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Had Stent Put In Heart. Have Low Pulse Rate And Slight Chest Pain. Any Advice?
Question: Hi I am a 58 year old man who had a heart stent in 6 months ago my blood pressure is normal but my pulse rate seems low 54 bpm.Iwas 16.5 stone when I got the procedure now through healthy diet and exercise I have lost 1.5 stone.I have been having slight pains in my chest lately nd can't see my doctor for another week can you advise please. Thank you in antisapation XXXXXXX
Dear friend, welcome and thanks for entrusting your query here at Healthcaremagic!
I am Dr. Prasad Akole (Critical Care Expert- http://bit.ly/Dr-Prasad-Akole) and am glad to address to your query here.
I can understand your problem. Your pulse rate is not very worrisome. And your efforts to keep fit are appreciable.
It could be angina.
But, I would need more info to recommend you something useful.
Please mention all your medicines and dosages.
Could you describe your pain in chest?
Is it on exertion and reduces on rest? Is there any sweating, nausea, giddiness, leg swelling?
Are you more breathless than for your COPD?
Is doing an EKG possible at a GP’s?
It would greatly help if you could upload any reports here using the uploading service available on this site just below the text box. You can email the reports / scans to
YYYY@YYYY
with subject- (Attn: Dr. Prasad Akole)
If at any time the chest pain increases, you can chew a baby aspirin or a nitroglycerin(sorbitrate) tablet under the tongue.
Take care and please keep me informed of your progress at http://bit.ly/Dr-Prasad-Akole
Good Luck! Thank you!!
I am Dr. Prasad Akole (Critical Care Expert- http://bit.ly/Dr-Prasad-Akole) and am glad to address to your query here.
I can understand your problem. Your pulse rate is not very worrisome. And your efforts to keep fit are appreciable.
It could be angina.
But, I would need more info to recommend you something useful.
Please mention all your medicines and dosages.
Could you describe your pain in chest?
Is it on exertion and reduces on rest? Is there any sweating, nausea, giddiness, leg swelling?
Are you more breathless than for your COPD?
Is doing an EKG possible at a GP’s?
It would greatly help if you could upload any reports here using the uploading service available on this site just below the text box. You can email the reports / scans to
YYYY@YYYY
with subject- (Attn: Dr. Prasad Akole)
If at any time the chest pain increases, you can chew a baby aspirin or a nitroglycerin(sorbitrate) tablet under the tongue.
Take care and please keep me informed of your progress at http://bit.ly/Dr-Prasad-Akole
Good Luck! Thank you!!
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you for your answers Doctor.First of I am 68 not 58 sorry my mistake.The pain I have, seems to be on exertion not so when I am resting its a dull pain not excessive.I don't suffer from the other symptoms you mention.My breathing seems no worse than the usual effects of the copd.I exercise each morning on my stationery bike for 30 minutes when my pulse rate goes to tops 105 bpm should I continue this.My medications are as follows,aspirin 75mg,Bendroflumethiazide 2.5mg Simvastatin,40 mg Perindopril 4 mg Clopidogrel 75mg Mebivelol 2.5mg Salmeterol inhaler tiotropium inhaler Gtn spray. I went last Sunday to AandE they gave me ECG and blood tests they where ok but just a bit worried about these pains will be seeing cardiologist on Wed as he is out of the country hope it all makes sense XXXXXXX
That is good enough info, Mr. XXXXXXX Thanks !
These seem cardiac pains (angina equivalent) or less commonly muscular aches.
They are reducing on resting and you are already on good medicines for all that can go wrong.
Lower pulse rate is due to beta blocker Nebivolol, but is duly rising to 105 on exercise. That is not a worry.
If recent ECG was Ok, all the better.
As I advised earlier, if you feel increased chest pain, just take a GTN spray below the tongue, provided pulse rate is above 50 or so and BP is normal. In any emergency, A/E is the only option you should choose.
Do not overexert. That may increase any angina. You may stop your cardio work-outs. And see if this reduces pain.
You may take a simple acetaminophen for mild aches in the muscles, if you feel.
I hope to have answered your query satisfactorily. I would be glad to answer any further queries. Please ask for any clarifications before closing and rating this answer.
Take care and please keep me informed of your progress at http://bit.ly/Dr-Prasad-Akole
Good Luck! Thank you!!
These seem cardiac pains (angina equivalent) or less commonly muscular aches.
They are reducing on resting and you are already on good medicines for all that can go wrong.
Lower pulse rate is due to beta blocker Nebivolol, but is duly rising to 105 on exercise. That is not a worry.
If recent ECG was Ok, all the better.
As I advised earlier, if you feel increased chest pain, just take a GTN spray below the tongue, provided pulse rate is above 50 or so and BP is normal. In any emergency, A/E is the only option you should choose.
Do not overexert. That may increase any angina. You may stop your cardio work-outs. And see if this reduces pain.
You may take a simple acetaminophen for mild aches in the muscles, if you feel.
I hope to have answered your query satisfactorily. I would be glad to answer any further queries. Please ask for any clarifications before closing and rating this answer.
Take care and please keep me informed of your progress at http://bit.ly/Dr-Prasad-Akole
Good Luck! Thank you!!
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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