Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
Experiencing Moderated To Severe Chest Pains After Heart Attack. Possible Nerve Damage ?
Had a heart attack on Nov. 3/12. Triple bypass on Nov. 6/12. September 04/13 am still experiencing moderate to severe chest wall pain? Have angiogram scheduled on Monday the 9th. I believe it is possible nerve damage from the dissection of the Rima and Lima arteries? The pain I am experiencing is very similar to the pain I had the first two weeks after surgery. Feels like someone has their foot on my chest and it gets worse with stress or exertion. My question is would it help to have the sternum wires remove and have you in you practise had patients who experienced this pain and what has them to cope with the depression and stress that this causes? Thank You
Wed, 18 Sep 2013
Hi friend,
Welcome to Health Care Magic
Removal of sternal wires is unlikely to help.
Stress EKG / preferably with isotope / is necessary to exclude recurrent ischemia from blocked stent or native vessel disease progression – in view of relation to exertion
Problems like Dressler’s syndrome need to be considered...
Depression may supplement
Incidental issues of the spine and nerve root compression could contribute
Antidepressant (like SSRI or SNRI) / anti-epileptics (like gabapentin) raise the pain threshold and help in the meantime...
The treating doctor alone can suggest further based on his assessment of the situation.
Take care
Wishing speedy recovery
God bless
Good luck
Welcome to Health Care Magic
Removal of sternal wires is unlikely to help.
Stress EKG / preferably with isotope / is necessary to exclude recurrent ischemia from blocked stent or native vessel disease progression – in view of relation to exertion
Problems like Dressler’s syndrome need to be considered...
Depression may supplement
Incidental issues of the spine and nerve root compression could contribute
Antidepressant (like SSRI or SNRI) / anti-epileptics (like gabapentin) raise the pain threshold and help in the meantime...
The treating doctor alone can suggest further based on his assessment of the situation.
Take care
Wishing speedy recovery
God bless
Good luck
I find this answer helpful
1 user finds this helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Recent questions on Gabapentin
Loading Online Doctors....