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Doctor insights on: Angina And Heart Attack And Pacemaker

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A 68 year old man with pacemaker after a cardiac arrest in august is having angina after mild exertion. He is on 60 mgimdur but it is not working. Solution?

A 68 year old man with pacemaker after a cardiac arrest in august is having angina after mild exertion. He is on 60 mgimdur but it is not working. Solution?

See you heart Dr: See you cardiologist, tell you cardiologist your symptoms and concerns, I am pretty sure that you doctor will be able to adjust the treatment to improve your symptoms. ...Read more

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Dr. Shontae Buffington
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11 years in practice
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Dr. Suzanne Galli
2 doctors shared insights

Pacemaker (Definition)

A pacemaker is a device which sends electrical signals to the heart triggering heartbeats when needed. There are many ways to implant and configure a pacemaker; it may beat the top chambers (atria), lower chambers (ventricles) or both. Some systems stimulate both the left and right ventricles together. Pacemakers generally treat abnormally slow heart rhythms and certain ...Read more


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What is the difference between a heart attack and angina pain?

What is the difference between a heart attack and angina pain?

Longer pain..: Insufficient blood flow to the heart usually during exertion or other forms of stress due to a partial blockage causes chest pain lasting 5 to 10 minutes and is referred to as angina. Persistent complete or near complete interruption of blood flow to the heart muscle results in permanent damage and is referred to as a heart attack. The pain usually lasts much longer than 5 to 10 minutes. ...Read more

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Dr. Shontae Buffington
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11 years in practice
577K people helped
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How to determine if I am having a heart attack or it's just "angina" ?

How to determine if I am having a heart attack or it's just "angina" ?

Classically: Angina pectoris =substernal pressure, pain with radiation to the neck or left or right arm and shoulder. Some will have abdominal pain-and be confused with gallbladder or stomach symptoms. Ladies seem to have less classic// or tolerate pain better than men. Relief with Nitroglycerin is very suggestive. A feeling of impending doom, pallor, sweating suggest a bad day! ...Read more

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How do a heart attack and angina differ?

How do a heart attack and angina  differ?

Continuum: Angina can be quite severe and respond to rest, oxygen, nitroglycerin. And fully recover with no muscle death. The pain fibers are the same source. Some myocardial infarction can be asymptomatic all the way to the worst, ominous, pain ever! there is heart muscle death as the defining entity may need surgery or intervention. ...Read more

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Dr. Shontae Buffington
Board Certified
11 years in practice
577K people helped
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How do you know if you are having a heart attack or it's "angina" ?

How do you know if you are having a heart attack or it's "angina" ?

EKG, Cardiac Markers: There is no foolproof way to tell the difference without er/hospital studies - generally if one has a history of angina and it isn't resolving with rest or nitrates or has a different character (more intense or with accomp. Pain elsewhere or nausea/sweating) -- it may be a heart attack and he/she should get to the er right away. New chest pain should always be eval'd right away. Time is tissue! ...Read more

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Is angina usual after a heart attack?

Is angina usual after a heart attack?

See doctor: Angina would mean there is heart muscle which is still getting poor blood flow. This maybe from an area which can not be treated with a stent or surgery. But it could also be an area which can be treated. Only your cardiologist can help you figure that out. Go see him/her. ...Read more

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My husband, 47 years old, suffered a heart attack 2 years ago. He has 2 stents & now a pacemaker. What are the cons of a pacemaker?

My husband, 47 years old, suffered a heart attack 2 years ago. He has 2 stents & now a pacemaker.  What are the cons of a pacemaker?

Very few: The indications are for slow heart rate which can be dangerous- even lethal. There are risks of implantation, but those are past. Some wire or battery failures over time. Rare perforation, infection, clots. Overall very necessary and very safe. ...Read more

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What is the difference between a heart attack and angina?

What is the difference between a heart attack and angina?

Continuum: Angina can be quite severe and respond to rest, oxygen, nitroglycerin. And fully recover with no muscle death. The pain fibers are the same source. Some myocardial infarction can be asymptomatic all the way to the worst, ominous, pain ever! there is heart muscle death as the defining entity may need surgery or intervention. ...Read more

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How to know what is angina is it any different than a heart attack?

How to know what is angina is it any different than a heart attack?

Chest pain: "angina" is the medical term for pain that comes from a lack of blood flow to the heart. A "heart attack" is heart damage that results from said lack of blood flow. Frequently, the two go hand in hand, meaning angina can precede a heart attck. ...Read more

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How do you know if you are having a heart attack or it's just "angina" pain?

How do you know if you are having a heart attack or it's just "angina" pain?

Classically: Angina pectoris =substernal pressure, pain with radiation to the neck or left or right arm and shoulder. Some will have abdominal pain-and be confused with gallbladder or stomach symptoms. Ladies seem to have less classic// or tolerate pain better than men. Relief with Nitroglycerin is very suggestive. A feeling of impending doom, pallor, sweating suggest a bad day! ...Read more

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Dr. Creighton Wright
3,781 doctors shared insights

Heart Attack (Definition)

Heart attack is a life-threatening condition in which the blood vessels that supply the heart becomes occluded and thus the heart itself is not longer receiving any blood flow. Without this blood flow, the heart muscle dies and cannot pump blood to the ...Read more


Dr. James Krick
1 doctor shared a insight

Cardiac Arrest (Definition)

Most cardiac arrest episodes are due to the heart rhythm becoming inadequate to pump blood to the body. Ventricular fibrillation is commonly the abnormal rhythm associated with cardiac arrest. If effective rhythm isn't ...Read more


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Dr. Shontae Buffington
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