Medication vs. Stent treatment for coronary artery disease

@vic83 Hi Vic. From what I've learned from my Cardiologist and my research on the subject, it seems widely believed nowadays that medication is as equally beneficial as a stent. The one med apparently widens the artery and keeps it open. You can research your meds and you'll learn what they can do for you. I also type "mayoclinic" as a trusted site and then type in the name of the drug. You can also go to "drugs.com" for info.
I had no chest pain either, just a small pain in my shoulder, which I thought was a small muscle or tendon injury, but my troponin kept climbing all day. The doctor kept coming in to say, "You're 'having' a heart attack". At the end of the day she finally announced "You've 'had' a heart attack".
And isn't all of medicine mostly incomplete answers? Doctors are only human and you just have to put your faith in them. Good luck with your research! Warmest regards, Laurie

Thanks for sharing. I had lung cancer surgery planned so placing a stent would have prohibited that surgery (no
surgery if one is on antiplatelet therapy). I have to consider now whether I will need further lung surgery in the future. One cardiologist did mention that recent research indicates that many people will do as well on medication as with stent (ISCHEMIA trial). If stent is only to help with pain, I never had much pain. The whole thing started with shortness of breath which I thought was lungs. I became anxious and that increased my shortness of breath and in the last 2 weeks I begin to have dull chest pain. I went to ER for something else and they picked up on elevated Troponin (0.4 up to 0.6 down to 0.4). The next day they did angiogram and discovered the blockage of 70%. So I am now on medication and do not have any chest pain (IMDUR 30 MG, TOPROL XL 25MG, ATORVASTIN 40MG). I am 80 now and tolerated my lung surgery well. "Technically" they said I had a heart attack but I had no heart damage as I did an Echo Stress test a week later with no problem. I want to make decisions based on latest research and my own health profile. I cannot do a stent in this moment, and the question is whether a stent is much better for me than medication. Does it prevent pain (I don't have) or does it prevent heart attack more than medication???? And what are the other risks? I don't like incomplete answers.

Crestor and Zetia

@vic83 Hello Vic. I had a heart attack in July 2021 and, bc I'm a poor risk surgically, I was put on medication rather than having the stent procedure. I take 1/2 tablet twice a day of Metoprolol 25 mg (12.5 mg twice a day). So far, so good! The stent procedure can be very risky, as you say. My sister, aged 86, was in the midst of a heart attack when they tried an emergency stent procedure. However,
it was too late for her, and she didn't survive the procedure. Please don't be afraid if you do go that route. I know MANY people who have stents, including one of my sons, and everyone tells me a stent changed their lives so much, and for the better. Warmest wishes, Laurie

I had 5 drug eluding stents for 16 years after 3 blocked arteries 75-90% and heart attack. September of 2020 revealed 3 stents were blocked. We’ll treat this with medication. My blood pressure was elevated and didn’t change on meds. They attempted restenting which was unsuccessful. I was released from the hospital with”normal” heart function to schedule bypass surgery. Three days later I was admitted to hospital with a heart attack. I would say meds wouldn’t have worked for me. My cardiologist said your heart develops other pathways for blood supply. So there is a theory about not revascularizing????????