Doctor insights on:
Angina After Stent
What is likelyhood of having heart attack or angina after angioplasty (balloon) & stent placed on main artery?
Angioplasty/stent: Heart attack is not necessarily prevented by angioplasty or stent. We do treat the underlying disease aggressively as well as dual anti platelet therapy to prevent stent thrombosis. If you smoke it negates much of the treatment. Most people do well after angioplasty and stenting. ...Read more
Angina is chest pain that is caused by poor blood flow to the heart muscle. Angina is not an actual disease, but rather a symptom of an existing heart problem. Most commonly, this underlying problem is due to an obstruction of the coronary blood vessels that surround the heart. There are different types of angina including stable angina, unstable ...Read more
I'm AF, My EF 60%, I haven't heart attact, no symtomps, no angina& haven't stenting. After CABG & LAA ligation, need anticoagulant or antiplatelet?
Antiplatelets: Usually anti-platelets are the stand treatment to prevent a further heart attack in the setting of a known coronary artery disease and post CABG. Anticoagulants could be used in such instances like atrial fibrillation or history of DVT or PE. Left atrial appendage exclusion reduce but does not eliminate the risk of strokes from atrial fibrillation therefore often times anticoagulants are continued ...Read more
Dx with micro vessel dysfunction, endothelial dysfunction and unstable angina with a stent in LAD have chest pain lasting hours. What can I do?
Emergency department: This is a scenario where I would not recommend waiting. You should be evaluated asap. ...Read more
Husband had a quadruple bypass. Experiencing increased angina, had angio today to put stent in. Instead, radial artery not functioning?
Is age 51 young to be taking 60mg daily? I have had 2 heart attacks. & 5 stents. Bad angina. Also take 2000mg daily of renexa.
What could be causing my head, neck and shoulder pain and extreme fatigue I have two stents, hbp, cardiovascular disease and angina.
Check heart first: While head, neck and shoulder pain is most often musculo-skeletal and non-life threatening, anyone with a significant cardiac history should always have a new onset of symptoms evaluated promptly by their doctor.Heart problems do not always present as typical chest pain esp. In patients who have a prior history of cardiac issues. This should be ruled out first before accepting another diagnosis. ...Read more
If you have angina, one or more of your heart (coronary) arteries is narrowed. This causes a reduced blood supply to your heart muscle.
When your heart works harder (when you walk fast or climb stairs and your heart rate increases) your heart muscle needs more blood and oxygen. If the extra blood that your heart needs cannot get past the narrowed coronary arteries, the heart responds with pain ...Read more
Unlikely: Yes, it is possible but very rare and generally the result of a structural problem, like an abnormal origin of one of the coronary arteries or coronary artery changes after an earlier episode of kawasaki dz. Angina from cholesterol plaques is very rare in adolescence, except in homozygous familial hypercholesterolemia, where the cholesterol may be several times nl levels (e.g., 700 or 800 ng/dl). ...Read more
Yes it is: Especially if it is new, or changing (unstable). Many people deny 'pain' with angina. It is described as a 'twinge', pressure, more rarely as a sharp knife like pain. Regardless, angina suggests that circulation is not adequate to portions of the heart, and is a warning that heart attack may occur. Have it checked, control your risk factors, consider treatments recommended.. ...Read more
Serious: This is small vessel disease. It is usually best treated with Ranexa (ranolazine) - but since each patient is different, and may have other comorbidities, a comprehensive evaluation by a cardiologist is essential. ...Read more
Treatments for angina include lifestyle changes, medicines, medical procedures, cardiac rehabilitation (rehab), and other therapies. The main goals of treatment are to:
reduce pain and discomfort and how often it occurs
prevent or lower your risk for heart attack and death by treating your underlying heart condition. ...Read more
Leads to plaque: Dyslipidemia where specifically, a high cholesterol or triglyceride level in your blood can cause plaque to form in your blood vessels. This plaque results in blockage and slows the blood flow to your heart. This decreased blood flow can cause less oxygen to get to your heart which then causes chest pain or angina. The pain is pronounced during high activity when the heart demands more oxygen. ...Read more
It can...: Feel like many things, heartburn, jaw or toothache, back pain, nausea, shortness of breath are examples. In general, the easy way to differentiate these different types of pain from angina, is whether or not the symptom gets better, worse or stays the same with exertion, like walking or running in place. Angina will get worse with exertion and better with rest, the others will not do that. ...Read more
Angina.: "Angina" refers essentially to a chest pain attributable to a reduction in blood perfusion to an area of the heart. While angina itself is not heritable, factors that can lead to angina, or heart disease in a more general sense, are heritable - hypertension, diabetes, high cholesterol, and family history of heart disease to name some. ...Read more
Angina: It needs to be evaluated by a cardiologist, certain tests need to be one to determine the underlying problem and treatment is given accordingly, both medical and surgical options are available depending on the condition of the heart and its vessels. ...Read more
Lack oxyen: Lack of oxygen causes pain in any muscle when oxygen demand out strips suply. In the legs its called cludication. As for the shortness of breath it can be due to the dysfunction of the left ventricle due to poor oxygen suply. Much like an engine sputters if the fuel line is clogged. Along with heart failure pain and anxiety can also cause shortness of breath. ...Read more
Stroke volume: Stroke volume is the amount of blood ejected from the heart with each beat. A higher stroke volume implies increased cardiac contractility which means more oxygen demands by the heart muscle. In the presence of significant coronary artery disease, this increased contractility will increase, not reduce, angina. ...Read more
Other way around:
Angina is caused by problems in your circulatory system. It does not cause them. Here's a good read on Angina: http://www. Mayoclinic. Org/diseases-conditions/angina/basics/causes/CON-20031194
Talk w/ your doctor to best manage this condition. It can make all the difference! Best regards. ...Read more
No, but.: Many people deny 'pain' with angina. It is described as a 'twinge', pressure, more rarely as a sharp knife like pain. Regardless, angina suggests that circulation is not adequate to portions of the heart, and is a warning that heart attack may occur. Have it checked, control your risk factors, consider treatments recommended.. ...Read more
Must meet criteria: Only certain patients qualify for eecp treatment. Some criteria include: being no longer helped by medicinal therapy, having angina that is restricting one from doing daily activities, being at high risk of complications if catheterization or surgical treatments were to be done, not having blood pressure, heart rate, or heart valve problems that would disqualify one for eecp, etc... ...Read more
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