Life with HIV after angioplasty at 59
Feb 10, 2010
I have been HIV positive for almost 25 years (that I know of); the first 9 years without treatment. Last June I had a hearth attack requiring angioplasty in 2 arteries (100% blockage and 85% blockage). In december 2009 test showed poor irrigation of a portion of my hearth, so last week I had my arteries examined again and the installation of another stent as I had another blockage (65%) in the same arteries as one stented in June. My blood pressure, my cholesterol, have been good for the last 5 years after a period of difficulty with cholesterol while on other medication (Kaletra mostly). I am also fit, did cardio exercise daily until the hearth attack, and I am not overweight. I read that the blockage is either due to the medication (abacavir) or the period of untreated HIV and I understand that all is not clear on those topics. My question is what does the future hold for me if plaque keep building up in my arteries at a rate requiring angioplasty every 8 months? Again My cholesterol is controlled, I still train daily, am not overweight, so what else can I do? How many stent can one have? am I heading towards by-pass surgery? For the first time, I feel that HIV is about to get me soon throught hearth problems.
Response from Dr. Henry
Abacavir may contribute to cardiac risk in some patients so switching off to tenofovir may be an option if your renal function is OK. Genetics, family history, smoking, renal dysfunction are all important non-HIV risk factors that can play a key role. I have had patients who developed severe heart disease with actual heart attacks who have undergone angioplasties/stenting, and by pass surgery and have done fine for > 10 years with quality health so it can be done but obviously needs intense effort to control all factors that can be managed (sounds like you are doing much of that already). Sometimes seeing a preventative cardiologist or endocrinologist can be useful for ideas how to manage risk. KH
Get Email Notifications When This Forum Updates or Subscribe With RSS
- Does HIV Cause Pain In Penis?
- Is Tingling In Feet An Early Sign Of HIV?
- HIV Infection Risk Sex With A Prostitute
- Rectal Bleeding After Vaginal Sex Without Condom Does It Mean I Have HIV
- Sinus Infection After Vaginal Sex Without Condom Does It Mean I Have HIV
- Can You Donate Blood If You Have An Std?
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.