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Exercise after angioplasty / stents

Posted on 9/8/23 at 1:10 pm
Posted by TejasHorn
High Plains Driftin'
Member since Mar 2007
11587 posts
Posted on 9/8/23 at 1:10 pm
I go to my Dr. due to some chest pain and tightness when running/cycling and next thing I know I’m scheduled for an angiogram. Cardiologist advised skipping a stress test due to symptoms.

They may not have to place anything (best case), may have to stent/balloon… all the way to surgery (worst case). The cardiologist sounded more dire than I was expecting and I’m still processing.

Any advice or experience with picking exercise back up after stents? Can you expect to run, bike etc as before, eventually?
Posted by Yewkindewit
Near Birmingham, Alabama
Member since Apr 2012
21041 posts
Posted on 9/8/23 at 7:06 pm to
I was 69 yrs and 9 mos old when I was finishing up my regular chest routine and felt a pain in the middle of my chest.. to be brief, 2 days later I received a stent. Doc told me to take it easy for a week or 2 but ramp up in the next month. The drawback is you will get the starter pack of heart meds and they will cause muscle weakness. Here it is a year and 3 months later and I’m basically stuck at 90% on strength.

Jump in afterwards and ramp up to your normal routines.
Posted by Lawyered
The Sip
Member since Oct 2016
34575 posts
Posted on 9/8/23 at 8:44 pm to
First off.. good on you for getting checked out instead of waiting for a potentially fatal MI/ cardiac event

Eh very slow progression just to be on the safe side.

Aside: this is last week, I work with a guy who’s BP had been horribly high like 210/130 for a week or so. Goes to cardiologist. Theh give him BP meds. Still uncontrolled.. goes back to cardiologist, they schedule him an angiogram and realize his left anterior descending artery ( the widowmaker) is 99% blocked and he was about to have a heart attack right on the table and luckily they gave him stents right there on the table . Said he feels like a new man now
This post was edited on 9/8/23 at 8:46 pm
Posted by POTUS2024
Member since Nov 2022
20943 posts
Posted on 9/8/23 at 10:28 pm to
I just had 4 stents put in on Tuesday - doc told me to do very little here in the first few days, and don't lift anything over 30lbs for about 30 days, and after that it seems I don't have to worry. The main thing he was worried about was the catheter site in the femoral artery. They were not all that concerned that exercise would cause a stent to pop out or something like that.

They may want you on anti-platelet drugs forever if you get a stent. It seems those affect people in different ways.

I have seen some people say that after the stents they still felt the same odd feelings in their chests. Might be a mental thing, who knows.

I feel more tired now than before the stents, and my medications have not changed. I think the procedure just took more out of me than I thought it would. Most people don't get 4 stents at once. I was on the table for 4hrs. Body is really stiff. But, I feel a bit more normal each day.
Posted by TejasHorn
High Plains Driftin'
Member since Mar 2007
11587 posts
Posted on 9/9/23 at 3:35 pm to
Thanks for the responses all.

Nice to hear others’ experience. Good luck and good health to y’all.

This post was edited on 9/9/23 at 3:40 pm
Posted by Rust Cohle
Baton rouge
Member since Mar 2014
2102 posts
Posted on 9/10/23 at 11:16 am to
A 30 day recommendation seems atypical, but an impella sheath is 2 1/2 times the size of a 6 French sheath used to place stents with, and only used for the most difficult procedures. I think the only real consideration with discharge instruction is your access site, it’s not like your heart needs rest before the stent gets settled. Typical discharge instructions are limit site flexion, and greater that 10lbs weight-bearing for three days to a week.

Most cardiologist born after 1970ish use a radial approach even for complex procedures, unless an impella is needed. So recovery time is even less.

Posted by jdaute2
lafayette, LA
Member since Nov 2012
2038 posts
Posted on 9/11/23 at 10:30 am to
quote:

Most cardiologist born after 1970ish use a radial approach even for complex procedures



Radials are great, but patient vessel anatomy plays a big part in their availability to access them. Not so fun to come out the cath lab with a cold blue hand following radial access. Even with the Allen’s test, it’s not always a guarantee that perfusion to the hand will not be compromised via radial access. Typically younger patients are more easily accessible in the radials with less complications from what I’ve seen.
Posted by POTUS2024
Member since Nov 2022
20943 posts
Posted on 9/12/23 at 11:50 pm to
My procedure used an impella because there was some involvement in the LAD, proximal portion iirc.
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