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Doctor insights on: Stable Angina Vs Mi

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Dr. Gutti Rao
1,682 doctors shared insights

Angina (Definition)

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


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Do patients with untreated stable angina end up developing unstable angina leading to myocardial infarction?

Very likely: The key is untreated. Medical treatment is effective. See your doctor and get treated. ...Read more

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Suvival rate for 47 Yr F with hx of STEMI in LAD, 6 stents, SSS, pacemaker (20% dependent), aortic valve replacement, non-semi, and occluded by pass?

Suvival rate for 47 Yr F with hx of STEMI in LAD, 6 stents, SSS, pacemaker (20% dependent), aortic valve replacement, non-semi, and occluded by pass?

Depends: Much depends upon the status of her heart muscle health as determined by an echocardiogram or gated blood pool scan.. If her left ventricle has good strength (normal ejection fraction)and no evidence of past or present congestive heart failure, I believe survival odds can be good barring any further heart attacks which will cause myocardial damage. ...Read more

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What is the difference between unstable angina and stemi / non-stemi?

What is the difference between unstable angina and stemi / non-stemi?

Several: Unstable angina is when chest pain coming from the heart increases in frequency, severity and/or intensity over the last couple of month. If pain is severe and lasts for over 20-30 minutes and pt shows in ER, The EKG may show specific changes (ST segment elevation myocardial infarction = STEMI) or subtle or no changes and the heart attack is diagnosed with blood tests (NSTEMI= non-ST elevationMI ...Read more

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Is a 60 y/o Diagnosed with Atherosclerotic heart disease of native coronary artery w/ angina pectoris w/ documented spasm allowed to have angiogram?

Is a 60 y/o Diagnosed with Atherosclerotic heart disease of native coronary artery w/ angina pectoris w/ documented spasm allowed to have angiogram?

He needs Angio: Angiogram is actually recommended if someone has a know history of atherosclerotic heart disease and has ongoing symptoms. I hope he is seeing a cardiologist. ...Read more

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77yrs. CABG-'98, EF-LV 52%, Mild COPD-'12. Treatment/stable. HDL/LDL, BP, SpO2 normal. Carotid doppler-hemdynamically signifc calcific plaque, 75% ?

77yrs. CABG-'98, EF-LV 52%, Mild COPD-'12. Treatment/stable. HDL/LDL, BP, SpO2   normal. Carotid doppler-hemdynamically signifc calcific plaque, 75% ?

Stroke history?: Hi. I assume you've not had a stroke or TIA; please clarify if you have. That's what you want to prevent. Regardless of your LDL and HDL, you should be on a high dose statin. Regardless of your BP, you should be on an ACE inhibitor. You should be on some anti-platelet agent (e.g., clopidogrel). You should absolutely NOT smoke (I trust you've quit!). Good luck! ...Read more

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61 yr old hypertensive male has total occlusion of right coronary andom.Stenting of om1 done. Ejection fraction is 45-50%. Is CABG indicated for rca?

61 yr old hypertensive male has total occlusion of right coronary andom.Stenting of om1 done. Ejection fraction is 45-50%. Is CABG indicated for rca?

Likely no: The damage that could have been done from the occluded rca has already happened, and the vessel can't get worse than totally occluded, so, provided that anginalsymptoms symptoms are controlled there is no need to do anything. Overtime, compensation typically occurs for an occluded vessel in the form of progressive collateral circulation. ...Read more

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How are angina pectoris and myocardial infarction different?

How are angina pectoris and myocardial infarction different?

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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Result of Angiography: three vessel coronary artery desease. preserved LV systolic function.what is best FOR MEAngioplasty or bypass operation?

Result of Angiography: three vessel coronary artery desease. preserved LV systolic function.what is best FOR MEAngioplasty or bypass operation?

Depends: If you're diabetic, CABG has better outcomes. If your LEFT MAIN coronary artery has >50% blockage, CABG has better outcomes. Aside from those 2 points, it depends on the skill of the team you have. If they do a lot of angioplasty, that would be preferred. If they don't but their surgical team is first rate, then that would be preferred. ...Read more

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83 yrs f; stable diastolic hf; rate controlled a-fib. Meds: cardizem, coumadin, (warfarin) lasix, inderal, spiriva (mild copd). Would a cardioselective betablocker be better than inderal ?

83 yrs f; stable diastolic hf; rate controlled a-fib.  Meds: cardizem, coumadin, (warfarin) lasix, inderal, spiriva (mild copd).  Would a cardioselective betablocker be better than inderal ?

Theoretically yes: In patients with COPD or asthma , cardioselective beta blockers like atenolol are felt to be superior to Inderal (propranolol) which also has possible harmful effects on the bronchial tree and could produce wheezing(bronchospasm). This may be a concern in someone like you who has copd. Your physician is best to advise you, however especially if you're doing well on inderal (propranolol). ...Read more

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Critical aortic stenosis, TAVR denied by ins. Open heart not an option due to radiation damage, 3b nsclc. Tentative prognosis?

Critical aortic stenosis, TAVR denied by ins. Open heart not an option due to radiation damage, 3b nsclc. Tentative prognosis?

