Mas Less Risky ang Disease Prevention kesa Cardiac Stents at Blood Thinners

Coronary Stents, Blood Thinners and Disease Prevention

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Coronary Stents, Blood Thinners and Disease Prevention

🧠 Summary: Disease Prevention Is Better Than Stents and Blood Thinners

🚨 What Coronary Stents Are—and Why They’re Not a Cure

• A coronary stent is inserted into heart arteries to restore blood flow after a blockage.
• Although stents can prevent immediate heart damage, they are not a permanent fix.
• Stents are foreign objects; the body often tries to cover or block them with cells or clots.
• Even drug-eluting stents (DES) can still become blocked over time.

💉 Why Blood Thinners Are Required After Stenting

• After receiving a stent, patients are prescribed aspirin + another blood thinner (clopidogrel or ticagrelor) to prevent blood clots from forming inside the stent.
• According to AHA/ACC guidelines:
  • Dual antiplatelet therapy (DAPT) is required for at least 12 months
  • Aspirin must be taken for life

📊 Blood Thinner Risks in Numbers

Combination	NNH (Number Needed to Harm)	Type of Harm
Aspirin + Clopidogrel	1 in 114	Major bleeding event
Aspirin + Ticagrelor	1 in 166	Major bleeding + breathlessness

• These bleeding events often require hospitalization and blood transfusion.
• 1 in 16 patients on aspirin/ticagrelor also experienced shortness of breath.
• Independent analysis shows “no patients were helped” by aspirin/ticagrelor for certain outcomes—yet it remains recommended based on studies funded by the manufacturer.

🩺 The Cascade of Complications

• Stents can lead to reclogging, requiring more drugs to manage complications.
• Blood thinners increase bleeding risk and can delay or complicate elective surgeries.
• Emergency surgery decisions must weigh:
  • Stop blood thinners → risk of heart attack
  • Continue blood thinners → risk of surgical bleeding

💰 Cost of Medication

• As of 2019:
  • Brilinta (ticagrelor): $379/month
  • Plavix (clopidogrel): $11–$156/month

🧬 Statin Stats for Comparison

Medication/Diet	NNT (Benefit)	NNH (Harm)
Mediterranean Diet	1 in 18 helped	None harmed
Statins	1 in 39 helped	1 in 10 muscle damage, 1 in 50 diabetes

✅ Disease Prevention Wins by a Long Shot

• Low-carbohydrate diets and intermittent fasting have nearly zero risk and profound benefits.
• Exercise, when done safely, carries almost no risk and protects against multiple chronic conditions.
• Both lifestyle strategies reduce:
  • Heart attacks
  • Metabolic syndrome
  • Diabetes
  • Obesity and related complications

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🧠 Takeaway Message:

Don’t get sick

Medical interventions like stents and blood thinners are complex, costly, and risky.

The best way to avoid needing them is through simple, powerful prevention:

Eat better

Move more

🫀 Buod: Mas Mabisa ang Pag-iwas kaysa sa Stents at Blood Thinners

⚠️ Ano ang Coronary Stent at Bakit Hindi Ito Gamot

• Ang coronary stent ay isang maliit na tubo na inilalagay sa mga ugat ng puso para muling dumaloy ang dugo matapos ang bara.
• Nakakatulong ito na maiwasan ang pagkasira ng puso, pero hindi ito permanenteng solusyon.
• Dahil ang stent ay gawa ng tao, sinusubukan ng katawan na takpan ito gamit ang bagong mga selula—na maaaring magdulot ng panibagong bara.
• Kahit ang mga drug-eluting stents (DES) ay puwedeng bumara uli.

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💊 Bakit Kailangang Uminom ng Blood Thinners Pagkatapos ng Stent

• Para maiwasan ang pamumuo ng dugo sa loob ng stent, kailangan uminom ng:
  • Aspirin (81 mg araw-araw) at
  • Isa pang blood thinner tulad ng clopidogrel (Plavix) o ticagrelor (Brilinta)
• Ayon sa American Heart Association:
  • 12 buwan ang minimum na sabay na pag-inom ng dalawang gamot
  • Habambuhay ang aspirin

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📊 Mga Panganib ng Blood Thinners Ayon sa Datos

Kombinasyon ng Gamot	NNH (Number Needed to Harm)	Anong Panganib?
Aspirin + Clopidogrel	1 sa bawat 114	Malalang pagdurugo (GI bleeding)
Aspirin + Ticagrelor	1 sa bawat 166	Pagdurugo + hirap sa paghinga

• Ang mga pagdurugo ay madalas na nangangailangan ng pagka-ospital at dugo transfusion.
• 1 sa bawat 16 na pasyente sa aspirin/ticagrelor ang nagkaroon ng paghingal.
• Ayon sa independent review, ang kombinasyong ito ay walang naitulong sa pasyente — ngunit nire-rekomenda pa rin, base sa mga pag-aaral na pinondohan ng gumagawa ng gamot.

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🧨 Kumplikasyon ng Sunod-sunod na Gamot

• Maaaring muling bumara ang stent → mas maraming gamot → mas maraming side effect
• Ang blood thinners ay:
  • Nakakapagpahinto ng elective surgery
  • Nagpapataas ng panganib sa internal bleeding
• Kung kailangan ng emergency surgery:
  • Ititigil ba ang gamot at baka atakehin sa puso?
  • O itutuloy ang surgery at baka magdugo nang malala?

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💰 Presyo ng Gamot

• Presyo noong 2019:
  • Brilinta (ticagrelor): $379/buwan
  • Plavix (clopidogrel): $11–$156/buwan

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🧮 Ibang Gamot at Diet Para sa Paghahambing

Gamot/Diyeta	NNT (Benepisyo)	NNH (Pinsala)
Mediterranean Diet	1 sa 18 nabiyayaan	Wala ni isang nasaktan
Statins	1 sa 39 ang nabiyayaan	1 sa 10 may muscle damage, 1 sa 50 nagka-diabetes

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✅ Panalo ang Pag-iwas sa Sakit

• Ang low-carb diet at intermittent fasting ay:
  • Halos walang panganib
  • May malawak na benepisyo
• Ang regular na ehersisyo ay ligtas kung ginagawa nang tama.
• Nakakaiwas hindi lang sa heart attack kundi pati sa:
  • Metabolic syndrome
  • Type 2 diabetes
  • Altapresyon at labis na katabaan

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🧠 Mensaheng Panghuli:

Ang paggamot ay magastos at puno ng komplikasyon.
Ang pag-iwas sa sakit gamit ang tamang pagkain at aktibong pamumuhay ay:

✅ Mas mura
✅ Mas ligtas
✅ Mas epektibo

Kumain ng tama. Gumalaw araw-araw. Huwag magkasakit.

Huwag Magkasakit! Don’t Get Sick!

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Related:

1. The Deadliest Diseases Associated with Metabolic Syndrome
2. Atrial Fibrillation and Metabolic Syndrome
3. How Effective are Drugs that Increase HDL?
4. Can You Be in Heart Failure Now?
5. What Starts Atherosclerosis?
6. The Magical Endothelium
7. How Does Diabetes Destroy Arteries
8. How Diabetes Destroys the Body
9. Understanding Heart Failure Treatment
10. How Effective is Quitting Cigarettes?
11. Hair Loss and Heart Attacks
12. The Real Effect of Statins on Heart Disease
13. LDL: “Bad Cholesterol” is Not All Bad.

Image Credits:

Coronary Stent from the NIH

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