Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Is It Normal To Have Spasms And Intermittent Tingling In The Extremities A Few Days After Placing Two Stents In The Heart?
Question: I had 1 stint placed in my LAD and one in another part of my heart on Wednesday. Had a light heart attack on Monday. Dr said that it did very minimal damage to heart. Yesterday my heart rate went to 123. Talked to Dr nurse, she thought it may been a spasm. I quit smoking and have a patch on. Today, I got slight tingle in both feet, comes and goes. A little bit ago I was resting on couch and heart rate went to 115, all other vitals are fine. I have O other health issues. Have a anxiety attack once in a great while, I'm prescribed 1 mg Xanax for that. I'm on no other meds until this light heart attack. Is it normal to have spasm after this procedure?
Brief Answer:
Doesn't appear to be a worrisome matter
Detailed Answer:
Hello,
Which spasm she is talking about, is it a coronary spasm or esophageal spasm? Either spasm will lead to chest pain. This can occur but not quite common. How much is your resting heart rate?
I guess you just had tachycardia, but no pain. Now, this increase in heart rate doesn't necessarily mean any abnormality. This can be just a sinus tachycardia which can occur due exertion, walking, nicotine patch, anxiety, any pain etc. So if you were doing any of these then it suggests sinus tachycardia. Also, if it is a gradual onset and gradual offset, regular beating heart then also it suggests sinus tachycardia.
So just go through it and let me know some more details of the tachycardia. However, in heart patients, we try to keep resting heart rate on a lower side nearly 65-70 per minute with the help of Beta blockers like Metoprolol. So you should get it optimised if resting heart is higher.
Hope this helps you and get back if you have any doubts.
Doesn't appear to be a worrisome matter
Detailed Answer:
Hello,
Which spasm she is talking about, is it a coronary spasm or esophageal spasm? Either spasm will lead to chest pain. This can occur but not quite common. How much is your resting heart rate?
I guess you just had tachycardia, but no pain. Now, this increase in heart rate doesn't necessarily mean any abnormality. This can be just a sinus tachycardia which can occur due exertion, walking, nicotine patch, anxiety, any pain etc. So if you were doing any of these then it suggests sinus tachycardia. Also, if it is a gradual onset and gradual offset, regular beating heart then also it suggests sinus tachycardia.
So just go through it and let me know some more details of the tachycardia. However, in heart patients, we try to keep resting heart rate on a lower side nearly 65-70 per minute with the help of Beta blockers like Metoprolol. So you should get it optimised if resting heart is higher.
Hope this helps you and get back if you have any doubts.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
My BP is usually around 96/60 or 58, HR usually around 65-70. I have always had this kind of vitals. Dr would not put me on beta locker due to the low blood pressure. I did walk a bit yesterday. I was laying on the couch when my heart rate went to about 123, it is Coronary spasms. Resting heart rate is usually around 58-62. I had no chest pain or discomfort. I did have some tingling in both feet . I may be worrying to much and noticing everything my body is doing and bringing on a anxiety. I may be experiencing some symptoms cause I have not been smoking. Doing the not smoking and getting 2 stints at same time may possibly be confusing me on which symptom is which. I have always been in good shape. No other health issues at all. I'm 5'5 and weigh 126 with very low body mass index. It is just concerning to me.
XXXX
XXXX
Brief Answer:
Its not coronary spasm
Detailed Answer:
Its not coronary spasm. Coronary spasm is less common after stents and cause chest pain rather than increase in heart rate.
So it occurred at rest. So just try to recollect, whether it was sudden onset or you didn't notice the onset and just counted after you lie down, and how it settled, gradually or abruptly. In this scenario, we just need to rule out Atrial fibrillation, which cause increase in heart rate. Next thing, if you notice such thing, also try to feel the pulse and see whether it regularly beating or it is irregular with some pauses.
If it's sudden onset and offset, irregular rhythm, if associated with symptoms like shortness of breath, dizziness, then it raises the possibility of atrial fibrillation. If such event occurred next time then try to get one EKG done to confirm the findings.
Its not coronary spasm
Detailed Answer:
Its not coronary spasm. Coronary spasm is less common after stents and cause chest pain rather than increase in heart rate.
So it occurred at rest. So just try to recollect, whether it was sudden onset or you didn't notice the onset and just counted after you lie down, and how it settled, gradually or abruptly. In this scenario, we just need to rule out Atrial fibrillation, which cause increase in heart rate. Next thing, if you notice such thing, also try to feel the pulse and see whether it regularly beating or it is irregular with some pauses.
If it's sudden onset and offset, irregular rhythm, if associated with symptoms like shortness of breath, dizziness, then it raises the possibility of atrial fibrillation. If such event occurred next time then try to get one EKG done to confirm the findings.
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
