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What Causes Intense Heart Burn Long After Heart Surgery?

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Posted on Tue, 29 Nov 2016
Question: Hello I had open heart surgery 4 gabage 5 months ago. Recently I've experience heart burn when I'm stressed or if I've put in a long day maybe even having lifting a bit. Any answers ?
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Answered by Dr. Ilir Sharka (20 minutes later)
Brief Answer:
My answer as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

Regarding your concern, I would explain that it is necessary performing a comprehensive differential diagnosis between 3 main causes that may lead to your complaints:

- myocardial ischemia.
- gastro-esophageal reflux
- a musculo-skeletal pain, probably related to the sternum sutures.

Coming to this point, I would recommend consulting with your attending physician and performing some tests:

- a chest X ray study
- a resting ECG And a cardiac ultrasound
- a cardiac stress tests if no contraindications would help detect possible ECG changes during physical effort.
- some blood lab tests (complete blood count, PCR, sedimentation rate for inflammation).

I would also recommend trying some antiacids or PPI (omeprazone, lansoprazole). If your symptoms are relieved by these drugs it would indicate possible gastro-esophageal reflux underlying your symptoms.

You should discuss with your doctor on the above issues!

Kind regards,

Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9544 Questions

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What Causes Intense Heart Burn Long After Heart Surgery?

Brief Answer: My answer as follows: Detailed Answer: Hello! Welcome and thank you for asking on HCM! Regarding your concern, I would explain that it is necessary performing a comprehensive differential diagnosis between 3 main causes that may lead to your complaints: - myocardial ischemia. - gastro-esophageal reflux - a musculo-skeletal pain, probably related to the sternum sutures. Coming to this point, I would recommend consulting with your attending physician and performing some tests: - a chest X ray study - a resting ECG And a cardiac ultrasound - a cardiac stress tests if no contraindications would help detect possible ECG changes during physical effort. - some blood lab tests (complete blood count, PCR, sedimentation rate for inflammation). I would also recommend trying some antiacids or PPI (omeprazone, lansoprazole). If your symptoms are relieved by these drugs it would indicate possible gastro-esophageal reflux underlying your symptoms. You should discuss with your doctor on the above issues! Kind regards, Dr. Iliri