Statin alternatives for coronary artery blockage

Posted by frankad @frankad, Aug 24, 2016

I had a catheter ablation procedure in Jan 2016 for A-fib and am currently doing fine and am off of metoprolol and eliquis. Based on a CAT scan of Nov 2015 which found some blockage in my coronary artery, my cardiologist recommends I take a statin medication, thought my cholesterol, HDL/LDL, triglycerides, and platelet counts all seem to be in the good to low range, and I exercise regularly. I've read much about taking statins for high cholesterol, but not much about taking statins for coronary artery blockage, or of what help statins might be for that condition. I'm resistant at this point to taking a statin medication having read or heard about the side effects. I would appreciate any feedback you might have to offer, and what supplements might be of benefit.

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@frankad

Thank you so much for your reply and feedback on the use of statins. I turned 69 this past June, six months after my ablation procedure. My electrophysiologist, in New York, where I had the procedure kept me on eliquis for six months following the procedure but I was allowed to stop taking the metoprolol immediately after the procedure. I asked to be allowed to stop taking the anticoagulation drug in June during my follow up visit and was approved. The physician did not offer a counter argument so I felt safe in doing so. I'm averse to taking any kind of medication as I've been healthy most of my life, and I worry about side effects. My new cardiologist here in Las Vegas, where I live now has recommended that I take statins, but I worry about the side effects and the impact it will have on my physical abilities to exercise and enjoy life at my current level. The metoprolol slowed me down tremendously when I tried to exercise and I don't want to go back to that. Also, I've not been given a complete picture of exactly how much blockage, or how many arteries are affected by blockage. I'm told that I would need to have an Angioplasty procedure to determine exactly how much blockage there is. So why did I have to have a CAT scan taken with all of the radiation one is exposed to? I have a bit of a communication problem with my new cardiologist here in Las Vegas, which makes me even more hesitant to do everything that he recommends. I do appreciate your feedback very much, and am still in the process of trying to decide what to do. Please forward any new information you might come across to me as I appreciate all the advice I can get at this point. Life is not without risk, but I don't want to make a fatal mistake either. Thanks again.

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@yoanne, I didn't mention the anticoagulant involved, because that wasn't the point of my comment. In fact, it was Coumadin. It's not that the ER staff didn't know what to do. They said they didn't have any of the Vitamin K antidote on hand, so they called for a helicopter to take my friend to another hospital. For me, the ER oversight in a neighborhood full of senior citizens was unforgiveable.

From my research over the past year, I have become convinced that the criticism of Coumadin is deliberate degradation of its record and usefulness by pharmaceutical companies that manufacture the "new" anticoagulants. In the article you attached, for example, the great shortcomings of Coumadin are 1) the coagulation index (INR) of a patient's blood is checked regularly in a laboratory (although a friend of mine has a home testing device to keep track of his 10-year use of Coumadin) and 2) "Patients taking warfarin must be monitored every two to four weeks," the Drugwatch article complains. I read a less subjective report on anticoagulants last month; it declared that the standard Coumadin antidote returns the blood to normal in 10-20 minutes on the vast majority of cases.

In contrast, there is no antidote available now for any of the "new" anticoagulants. There is one in controlled clinical testing for the makers of Pradaxa, but we'll wait perhaps another year before that will be ready. I'll stick with Coumadin, thank you!

I'm sorry to hear that your brother's medical treatment team failed to keep him alive. I know from your postings here that you are too well informed and too prepared to manage your own circumstances to let that happen to you. I think the chances of you being victimized by a-fib are very small to zero, as they are with me.

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