LAD dissection

roadcyclist said:

I have been diagnosed with a dissected LAD, ( 20mm ).
Troponin was 3.9 Heart Cath shows all clear except for the
dissected LAD.

I would guess that you were stented.

Quoted message said:

Currently using Toporol, Plavix, and aspirin.

What type of recovery could I expect, and could I expect
to return to normal athletic activity ? (competitive
cyclist)

Near immediate depending on the healing of the puncture
wound in your femoral artery. Your cardiologist should have
advised you on how many days of rest before resuming
strenuous activity (typically 3-7 days).

Quoted message said:

Thanks.

You are welcome.

An additional concern would be whether your lipid profile is
optimal for someone with coronary disease. If not, statins
should be considered as a measure of secondary prevention.
Because you suffered a heart attack, an ACE inhibitor should
be considered to prevent remodeling of your myocardium.

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
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roadcyclist said:

I have been diagnosed with a dissected LAD, ( 20mm ).

What is the dissection from?

--
Winning against heart attack and stroke
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"Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message
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Quoted message said:

roadcyclist said:

I have been diagnosed with a dissected LAD, ( 20mm ).
Troponin was 3.9 Heart Cath shows all clear except for
the dissected LAD.

I would guess that you were stented.

Hmm,...no I was not. They, of course, suspected blockage
are were set to stent, but all was clear when they found
the 20mm dissection. They removed the cath and I have
been placed on meds only,...

I found that puzzling. Would you think so as well,..??

Quoted message said:

Quoted message said:

Currently using Toporol, Plavix, and aspirin.

What type of recovery could I expect, and could I expect
to return to normal athletic activity ? (competitive
cyclist)

Near immediate depending on the healing of the puncture
wound in your femoral artery. Your cardiologist should
have advised you on how many days of rest before resuming
strenuous activity (typically 3-7 days).

Immediate huh,..?? The dissection is a 20mm tear, not
exactly a puncture. He stated I would not race again,
and would not entertain me being on my bike for six
weeks, and then it was, "we'll talk",...

Quoted message said:

An additional concern would be whether your lipid profile
is optimal for someone with coronary disease. If not,
statins should be considered as a measure of secondary
prevention. Because you suffered a heart attack, an ACE
inhibitor should be considered to prevent remodeling of
your myocardium.

Hmm,...yeah, but I cannot remember any of the lipid
results. Guess I will have to get a copy and find out
what they were,...

Thanks for you assistance.

roadcyclist said:

"Dr. Andrew B. Chung, MD/PhD" <[email hidden]>
wrote in message "]news:[email hidden]...

Quoted message said:

roadcyclist said:

I have been diagnosed with a dissected LAD, ( 20mm ).
Troponin was 3.9 Heart Cath shows all clear except for
the dissected LAD.

I would guess that you were stented.

Hmm,...no I was not. They, of course, suspected
blockage are were set to stent, but all was clear when
they found the 20mm dissection. They removed the cath
and I have been placed on meds only,...

I found that puzzling. Would you think so as well,..??

That would depend on the blood flow. If there was good blood
flow, then it would be a judgment call.

Quoted message said:

Quoted message said:

Quoted message said:

Currently using Toporol, Plavix, and aspirin.

What type of recovery could I expect, and could I
expect to return to normal athletic activity ?
(competitive cyclist)

Near immediate depending on the healing of the puncture
wound in your femoral artery. Your cardiologist should
have advised you on how many days of rest before
resuming strenuous activity (typically 3-7 days).

Immediate huh,..??

That was with the guess that you were stented, which
apparently did not happen.

Quoted message said:

The dissection is a 20mm tear, not exactly a puncture.

If you were stented, the dissection would have been "fixed."
The puncture was referring to how the catheter entered into
your femoral (groin) artery.

Quoted message said:

He stated I would not race again, and would not
entertain me being on my bike for six weeks, and then
it was, "we'll talk",...

It sounds like your cardiologist has unilaterally decided
what choices you would have.

Quoted message said:

Quoted message said:

An additional concern would be whether your lipid
profile is optimal for someone with coronary disease. If
not, statins should be considered as a measure of
secondary prevention. Because you suffered a heart
attack, an ACE inhibitor should be considered to prevent
remodeling of your myocardium.

Hmm,...yeah, but I cannot remember any of the lipid
results. Guess I will have to get a copy and find out
what they were,...

Thanks for you assistance.

You are welcome.

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
heartmdphd.comheartmdphd.comOpen ↗

**
Who is the humblest person in the universe?
makeashorterlink.commakeashorterlink.comOpen ↗

What is all this about?
makeashorterlink.commakeashorterlink.comOpen ↗

Is this spam?
makeashorterlink.commakeashorterlink.comOpen ↗

"Sonos" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

roadcyclist said:

I have been diagnosed with a dissected LAD, ( 20mm ).

What is the dissection from?

Unknown. I would imagine just "too" much pressure on the
muscle tissue.

No one said anything about "what caused it",...