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  1. #26
    Let's do a Century jppe's Avatar
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    Glad to hear you got one scheduled. I had one when I was 40 and found out heart and arteries were all in great shape-all the other tests up until then just weren't conclusive. I bet yours will be the same but if they do find something it is much better to know about it and how to treat it than not know and then have something much worse happen. Let us know how it goes.

    Be prepared for some short but pretty intense "heat" when the dye reaches the brain and groin areas. It was interesting to watch them inject the dye on the screen and then feel how quickly it reached those extremeties. There was no mistake it hitting it's mark!!!
    Ride your Ride!!

  2. #27
    aka Phil Jungels Wanderer's Avatar
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    Just so you are prepared, Ron, it is not without consequences. Nothing to be really concerned about.

    But, there will be some discomfort for a few days, along with localized swelling at the puncture site, considerable bruising, and it might feel like something is under your skin for a few days. Might even be a little sore. Mine was. Nothing unmanageable without drugs.

    It will pass without issue, and you will be none the less for wear after a few days of behaving yourself. Just be aware that there is a healing period.............

    My Cardiologist also told me to restrict any lifting for a week to 10 days, as a precaution. Of course, I had 4 stents placed in the left side of my heart.

    I'm glad I had it done, and would do it again in a heartbeat, if either of my Cardio Docs suggested it. I ain't skeered!

    Good luck, and I'll keep you in my prayers that day. (We need all the help we can get at our age)

    p.s. Your support helped me, too!

    "Retirement is the best job I ever had!" Me, 2009


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  3. #28
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    I have had two also. The first one was after all tests showed no heart problems. But 45 minutes after a stress test I had a heart attack on the stress test table. Cath found 2 100% blockages that nothing else found.

  4. #29
    Life is good RonH's Avatar
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    I forgot to mention that they'll be going thru my wrist. The doc said I'll be riding a day or two after the procedure.
    My bikes: 2001 Litespeed Tuscany---2015 Cannondale Supersix EVO carbon

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  5. #30
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    Quote Originally Posted by RonH View Post
    I forgot to mention that they'll be going thru my wrist. The doc said I'll be riding a day or two after the procedure.
    Take that with a grain of salt. Machka was given five days off work by her specialist "just in case". The pain was irritating for several days. And you really will have to pay attention to ensure the entry wound does heal over properly. Machka's procedure was only months ago, so those bits of advice are fairly up to date.
    Dream. Dare. Do.

  6. #31
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    Quote Originally Posted by Dudelsack View Post
    But geez, if he had the big one a few days after declining a cath, would you feel any shame?
    Not to put too fine a point on it, but would you feel any shame if he had clean coronaries and a periprocedural stroke or coronary perforation?

    These are not black and white situations. With the amount of information the OP provided, it is impossible to make a reasonable recommendation, and he should either trust his doctor or get another opinion. IMHO, a bicycle forum is a poor place to seek medical advice. The people who are most qualified to offer it are the least likely to do so, as you sort of indicated.

  7. #32
    Senior Member smorris's Avatar
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    I had a catheterization in January, and they ended up doing a stent on a 90% blocked artery. I had no symptoms, nor any clue I had anything at all wrong! I had a kidney stone and a CT scan in November showed plaque in my abdominal arteries. MD figured if I had it there, I probably had it in my heart, so they did a nuclear stress test. That indicate the cath was needed, so in I went. Fine just a couple days later other than a tender groin.

    In an odd way, I figure the kidney stone probably saved my life.

  8. #33
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    Quote Originally Posted by MikeWMass View Post
    Not to put too fine a point on it, but would you feel any shame if he had clean coronaries and a periprocedural stroke or coronary perforation?

    These are not black and white situations. With the amount of information the OP provided, it is impossible to make a reasonable recommendation, and he should either trust his doctor or get another opinion. IMHO, a bicycle forum is a poor place to seek medical advice. The people who are most qualified to offer it are the least likely to do so, as you sort of indicated.
    This is a fine point that you missed. The OP did not seek medical advice from here. He made some observations about his options, and a decision he has to make. He also made the point later in the thread that he is familiar, through his own work, with the procedure and the risks.

    If you are going to make an issue out of something, and challenge someone who is actually a medical professional, ensure you get your own facts straight, too.
    Dream. Dare. Do.

  9. #34
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    Quote Originally Posted by Rowan View Post
    This is a fine point that you missed. The OP did not seek medical advice from here. He made some observations about his options, and a decision he has to make. He also made the point later in the thread that he is familiar, through his own work, with the procedure and the risks.

