Doctor insights on:
Angina And Heart Attack And Pacemaker
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 moreSee 2 more doctor answers
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
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 moreSee 1 more doctor answer
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
Disease vs. symptom: Angina is the symptom of chest pain. It does not necessarily mean you are having a heart attack or even have heart disease. Heart attack is a laymen's term for damage to the heart muscle from inadequate blood to part of the heart muscle, usually due to a temporary or permanent blockage of one or more coronary arteries. Only a doctor can tell the difference. ...Read moreSee 1 more doctor answer
Angina : Angina and heart attack symptoms are both the result of reduced blood flow to heart muscle. Both can result in chest pain, pressure or squeezing that can radiate into the neck, jaw or arm and can be accompanied by other symptoms such as sweating, dizziness, or nausea. There are important differences though. Angina is brought on by exertion and relieved by rest or certain medications, such as nitroglycerin. It is the result of chronic cholesterol buildup in one or more of the coronary arteries, which restricts adequate blood flow to heart muscle during periods of increased activity. Angina usually resolves within 15 minutes of stopping activity or taking nitroglycerin. When someone experiences angina for the first time, or when their angina is provoked more easily this is called unstable angina and requires immediate medical attention. As opposed to angina, heart attacks happen suddenly and the symptoms can be more severe and persist much longer. Heart attacks are a result of a sudden blockage of the coronary blood vessel, typically by a ruptured cholesterol plaque. Heart attack symptoms persist until the blockage resolves, or if it does not resolve, until the heart muscle dies. Not all patients with heart attacks have angina prior. Heart attacks are a medical emergency and always require immediate medical attention. ...Read moreSee 1 more doctor answer
Pacer: A heart attack usually doesn't affect an electronic pacemaker. The device will help prevent the heart from slowing excessively and usually won't be affected by rapid heart action. If a cardiac arrest occurs and defibrillation is necessary, the electric shock could possibly affect the pacer circuitry. ...Read more
Pacer/MI: The pacemaker electronics will not be affected by a heart attack. The muscle damage in the heart could change threshholds for sensing and pacing and cause problems with those. Abnormal rhythms associated with the heart attack might also affect what the pacemaker does. ...Read more
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