“What are my chances of a heart attack after a bypass?”
I am 37 years old with a very stressful job. Last year, I went for bypass surgery because of a blockage. Am I still at a risk of a heart attack?
7 Answers
CardiologistCardiovascularDiseases
You are very young to have coronary artery blockages. So, yes, you have a risk for heart attack even after bypass surgery. Stress is the leading cause for coronary artery blockages. You should modify or change your jb and also have close followup very 3 months with your cardiologist. There is also a condition called dysautonomia that is induced by stress that causes vascular problems and Dmll. You should get evaluated for this.
Mark Rasak
Cardiologist
Yes, the very fact you have significant premature coronary artery disease requiring bypass surgery puts you at a higher risk for future events. You require very aggressive risk factor modification and adhere to strict lifestyle modification. Otherwise, need more history, surgical details, etc.
You are only 37 years and have had "bypass surgery," not an angioplasty? You need to take good care of yourself LIFELONG. Learn how not to make stress affect you, eat healthy, avoid second-hand smoking, keep your lipid profile PERFECT at all times, avoid dairy, eat a plant- and fish-based diet predominantly, perhaps meditate twice daily. You will do well, but you must respect and take care of your physical body and mind, that does not mean not excelling at your job.
Yes
Unfortunately, having coronary bypass surgery at such an early age does put you at continued high risk for heart attacks in the future. Your treatment must include intensive cholesterol lowering with medication and advanced cholesterol blood tests to follow the results of these medications. A low fat, low cholesterol diet along with aerobic exercise and maintaining a low normal body weight are essential. Control of other medical issues such as high blood pressure and pre diabetes or diabetes is essential. Cigarette smoking is absolutely not allowed and for patients who do continue to smoke they can be guaranteed to have future additional heart attacks.
Dr. Radwajer
Dr. Radwajer
Julia G. Ansari
Cardiologist
Yes, anybody with a known history of coronary artery disease has a higher risk compared to their counterparts to have a recurrence of cardiac events, including heart attack. The best thing you can do is to control risk factors such as high blood pressure and high cholesterol, eat healthy and exercise on a regular basis, and follow up with your cardiologist.
Yes, but the risk is low so long as you are not smoking (at all), you are taking a statin, your blood pressure is normal (less than 130/80) on treatment if necessary, your weight is under reasonable control and you are taking some regular exercise. A stressful job doesn't increase your risk so long as you leave it behind when you go home.