Sounds very serious.: Your cardiologist should appeal to your insurance company. Your case is very unusual because of previous chest wall radiation. Prognosis without procedure depends on aortic valve area, pressure gradient, native myocardium, and a lot of other factors. You need to ask your cardiologist. ...Read more

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Recent Coronary Angioplasty to relieve 90%/60% blockages of main arteries. Recent recurrence of AF, now stable NHB. Q: Is second ablation warranted?

Recent Coronary Angioplasty to relieve 90%/60% blockages of main arteries. Recent recurrence of AF, now stable NHB. Q: Is second ablation warranted?

There are many: ablative therapies for AF but without knowing your medical history and the nature of your previous treatment it is impossible to advise regarding your question. The Coronary artery disease treatment is most likely unrelated to your AF recurrence. This is a question for your health care providers as they have all the information about your previous care. ...Read more

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What is likelyhood of having heart attack or angina after angioplasty (balloon) & stent placed on main artery?

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

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45y, f having rapid heartbeat and high BP sometimes, diagnosis unstable angina II b, in angiography test having mild coronary artery disease. Need advise?

45y, f having rapid heartbeat and high BP sometimes, diagnosis unstable angina II b, in angiography test having mild coronary artery disease. Need advise?

Medical treatment : Without significant blockages on catheterization you would fall into a category of medical treatment for your heart problem. This means medication, exercise, weight loss, smoking cessation, diabetes control, high cholesterol treatment, etc. ...Read more

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Mild diffuse atherosclerotic plaques are seen w in internal carotid arteries. No hemodynamically significant carotid stenosis per ratio criteria?

Mild diffuse atherosclerotic plaques are seen w in internal carotid arteries. No hemodynamically significant carotid stenosis per ratio criteria?

Focus on risks: Mild and diffuse atherosclerosis at age 46 implies a need to focus on risk factor modification to achieve primary prevention of stroke and enhance vascular protection. Optimize lipids, avoid smoking, cand control sugar and BP issues. ...Read more

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Mother 58 yr heart attack.Within 7 hrs angioplasty LAD for 100% block.After 12hrs cardic arrest.Then ventrilation .Cpk 389 now consious.Will survive?

Mother 58 yr heart attack.Within 7 hrs angioplasty LAD  for 100% block.After 12hrs cardic arrest.Then ventrilation .Cpk 389 now consious.Will survive?

She has already sur-: Vived but in such situations can have another attack or some other complications. Your cardiologist will be the person to discuss it with. I am hopeful she'll do well as she is rather young. Good luck. ...Read more

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What does coronary occlusion acute, arterio-sclerotic cardio vascular disease and acute myocardial infarction mean?

What does coronary occlusion acute, arterio-sclerotic cardio vascular disease and acute myocardial infarction mean?

the same thing: Arteriosclerotic cardiovascular disease means blockages in the coronary arteries. The manifestation of coronary artery blockage is a heart attack. When this happen suddenly, we say it is acute. ...Read more

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Is propranolol ER 80 mg better for cad, artery blockage, and angina than 5 mg bystolic (nebivolol). Generally, which other medicine is best for those?

Is propranolol ER 80 mg  better for cad, artery blockage, and angina  than 5 mg bystolic (nebivolol).  Generally, which other medicine is best for those?

Beta blockers: Propranalol and bystolic (nebivolol) are beta blockers-they act by blocking beta receptors. They act by decreasing the workload of the heart, slowing the heart rate & decreasing blood pressure. With coronary disease these medications are relatively similar. They are great for lowering the work load of the heart therby helping with CAD but with angina a calcium channel blocker or nitrates are usually better. ...Read more

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What is the difference between acute coronary syndrome, unstable angina, and mi?

What is the difference between acute coronary syndrome, unstable angina, and mi?

See below: Acute coronary syndrome or unstable angina usually means chest pain due interruption of blood flow to the heart muscle. Myocardial infarction ( mi) implies damage to the heart muscle due to prolonged interruption of the blood flow to the heart muscle. ...Read more

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How long does a stable angina last for?

How long does a stable angina last for?

Angina: Stable angina pectoris can last for years. Unstable angina needs to be dealt with immediately. ...Read more

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I keep having stable angina symptoms (pain when smoke or exertion)that stay for few weeks, and then one or two months I feel absolutely healthy.why?

I keep having stable angina symptoms  (pain when smoke or exertion)that stay for few weeks, and then one or two months I feel absolutely healthy.why?

Doubt Sngina : I am going to assume your work up for chest pain was negative . I really doubt that you have Angina , otherwise your doctors eould have put you on some sort of medication , like beta blockers . It sounds like you may have Reflux or chest wall pain . Non cardiac chest pain . Stop smoking is my best advise to you . ...Read more

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How to relieve painful in my chest when I have stable angina?

How to relieve painful in my chest when I have stable angina?

Angina: If you are 19 and have stable angina this is extremely rare and I would suggest you consult your cardiologist ...Read more

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Is there such as a situation of a person having stable vs. non-stable angina? What is stable angina and is it always life threatening?

Is there such as a situation of a person having stable vs. non-stable angina? What is stable angina and is it always life threatening?

