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Question:

How long after a STEMI [heart attack] is the heart done remodeling? 

I had a stemi [STEMI ST-segment-elevation myocardial infarction] 20 months ago. I have 1/3 apical akinesis of the left ventricle. My EF has remained at 50. I am concerned I could still have remodeling and I could end up with heart failure. I am an active 43 year old woman. How long after a stemi is the heart done remodeling? Also do I still carry a risk of a clot developing in the apex? I take Plavix still.  

submitted by Andrea from Illinois on 4/4/2012

Answer:

Neil E. Strickman, MDby Texas Heart Institute cardiologist, Neil E. Strickman, MD  

After a stemi, heart remodeling is usually all done by 3 months; however, indefinite treatment with beta blockers and ACE inhibitors, diet control , sugar (glucose) management, exercise, weight control, anatomy of the other vessels and revascularization of those arteries all play a role in the heart's recovery. Your risk of having a clot develop in the apex of your heart depends on the extent of the damage it suffered.   

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Updated April 2012
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Texas Heart Institute Heart Information Center
Through this community outreach program, staff members of the Texas Heart Institute (THI) provide educational information related to the prevention, diagnosis, and treatment of cardiovascular disease. It is not the intention of THI to provide specific medical advice, but rather to provide users with information to better understand their health and their diagnosed disorders. Specific medical advice will not be provided and THI urges you to visit a qualified physician for diagnosis and for answers to your questions.
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