    If you are going to make an issue out of something, and challenge someone who is actually a medical professional, ensure you get your own facts straight, too.
    He said "now I have to decide". Since he was posting, this sounds like he is looking for advice, and virtually every response was supportive of going ahead with the cath. The one other person who offered an opinion that it was not clearly the right way to go was also attacked. The sad FACT is that there are many adverse events caused by unnecessary or inappropriate medical procedures. I did not say that it was inappropriate, I just said we can't tell from the information presented.

    And I am qualified to challenge a medical professional.

  10. #35
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    Quote Originally Posted by MikeWMass View Post
    He said "now I have to decide". Since he was posting, this sounds like he is looking for advice, and virtually every response was supportive of going ahead with the cath. The one other person who offered an opinion that it was not clearly the right way to go was also attacked. The sad FACT is that there are many adverse events caused by unnecessary or inappropriate medical procedures. I did not say that it was inappropriate, I just said we can't tell from the information presented.

    And I am qualified to challenge a medical professional.
    Then post up your qualifications.

    I still don't see seeking advice in "now I have to decide". It was an observation. Had he said "What should I do?", the story would be different.

    Unless you know the doctor involved in this case, you are stretching your own credibility by suggesting his recommendations are inappropriate.
    Dream. Dare. Do.

  11. #36
    The Site Administrator: Currently at home recovering from a couple of strokes,please contact my assistnt admins for forum issues Tom Stormcrowe's Avatar
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    Quote Originally Posted by MikeWMass View Post
    He said "now I have to decide". Since he was posting, this sounds like he is looking for advice, and virtually every response was supportive of going ahead with the cath. The one other person who offered an opinion that it was not clearly the right way to go was also attacked. The sad FACT is that there are many adverse events caused by unnecessary or inappropriate medical procedures. I did not say that it was inappropriate, I just said we can't tell from the information presented.

    And I am qualified to challenge a medical professional.
    I do think though, that it would be irresponsible to challenge that medical opinion based in the info posted in the thread on an internet forum. Just saying......

    Personally, if your cardiologist is recommending a cath procedure, I submit that a( It's a ;low risk procedure, with a risk/benefit/cost ratio very much in your favor. I would say, "Do it".
    on light duty due to illness; please contact my assistants for forum issues. They are Siu Blue Wind, or CbadRider or the other 3 star folk. I am currently at home recovering from a couple of strokes. I am making good progress, happily.


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  12. #37
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    I clearly said I was not saying the recommendation was inappropriate, that the information was not sufficient to make a determination, and that if he was unsure he should seek a second opinion. I was not challenging the recommendation of the OP's cardiologist, I was responding to Dudelsack. My point is that more is not always better, and low risk is not no risk.
    Last edited by MikeWMass; 03-29-14 at 09:36 PM.

  13. #38
    A might bewildered... Dudelsack's Avatar
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    Quote Originally Posted by MikeWMass View Post
    Not to put too fine a point on it, but would you feel any shame if he had clean coronaries and a periprocedural stroke or coronary perforation?

    These are not black and white situations. With the amount of information the OP provided, it is impossible to make a reasonable recommendation, and he should either trust his doctor or get another opinion. IMHO, a bicycle forum is a poor place to seek medical advice. The people who are most qualified to offer it are the least likely to do so, as you sort of indicated.
    Perhaps you misread my post. I neither encouraged or discouraged the OP. The other poster offered a specific opinion in spite of the fact that he had virtually no useful information about the specifics and, to my knowledge, has no medical background.

    Really, don't make this about me. I never give medical advise on the intertubes.

    And, by the way, in that the OP is a member of this online community, I would indeed feel horrible if he had a bad outcome. That's one of many reasons for me not to interject an unfounded opinion on the decision making.

    The way I read it, threads like this are just asking for other people's experiences. They aren't asking for advice. The OP sounded well informed to begin with. I think he is looking for mutuality and support.

    Warning the OP that his doctor might be a crook, in spite of the fact that the other gent has no specific information about any of this, was flat out black and white inappropriate. Yes there is such a thing as nuance, but not in suggesting that someone else's cardiologist is a crook if you don't even know the guy.

    It's a shame I have to explain this, but as wide spread is the practice over the past five years of demonizing physicians, I don't have just be quiet and put up with that crap.
    Last edited by Dudelsack; 03-29-14 at 11:07 PM.

  14. #39
    Senior Member eja_ bottecchia's Avatar
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    I had an angioplasty in October of last year. The doctor placed a stent in my left descending artery, the widow maker.

    Within a month the stent became clogged. In November I had a second angioplasty; the second procedure failed to open the clogged stent.

