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  • Male
  • 60 Years
  • 14/08/2025

All three arteries are blocked at 90, 80, and 80. We're trying to avoid bypass surgery would stenting work in this case? If successful, how long can we expect the stents to last before needing another procedure?

Doctor 1

Answered by 1 Apollo Doctors

For triple-vessel disease with high blockage, bypass is more durable than stents. Stents may offer short-term relief but restenosis is a risk. A cardiac surgeon should evaluate case specifics.

Dr. Dhankecha Suggests...

Consult a Cardiologist

Answered 14/08/2025

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I'm feeling concerned about my blood pressure and heart rate. Last year, my family doctor found my BP was as high as 183120, but my ECG and other tests like Lipid, Thyroid, KFT, LFT came back normal. I was on Vitabend T and Alprex 0.25 for about 78 days, made some changes to my diet, and my BP stayed around 12090, so I stopped the meds. But just last week, my BP shot up to 163110 with a heart rate of 124 BPM; after taking Vitabend T, it normalized again to about 11580. Now, Im experiencing pain in my left hand and my heart rate averages 100 BPM. Should I be worried about heart trouble? Sometimes I feel pain around the collar bone too, but theres no fatigue or breathing problems. What should I do?

Based on your symptoms and history of high blood pressure, it is important to consult a Cardiologist for further evaluation. The pain in your left hand and collar bone, along with an elevated heart rate, could be indicative of underlying heart issues that need to be addressed. The Cardiologist may recommend additional tests or adjustments to your current medication regimen. In the meantime, continue monitoring your blood pressure and heart rate regularly. It is important to prioritize your heart health and seek professional medical advice in this situation.

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I'm trying to understand if a pulse pressure of 110 over 80 is considered normal for an adult, or if it's something I should be concerned about. Is that a low pulse pressure? And what steps can I take to maintain a healthy pulse pressure?

it is abnormal, high pulse pressure causes include aging, aortic regurgitation, pagets disease,hyperthyroidism, co arctation of aorta, etc ,, treatment includes diuretics and ACE inhibitors,.

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I'm having some trouble with my blood pressure meds. I've been on Tazloc 40 and Nebicard 2.5 once a day, and while they help with my BP and pulse, I'm dealing with nasal blockage, ear infections, and respiratory issues. I tried LN Bloc and Ivabradine like my doctor suggested, and that solved the breathing problems, but my BP and pulse aren't as controlled. Switching to LN Bloc 10 twice a day with Nebicard 2.5 worked for my BP and pulse, but those side effects came back. Now my doctor is suggesting benidipine and ivabradine, and it's getting pretty confusing with all the changes. Is benidipine a good option, or is there something else I should try that won't cause the breathing issues or head congestion?

Benidipine is a calcium channel blocker that can be used to treat high blood pressure. It is generally well-tolerated, but like any medication, it can have side effects. If you are experiencing nasal blockage, ear infection, and respiratory issues with your current medications, it may be worth trying a different class of antihypertensive medication. One option to consider is an angiotensin-converting enzyme (ACE) inhibitor such as Enalapril. ACE inhibitors are known to be effective in treating high blood pressure and have a lower incidence of respiratory side effects compared to some other classes of antihypertensive medications. Another option is an angiotensin II receptor blocker (ARB) such as Losartan. ARBs work in a similar way to ACE inhibitors but may be better tolerated in some individuals. It is important to discuss these options with your doctor to determine the best course of action for your specific situation. They can provide guidance on the appropriate dosage and monitor your response to the new medication.

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.