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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can One Manage Cough And Water In Lungs Post Stent Placement?

Hi, good day to you. two weeks ago my mother had a heart attack and she was having a cough before the coronary stent was done. After performing the stent angioplasty, it was found through x-ray that there is water in her lungs due to which her cough is not reducing. kindly suggest what to do. thanks.
Mon, 3 Jun 2024
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Internal Medicine Specialist 's  Response
Hi

Since your mother had an angioplasty done two weeks ago following a heart attack, there are chances of complications like stent thrombosis, arrhythmia leading to heart failure leading to accumulation of water in the lungs (as confirmed with chest X-ray) resulting in cough with frothy sputum. There are also chances of hospital acquired lung infections.

It is important to get a look on her pre-angioplasty echocardiogram and her cardiac function. According to your description, she had cough even before the coronary stenting. I would like to know whether she had any associated symptoms or allergies. Does she wake up at night due to breathlessness? Consult the emergency or the cardiologist at the earliest to assess the cardiac function with an echocardiogram. Also, conduct a laboratory work up with renal function tests and serum electrolytes.

Furthermore, consult a pulmonologist to rule out any underlying lung pathology for chronic cough. If she is diagnosed with heart failure, she would be prescribed with diuretics and water restriction to prevent accumulation of water in the lungs. I would advise to avoid strenuous activities.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Devi Venugopal Rita, Internal Medicine Specialist
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How Can One Manage Cough And Water In Lungs Post Stent Placement?

Hi Since your mother had an angioplasty done two weeks ago following a heart attack, there are chances of complications like stent thrombosis, arrhythmia leading to heart failure leading to accumulation of water in the lungs (as confirmed with chest X-ray) resulting in cough with frothy sputum. There are also chances of hospital acquired lung infections. It is important to get a look on her pre-angioplasty echocardiogram and her cardiac function. According to your description, she had cough even before the coronary stenting. I would like to know whether she had any associated symptoms or allergies. Does she wake up at night due to breathlessness? Consult the emergency or the cardiologist at the earliest to assess the cardiac function with an echocardiogram. Also, conduct a laboratory work up with renal function tests and serum electrolytes. Furthermore, consult a pulmonologist to rule out any underlying lung pathology for chronic cough. If she is diagnosed with heart failure, she would be prescribed with diuretics and water restriction to prevent accumulation of water in the lungs. I would advise to avoid strenuous activities. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Devi Venugopal Rita, Internal Medicine Specialist