rather than dangerous (I dont want to leave a stain on clothing or a tablecloth). The solution is to use a plaster or even a tissue (preferably with some pressure applied) for a few minutes. That normally stops the blood.
Prof Barlis,That camera which can visualize inside the coronary arteries,is it available in cardiac centres worldwide?It appears to be better than coronary angiogram.
What if you can't tolerate statins? What can you do to control cholesterol?
Very common scenario, there are some alternatives that your doctor may consider to statins, we will have a broad discussion on this topic on an upcoming Statin episode. Thanks for supporting the channel.
@@HeartMatters Thank you! Looking forward to your upcoming episodes!
Same for me… with high LPa (80 mg/dl)….😥
You can try green tea,raw garlic,apple cider vinegar,alma(Indian gooseberry) if statins don't work.
@@azahzuddinhamzah361 Thank you! I'd been using garlic and cider vinegar for a long time now. Recently stopped eating eggs, altogether, and added amla. Trying to add green tea, but am concerned about caffeine and high blood pressure, as I'm already drinking two cups of coffee per day. May switch to decaf coffee to accommodate the added caffeine in green tea.
Doctor what about a stent in the iliac vein because it is narrowed. Is it worthy?
Hello, What about ELCA coronary laser?
I had stent put in 6months. ago now I'm back in after it narrowed 2nd heart attack I don't know if it was my fault I tried change eating habits but found it hard to do now I have to try harder I'm 64 6. 2. 15 stone was told it could keep repeating itself if. Don't change eating habits
Wishing you the very best James and thanks for supporting the channel!
Go on a plant based diet. There’s a lot of food out there that have zero cholesterol zero animal products that are delicious. Beyond meat and chicken taste just like it but it’s vegan. There’s many other frozen foods at the store that are plant based? Are you taking a statin and a baby aspirin every night before bed??? Try intermintate fasting and light exercise like walking or jogging everyday for an hour. No smoking. You will lose weight fast and your cholesterol numbers will drop. You need to get your A1C and blood pressure in the normal range and you’re good to go. Cut out sugar. You don’t need it. No sodas, no sugar free drinks. No candy. You can drink water only and you will get use to it very fast. Good luck
@@BW-kv9wj never will be vegan and tell me if vegan really don't want to eat meat why is it that they call there product chicken sausages beef burger ect ect .you do not need to be a dam vegan even them have have cholesterol problems . Just eat a sensible diet plenty of fruit and vegetables with real fish and red meat 2 or 3 times a week
@@anitakerry3032 OK go ahead. Only animal products have cholesterol. Red meat, chicken and fish have cholesterol. If you want to consume cholesterol, especially if you have heart disease, then you’re just asking for trouble. Additionally, you mention eating fruit. Fruit has fructose and you are consuming sugar. You should only be eating vegetables and stay away from fructose unless you want problems with insulin resistance; another cause for heart attacks and stokes.
go plant based whole foods
I had what they are calling a mild heart attack a couple of weeks ago. My troponin was raised, but not very much (131). They wanted to do an angioplasty a couple of days later. I told them I didn't want a stent, and they said they wouldn't unless it was completely necessary. After the procedure I was told they put in two stents in my LAD due to 80% blockage. I am very discouraged because I believe medication and exercise would have done just as good as a stent without the possible side effects or stent blockage. I am right in thinking this?
so they didn't talk to you finally before inserting the stents?
so what are the numbers...modern stents are better..how much better?
Good question! not much in terms of differences are seen with modern day stents. We will address this based on your question on an upcoming video as there are several various types/brands of stents used across the world and what may be relevant in some countries may not in others. Thanks for supporting the channel!
Only medications but no mention of diet and life style change? Lol