    So in December I traveled to La Jolla to see a new cardiologist. This is the cardio who co-invented the stent.

    After a 2 hour procedure my new cardio not only managed to open the blocked stent but put in three more stents in arteries that had a risk for clogging.

    Given my recent experience I may qualify as somewhat of an expert, if only as a patient, on this procedure.

    OP, a heart cath procedure is not a walk in the park and it is not without attendant risks. But don't let fear keep you from undergoing a procedure which can literally save your life and bring a marked improvement to the quality of what life you will have in the future.

    After each procedure I was able to get back on my feet within a few short days. I was a little sore at the insertion point, but I sort of liked the shaved groin look. (Yes they do shave you "down there.")

    After the last angioplasty, the doctor told me to lay off the bike for about a month and to keep my HR at under 120 during that period of time. At my follow-up appointment he released me to go back to riding.

    I am now back on the bike and I enjoying pushing my "new" arteries to the max. I have done several 60+ miles ride and I am back climbing the local hills. I haven't felt this good in a long time.

    The point of all of this is not to "brag," but to let the OP and others considering this procedure know that although it has some risks the alternative is not too pleasant to consider.

    Get educated, talk to your doctor, ask a lot of questions and do not let fear get in the way.
    Last edited by eja_ bottecchia; 03-30-14 at 09:27 AM.
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  15. #40
    Senior Member metalheart44's Avatar
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    Well said, here here!

    Quote Originally Posted by Dudelsack View Post
    Perhaps you misread my post. I neither encouraged or discouraged the OP. The other poster offered a specific opinion in spite of the fact that he had virtually no useful information about the specifics and, to my knowledge, has no medical background.

    Really, don't make this about me. I never give medical advise on the intertubes.

    And, by the way, in that the OP is a member of this online community, I would indeed feel horrible if he had a bad outcome. That's one of many reasons for me not to interject an unfounded opinion on the decision making.

    The way I read it, threads like this are just asking for other people's experiences. They aren't asking for advice. The OP sounded well informed to begin with. I think he is looking for mutuality and support.

    Warning the OP that his doctor might be a crook, in spite of the fact that the other gent has no specific information about any of this, was flat out black and white inappropriate. Yes there is such a thing as nuance, but not in suggesting that someone else's cardiologist is a crook if you don't even know the guy.

    It's a shame I have to explain this, but as wide spread is the practice over the past five years of demonizing physicians, I don't have just be quiet and put up with that crap.

  16. #41
    Senior Member CommuteCommando's Avatar
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    Quote Originally Posted by Dudelsack View Post
    And, by the way, in that the OP is a member of this online community, I would indeed feel horrible if he had a bad outcome. That's one of many reasons for me not to interject an unfounded opinion on the decision making.

    The way I read it, threads like this are just asking for other people's experiences. They aren't asking for advice. The OP sounded well informed to begin with. I think he is looking for mutuality and support.
    Here Here.

    Quote Originally Posted by eja_ bottecchia View Post
    OP, a hearth cath procedure is not a walk in the park and it is not without attendant risks. But don't let fear keep you from undergoing a procedure which can literally save your life and bring a marked improvement to the quality of what life you will have in the future.

    After each procedure I was able to get back on my feet within a few short days. I was a little sore at the insertion point, but I sort of liked the shaved groin look. (Yes they do shave you "down there.")

    After the last angioplasty, the doctor told me to lay off the bike for about a month and to keep my HR at under 120 during that period of time. At my follow-up appointment he released me to go back to riding.

    I am now back on the bike and I enjoying pushing my "new" arteries to the max. I have done several 60+ miles ride and I am back climbing the local hills. I haven't felt this good in a long time.

    The point of all of this is not to "brag," but to let the OP and others considering this procedure know that although it has some risks the alternative is not too pleasant to consider.

    Get educated, talk to your doctor, ask a lot of questions and do not let fear get in the way.
    I had two angio's, both emergency procedures. The outcomes for me in both cases were immediate and positive.

    In the second case there were blockages that were un stented, since in emergency angioplasty the procedure is to address the immediate danger. My cardiologist had said, during a follow up to my second event, that I may need bypass surgery in the future. I would really rather that they be able to clear this with just angioplasty. In the two years since, due to weight loss and improved cardio function, we may go with the less invasive method.

    YMMV.

    OT. Good to hear from you again T.Stormcrowe.
    Last edited by CommuteCommando; 03-30-14 at 09:09 AM.
    As much as you paid for that Beemer [Mercedies, Audi, Escalade], I'm surprised it didn't come equipped with turn signals.

