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Post MI rehab

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The Atlanta Traynors

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Jun 2, 2002, 10:43:18 PM6/2/02
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Hello. I am a 46 year old recent MI survivor. I had a 100% blockage in my
left anterior descending artery and underwent angioplasty and a stent
implant. I also had an intraaortic baloon pump in place for a few days. At
the time my VEF was down to 35%.

I am now at +12 weeks and feeling good. My echocardiogram just measured me
at 59% with some localized hypokenesis. I am aggressively controling my fats
and am beginning physical rehab. My weight is 175 down from 190+.

I would like to get any input on effective rehab training and prognosis for
my hypokenesis. From what I have read, I am in pretty good position, all
things considered. I think I should be mostly concerned about clots,
inflamation. Given my stats, is my likelihood of escalating cardiomiaopathy
and congestive heart failure good?

Any insights helpful.


Dr. Andrew B. Chung, MD/PhD

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Jun 3, 2002, 12:34:47 AM6/3/02
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The Atlanta Traynors wrote:

> Hello. I am a 46 year old recent MI survivor. I had a 100% blockage in my
> left anterior descending artery and underwent angioplasty and a stent
> implant. I also had an intraaortic baloon pump in place for a few days. At
> the time my VEF was down to 35%.
>
> I am now at +12 weeks and feeling good. My echocardiogram just measured me
> at 59% with some localized hypokenesis. I am aggressively controling my fats
> and am beginning physical rehab. My weight is 175 down from 190+.

Sounds good.

>
>
> I would like to get any input on effective rehab training and prognosis for
> my hypokenesis. From what I have read, I am in pretty good position, all
> things considered. I think I should be mostly concerned about clots,
> inflamation. Given my stats, is my likelihood of escalating cardiomiaopathy
> and congestive heart failure good?
>
> Any insights helpful.

You now have essentially normal LV systolic function. Your prognosis is
excellent if you can keep from having another heart attack.

--
Dr. Andrew B. Chung, MD/PhD
Atlanta Cardiologist
http://www.heartmdphd.com


Tiger Lily

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Jun 3, 2002, 1:00:01 AM6/3/02
to
don't mistake Andrew B bold! Chung from Andrew D bold Chung who is a
cardiologist

who know who the hell andrew B chung is anyways


here to haunt you...... yeah.... i've heard your reply, andrew b

"Dr. Andrew B. Chung, MD/PhD" <and...@heartmdphd.com> wrote in message
news:3CFAF1E7...@heartmdphd.com...

R.K.

unread,
Jun 3, 2002, 1:23:39 AM6/3/02
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We can keep this up all night if you'd like, your call
your the one looking like a ass

What a fucking moron!
DON'T POST BACK TO ASD, KEEP YOUR SHIT ON SMC.

"Dr. Andrew B. Chung, MD/PhD" <and...@heartmdphd.com> wrote in message

news:3CFAFFFA...@heartmdphd.com...
: Tiger Lily wrote:
:
: > don't mistake Andrew B bold! Chung from Andrew D bold Chung who is a


: > cardiologist
: >
: > who know who the hell andrew B chung is anyways
: >
: > here to haunt you...... yeah.... i've heard your reply, andrew b

:
: Don't you just hate it when you find yourself on the wrong side of a flame
war?
:
: Whoosh! ---------> Thump!
:
: Your smoldering carcass has just been catapulted back to the ASD mud pile
: again. Be sure to come back if you want more.
:
: --

:
:


Tiger Lily

unread,
Jun 3, 2002, 2:15:00 AM6/3/02
to
notice that Andrew didn't mention B or D Chung???

what does Andrew B Chung have to hide???

"Dr. Andrew B. Chung, MD/PhD" <and...@heartmdphd.com> wrote in message

news:3CFAFFFA...@heartmdphd.com...


> Tiger Lily wrote:
>
> > don't mistake Andrew B bold! Chung from Andrew D bold Chung who is a
> > cardiologist
> >
> > who know who the hell andrew B chung is anyways
> >
> > here to haunt you...... yeah.... i've heard your reply, andrew b
>

> Don't you just hate it when you find yourself on the wrong side of a flame
war?
>
> Whoosh! ---------> Thump!
>
> Your smoldering carcass has just been catapulted back to the ASD mud pile
> again. Be sure to come back if you want more.
>

Bas

unread,
Jun 4, 2002, 3:59:09 AM6/4/02
to
"Dr. Andrew B. Chung, MD/PhD" <and...@heartmdphd.com> wrote in message news:<3CFAF1E7...@heartmdphd.com>...

I wonder why someone is trying to bring dr Chung (or whoever he may
be) down. Seems like reasonable advice. The agressive control of fats
is an excellent idea. Looking at your LVEF, I must admit dr Chung is
right, you're in good shape. The important thing is to keep it that
way. You know you're at risk for coronary artery disease. If you
manage to keep other risk factors (fat, smoking, stress, body weight)
down, the stent you have should keep that LAD of your open for at
least 12 years. Maybe even more. So prognosis is very good.

B. Kietselaer, MD

Dr. Andrew B. Chung, MD/PhD

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Jun 4, 2002, 4:48:17 AM6/4/02
to
Bas wrote:

> <snip> I wonder why someone is trying to bring dr Chung (or whoever he may


> be) down. Seems like reasonable advice.

Some people react more adversely than others to the 2 lb diet approach that I provide freely on my web site. Go
figure.

> The agressive control of fats
> is an excellent idea. Looking at your LVEF, I must admit dr Chung is
> right, you're in good shape. The important thing is to keep it that
> way. You know you're at risk for coronary artery disease. If you
> manage to keep other risk factors (fat, smoking, stress, body weight)
> down, the stent you have should keep that LAD of your open for at
> least 12 years.
>

Not necessarily. In-stent restenosis can occur at a rate of 20 to 30% even if you do everything right. However,
this would typically *not* be another heart attack but would present as a gradual appearance and worsening of angina
over a period of 3-6 months. Nonetheless I do agree with the prognosis being good nonetheless.

--


Dr. Andrew B. Chung, MD/PhD

Atlanta Cardiologist
http://www.heartmdphd.com


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