Stable vs unstable: Unstable angina is defined as a change in the pattern, (frequency, severity, duration, or degree of activity that precipitates it or angina at rest) in the preceding 2 weeks. Unstable angina is potentially dangerous. Stable angina is angina that occurs predictably with certain activities and is not a high risk condition. ...Read more

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Is there a way to clinically differentiate unstable angina and stable angina without investigation? If so, how?

Angina: Stable angina is reproduce able by the same amount of exercise. Unstable angina is when the amount of exercise to produce angina progressively decreases or it happens at rest. ...Read more

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Can mild dyspnea be the sole symptom of stable angina? Meaning mild dyspnea alone happens on exertion regularly? Asking hypothetically.

Possible/unlikely: Dyspnea can be the only symptom of coronary insufficiency which is what you're asking. Angina is, by definition, an uncomfortable sensation - if it's not present, there's no angina. Dyspnea, if due to myocardial ischemia, doesn't imply stability. It can be present in stable or unstable coronary syndromes. ...Read more

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Can you tell me treatment of patient suffering from stable angina in the emergency department of a hospital?

Angina: Not sure what you are asking. We have standard treatment for stable angina. The er is a place to go for unstable angina. The first time angina is noticed you can argue you don't know whether its stable or unstable so might go to er. ...Read more

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Is it possible to take clopidogrel for the rest of my life if I am 62 old I have hypertention and stable angina?

Is it possible to take clopidogrel for the rest of my life if I am 62 old I have hypertention and stable angina?

Yes.: I know of many patients who have taken clopidogrel for more than 10 years, and they have done fine with it. I use long term clopidogrel in patients who have had many stents (say 4 or more), in patients who recieved the cypher type stent (higher tendency to clot), and also in patients who have a drug coated stent in a high risk location (left main artery or lad). ...Read more

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Do patients with untreated stable angina end up developing unstable angina leading to myocardial infarction?

Very likely: The key is untreated. Medical treatment is effective. See your doctor and get treated. ...Read more

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I'm getting shortness of breath after the fact. Does this signal a heart attack, or is it stable angina?

I'm getting shortness of breath after the fact. Does this signal a heart attack, or is it stable angina?

Multiple causes: Baseline lung disease- smoking COPD prior to heart trouble or at the same time! angina can be accompanied by pressure, shortness of breath and congestion.If prior heart attack, angina, congestive failure can occur all together. ...Read more

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Dr. Alvin Lin Dr. Lin
2 doctors agreed:
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Are TCAs like nortriptyline safe for use if i have stable angina due to vasoconstriction, tinnitus and hypersensitivity to sound?

Dr. Alvin Lin Dr. Lin
2 doctors agreed:
Are TCAs like nortriptyline safe for use if i have stable angina due to vasoconstriction, tinnitus and hypersensitivity to sound?

Yes, but only if...: It's always best to discuss your medications' risks, benefits & alternatives w/prescribing physician. In the case of Nortriptyline, check out http://www.drugs.com/dosage/dextromethorphan.html. While it's not a good idea immediately after heart attack, it can be used in heart disease if closely supervised. ...Read more

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Wondering about vagoglossopharangeal neuralgia? Do patients ever report symptoms v similar to stable angina/heart conditions but neg cardiac work-ups and clear arteries?

Wondering about vagoglossopharangeal neuralgia? Do patients ever report symptoms v similar to stable angina/heart conditions but neg cardiac work-ups and clear arteries?

GPN: Glossopharyngeal neuralgia (gpn) is also called vagoglossopharyngeal neuralgia. It is characterized by brief but intense pain on one side of the throat, which may radiate within the mouth or into the ear. Attacks are described as sharp, stabbing or burning in quality. They may occur spontaneously or be provoked by talking, chewing, swallowing, coughing and yawning. It can mimick angina pain. ...Read more

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I want to know what is the difference between stable and unstable angina?

I want to know what is the difference between stable and unstable angina?

Angina: Stable angina is reproduce able by the same amount of exercise. Unstable angina is when the amount of exercise to produce angina progressively decreases or it happens at rest. ...Read more

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Sometimes it happens with less effort some other with more. Is this stable or unstable angina?

Sometimes it happens with less effort some other with more. Is this stable or unstable angina?

If it is getting: worse then it is unstable. With less effort, more area, lasting longer, having more shortness of breath etc. These are bad signs implying a need to seek immediate medical attention ...Read more

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Are beta blockers used to treat both stable and unstable angina?

Are beta blockers used to treat both stable and unstable angina?

Yes: Yes, beta-blockers are used to treat both stable and unstable angina as a role in reducing cardiac workload. ...Read more

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Is it normal to get stable heart anginas every time I exercise? And What can I do to prevent this from happening?

Is it normal to get stable heart anginas every time I exercise? And What can I do to prevent this from happening?

Angina: if you are 18 years old angina is not normal. You may be misidentifying your symptoms but see a doctor to find out what is going on ...Read more

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What are stable and unstable angina and myocardial infarction, and links to other infomration?

What are stable and unstable angina and myocardial infarction, and links to other infomration?

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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