I am a 56 year old male with heart desease. I had a heart attack at age 53 and had a coated stent put in to open up a blockage. I took plavix for one year and continued with aspirin afterwards. I had another heart attack June of 2006. This episode required two stents and showed no indication of a problem with the first stent. In my opinion and also that of my cardiologist the second heart attack would probably not have occured if I wasn't smoking. I know...I'm crazy, however I've been smoke free ever since and am on a strong regiment of daily exercise and healthy diet. My total cholesterol (82), tryglyceride levels (77) and LDL (40) are exceptionally good. Unfortunately, my HDL is only 29. By the way I suffered no damage to my heart from either attacks. One more piece of background info....I'm a diabetic. My A1C is normally 5.8 to 6.0 with one daily dose of 500 mg glucofage.
Here's my difficultty. Last week my cardiololist told me that as of June, I could stop taking Plavix. Several months ago his practice was advocating the continuance of Plavix for the rest of my life. Apparently, new studies have changed their approach. When I expressed concern, he suggested that if I wanted to continue Plavix I could.
He stated that he and his colleauges were recommend discontinuing Plavix for individuals with medicated stents after one year, but also are telling patients the option to continue.
I'm confused and concerned. My first inclination is to stop Plavix in June due to the risks of internal bleeding, however, I'd like some additional opinions. Anyone have any?