I had triple heart bypass 6 yrs ago /why do i need another now?

Question

im only 41 started having heart-attacks when i was 31(had 6 in all) yes im married with kid

Answer 1

Because i bypass op only lasts a number of years, so it's best to have it done, my mum had one two years ago and has to have another in 5 years

Answer 2

The reasons why you need another by-pass now are:
1.You may have developed grafts closure (stenosis).
Long saphenous (leg vein )grafts stay patent (open) for 10 years in only 60-65% of cases. In the rest the grafts closes sometimes as early as few weeks.
This is partly explained by (a) persistence of an unhealthy lifestyle eg.diet ,smoking, uncontrolled diabetes,stress,etc. etc. (b) strong genetic predisposition i.e. one could not choose ones parents or grandparents.(c) a breakdown in postoperative medical treatment -this being quite common among young patients.
2. You may have developed critical blokages in a coronary artery/arteries that were not blocked or by-passed 6 years ago. These may now be responsible for your renewed symptoms.
This is explained by the fact that the problem is progressive due to factors mentioned above in 1.

You must consider yourself lucky in that the condition is still amenable to surgical correction .In a high percentage of cases unfortunately this is not the case.

From now on Michael you will have to take matters really seriously and(1) change your lifestyle to a perfectly healthy one.(2) You cannot, under any excuse, neglect your prescribed medication .(3) You must have regular check-ups with the appropriate tests like plasma lipids and Cholesterol level ,Blood sugar level etc..The early correction of any abnormal blood results is mandatory.

Best Wishes

Answer 3

Michael,

I am very sorry to hear that. There is an answer, but I'm not sure that you will want to hear it.

First, it is true that bypass surgery is not a cure. It is only a postponement of the disease, not a removal, that caused your arterial occlusions. Now the postponed day is here, I'm afraid.

The reasons you needed one to begin with are twofold: your diet and your liver.

Second, it is normally possible to actually do something about your condition, even in some cases reversing the coronary artery disease that afflicts you. It will be difficult, it will take will power and determination, and perhaps even an accountability group for a time, but it can be done. Perhaps it can be done for you.

Are you on a statin or some other cholesterol-lowering drug? You really should be, and you need to take it without fail. Your liver just makes too much cholesterol and triglycerides, and that's what's clogging your arteries. Still.

What are you eating? Your diet is the one part of this equation that is totally under your control, and usually it is the biggest contributor to heart disease on earth.

Are you ready for this? CUT OUT ALL FAT. All fat. Do not saute in canola oil. Do not use olive oil on your salad. Cut out all oil. ALL oil. Do not use butter. Do not use margerine. Do not use Smart Balance.

Cut out all meat. All meat. Maybe once a week a single serving of fish (that's about the size of a deck of cards), but that's it. No hamburgers, none. No chicken, not even the breast. No meat at all.

No ice cream. No milk, not even the nonfat kind. Don't worry about calcium, you'll get enough if you eat right.

Look up vegetarian recipes. In fact, look up vegan recipes, because vegetarian recipes will often include cheese, which you MUST NOT EAT. Cheese has a lot of fat in it, and you cannot afford to eat any fat. But there are many vegetarian recipes that are very good, and in a short time--about three months--you'll hardly notice that you are not eating meat.

And exercise. Now, do this carefully because of your heart's condition, but whatever you can do, do that. Walk. Jog. Run. Do something to get that heart rate up. If it hurts to jog, walk. Cut out all fat and start moving around. Over on the vegsource website was until recently a testimonial of a man in a very similar situation to yours. He cut out all fat and started reversing his heart disease. He's active now, where he couldn't walk up stairs before.

Look up the work of Doctors Dean Ornish and Caldwell Esselstyn and follow their directions. Get your cholesterol and triglycerides down now, and keep them down. No cookies, nothing with fat in it, no potato chips, no dips unless you make them yourself with no oil.

I hope, after ten years, that it's not too late for this to do you good. It might not be if you start on it now and do everything that Ornish and Esselstyn say.

Good luck.

Answer 4

Unfortunately, bypass is not a cure for coronary artery disease. There is no cure. Once a patient has coronary artery disease, he has it for life, often requiring multiple interventions, either with angioplasty and stents or with coronary artery bypass grafting.

There are risk factors for the disease that we can modify: For instance, if one smokes, one should quit. Optimal control of diabetes and lipids have both been shown to benefit restenosis rates after intervention. Control of blood pressure helps, as well.

We cannot modify your family history, though. And I bet your relatives have had difficulties with the disease, as well.

Good luck. I'm glad a second bypass is an option for you. It isn't alwalys an option, you know.

Answer 5

Change your lifestyle, make sure you take walks everyday. Since you've had so many attacks, doctors probably won't recommend heavy workout but you must get some exercise. Keep yourself active and eat healthy. Some of it may not necessarily be in your hands because these things are hereditary but some you can control.

Answer 6

dear friend,
Re-stenosis is of characteristics of grafted vessel but the time of happening after op is different among people.
for sure u r genetically prone to coronary artery disease (CAD) and after a bypass op you faced problem again. you must keep your LDL below 70 and controlling the probable high blood pressure and totally forgeting about smoking but regular exercise. and also arterial grafts in bypass are less prone to re-stenosis than venous.

Answer 7

Are you a smoker, overweight, high blood pressure, inactive?
Do you eat a low fat, low cholesterol diet? Do you monitor your blood pressure? All these are major factors and as a Cardio-thoracic open heart nurse, I normally find patients who return so fast to not be following doctors orders correctly. Could this be you?

Answer 8

perhaps it is hereditary but more likely lifestyle etc,
try drinking 1 or 2 glasses of red wine everyday and also eat as much fish as you can,when anybody suffers with heart problems it does tend to dry the inner body and therfore probably caused your reoccurence.hope this helps

Answer 9

I'm a nurse. Some other problems has occurred in which probably didn't show up the last time you had it. Please take care of yourself an let them assist you, I know it's tough, but you will be OK. I'm a Christian and I'll be praying for you and your family. Watch this video and know God is truly in control. www.mayyoubeblessedmovie.com.

Answer 10

Talk to your dr... Clearly there is another blockage, and it needs to be bypassed so blood gets to where it is needed...