A 39-year-old member asked:
cardiology i have been having chest pain on exertion for a couple of years. after a stress test and a cardiac catheterization, the blockage is too small and behind the heart and hard to reach to place a stent. i am on plavix, zocor, (simvastatin) ecotrin,
4 doctor answers • 9 doctors weighed in
Cardiology 21 years experience
Your : Your exertional chest pain (angina) is a result of poor blood flow to the region of your heart supplied by this small artery. Based on your description, this sounds like a lower-risk lesion for serious complications like major heart attack or sudden cardiac death; and so would not warrant surgical bypass or higher-risk stenting. The good news for you is that a recent large clinical trial (courage study) has taught us that this type of blockage is treated very effectively with aggressive medical therapy. You are already on good drugs, but you may benefit from increased doses and/or the addition of newer anti-anginal therapy like Ranolazine (ranexa). If you have not already been referred to cardiac exercise rehab, this may also help relieve your angina.
5394 viewsReviewed >2 years ago
Cardiology 22 years experience
Medication is likely: The answer to help eliminate or alleviate your symptoms when stents cannot be used. Talk to your physician. Not exactly sure or question because it was cut off...
5314 viewsReviewed >2 years ago
Cardiology 31 years experience
Probably ok: You may need to add a beta blocker an acei if there is room in bp. Please make sure that LDL is close to 70 mg/dl, bmi is less than 29 and BP is well controlled. Exercise on a regular basis.
4760 viewsAnswered >2 years ago
Internal Medicine 11 years experience
Anti-anginal meds: From your question it appears that the appropriate work up was done.
Also, the medication that you are taking are appropriate to treat angina.
Other medication for chest pain, such as Ranolaxine (Ranexa) , can be used, too.
I would ask on next cardiology follow up.
4092 viewsReviewed >2 years ago
Last updated Oct 28, 2020
Connect with a U.S. board-certified doctor by text or video anytime, anywhere.
$15 per month
Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.