Can Stents Be Used in Elderly Patients with CKD During Heart Attacks?
Introduction
The decision to place a stent in the coronary arteries following a heart attack in elderly patients with chronic kidney disease (CKD) is not a straightforward one. It is critical to weigh the potential benefits against the risks, particularly for those with elevated creatinine levels. This article explores the complexities and considerations involved, providing insights based on medical literature, expert opinions, and personal experiences.
Medical Insights and Patient Evaluation
For elderly patients with CKD and elevated creatinine levels, the decision to place a stent after a heart attack depends on a thorough evaluation by a cardiologist. This evaluation considers factors such as the extent of coronary artery blockage, the overall health status of the patient, and the potential benefits versus risks. Dialysis may be required for a short period if the patient is to undergo a coronary angiography and angioplasty with stenting due to the increased risk of kidney injury from contrast agents used in these procedures.
A cardiologist will carefully assess the patient's cardiovascular condition and determine if the benefits of stenting outweigh the risks. Factors such as the stability of the cardiac disease and the patient's overall health will guide the decision-making process. In cases where the cardiac disease is stable, it might be decided to wait and manage the condition with maximal medical therapy before considering stenting.
Personal Experience and Management Strategies
A 72-year-old individual with a history of diabetes and poor kidney function provides a compelling personal experience with managing kidney disease. Diagnosed with kidney failure and prescribed dialysis, the patient embarked on a journey to reverse their kidney disease through a kidney flush involving baking soda.
The patient began by dissolving 1/2 teaspoon of baking soda under their tongue for better absorption on the first day, followed by 1/2 teaspoon of baking soda with 1/2 teaspoon of salt (to add more electrolytes) dissolved in a 1.5-liter bottle of water and consumed throughout the day. After four days, they had a follow-up with their doctor and saw significant improvements in their creatinine levels and eGFR.
The patient continued to follow this regimen, and over time, their kidney function improved considerably. They advise others considering similar treatments to focus on kidney health and maintain regular follow-ups with their healthcare providers. Personal experiences such as this can offer valuable insights for other patients and healthcare providers.
Conclusion and Recommendations
In summary, the decision to use stents in elderly patients with CKD and elevated creatinine levels after a heart attack is a complex one that requires a thorough evaluation and individualized care. Dialysis may be required temporarily if stenting is necessary. Patients with CKD can improve their kidney function through natural treatments like regular kidney flushes involving baking soda. However, it is crucial to engage with a healthcare provider and follow a structured treatment plan tailored to their specific condition.
For more insights and expert opinions, check out the author's Quora profile dedicated to heart procedures in CKD patients.