  17. #42
    Senior Member eja_ bottecchia's Avatar
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    Quote Originally Posted by CommuteCommando View Post


    I had two angio's, both emergency procedures. The outcomes for me in both cases were immediate and positive.

    In the second case there were blockages that were un stented, since in emergency angioplasty the procedure is to address the immediate danger. My cardiologist had said, during a follow up to my second event, that I may need bypass surgery in the future. I would really rather that they be able to clear this with just angioplasty. In the two years since, due to weight loss and improved cardio function, we may go with the less invasive method.

    YMMV.

    OT. Good to hear from you again T.Stormcrowe.
    i too would rather deal with the angioplasty than with a bypass procedure. The latter may offer longer relief, but it is quite intrusive.

    Glad to see that Tom & CC are both doing well.
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  18. #43
    Life is good RonH's Avatar
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    Quote Originally Posted by MikeWMass View Post
    He said "now I have to decide". Since he was posting, this sounds like he is looking for advice, and virtually every response was supportive of going ahead with the cath. The one other person who offered an opinion that it was not clearly the right way to go was also attacked. The sad FACT is that there are many adverse events caused by unnecessary or inappropriate medical procedures. I did not say that it was inappropriate, I just said we can't tell from the information presented.

    And I am qualified to challenge a medical professional.
    Aarrggggg! I didn't mean to start an argument. I know the procedure and the risks and was just asking (without actually asking) other members experiences and observations.
    Now back to your regular programming.
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  19. #44
    Life is good RonH's Avatar
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    The doctor doing the heart cath changed my date from 4/10 to 4/9 so tomorrow (4/2) will be my last ride for a couple of weeks I'm guessing. We'll be tired up big time from 4/3 thru 4/8.

    Quote Originally Posted by Rowan View Post
    Take that with a grain of salt. Machka was given five days off work by her specialist "just in case". The pain was irritating for several days. And you really will have to pay attention to ensure the entry wound does heal over properly. Machka's procedure was only months ago, so those bits of advice are fairly up to date.
    And according to Rowan I'll be off the bike for at least 3-5 days -- no pressure on my wrist.

    Oh well. After the procedure I'll be able to ride really fast without getting winded.
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  20. #45
    Senior Member
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    And I wish you the best of luck, a good outcome, and a speedy recovery!

  21. #46
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    Quote Originally Posted by DowneasTTer View Post
    Hi Ron,

    I had one at Citrus Memorial three years ago. The procedure was bad at all. You are awake during the whole thing and the room must be the coldest one in the hospital... That may only be the rule in FL. I was a little sore after for a few days. My problem was that the test was negative for blockage.... normally a GOOD thing. But for me it meant that my heart failure was due to something that can't be repaired by diet, meds or a stent. Still it was nice to know that my heart arteries are clean. Basically it just another set of data on which your heart guy can use to tailer your heart management.

    Good luck.

    Bruce
    This was the outcome of my heart cath too. Fortunately, my weakened heart got better over time and now seems to be quite normal. If the OP's doctor thinks it necessary to have a heart cath, I'd go ahead and do it. The procedure is pretty easy. I think we are all fearful of what might be found as a result of having the procedure, but I think it is better to know.

  22. #47
    Senior Member Null66's Avatar
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    Good Fortune!

    Hope you're stronger after you heal then before the procedure.

  23. #48
    aka Phil Jungels Wanderer's Avatar
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    Quote Originally Posted by RonH View Post
    The doctor doing the heart cath changed my date from 4/10 to 4/9 so tomorrow (4/2) will be my last ride for a couple of weeks I'm guessing. We'll be tired up big time from 4/3 thru 4/8.



    And according to Rowan I'll be off the bike for at least 3-5 days -- no pressure on my wrist.

    Oh well. After the procedure I'll be able to ride really fast without getting winded.
    Not necessarily - you may still think you are winded for awhile..... It took your body a long time to learn how to cope with the problem. It will take awhile to relearn - so be careful.

    Currently, I am in Cardiac Rehab, and I still get quite winded at times - but they tell me they are watching the monitors, and my heart is working good, even if my lungs are still trying to overcompensate.

    They keep raising my input/output - so they must be right............... meanwhile, I huff and puff, but keep spinning.............

    "Retirement is the best job I ever had!" Me, 2009


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  24. #49
    Life is good RonH's Avatar
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    My typing skills were in the other room when I posted the above. We'll be TIED up.
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  25. #50
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    Quote Originally Posted by Wanderer View Post
    Based on my recent history, do it! All of the tests, and other stuff didn't find my problem. The cardiac cath, DID!
    I had a very similar experience. The tests did not show much but the cardic cath did. Do it.

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