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What Causes Angina Attacks After Placing A Stent?
I am 53 yrs old and at age 47 I had a mild heart attack with 1 stent placed in the RCA. Now in the last few months I have been having what my Dr calls angina. I have been taking Imdur for this but in the last month or so I have been having more episodes as many as 20 a day. I had chest and arm pain thursday for about an hour that did not go away so i went the the ER and then to the cath lab for heart cath but my Dr said everything is fine, so what could be the cause of the pain that I am having? Any suggestions as the where to look next.
Mon, 22 May 2017
Hello
welcome to HCM.
Since you have got yourself evaluated by an angiography and your doctor has cleared you from the heart side, means that the stent is working well. Angina can be caused by microvasuclar ischemia, which means the smallest vessels of the heart arteries are having blocks. These blocks cannot be seen by angiography nor can be stented. The treatment for micro vascular ischemia is antianginals, statins and anti platelets. You need not worry because it won't cause you any health issues.
Other causes if chest pain here should be excluded. Like hyperacidity can mimic chest pain of cardiac origin. Please take a course of antacids for 14 days and see if your pain abates.
Another cause can be costochondritis which is inflammation of the rib cartilage. This cinflammation can be contained by using anti inflammatory medications like diclofenac and ibuprofen.
Next VitD levels should be checked. Bit D deficiency can also cause rib pain, bone pain fatigue. Please check your Vit D levels and take correction for vit D of they are low.
You have a low probability of this pain originating from cardiac causes. So please continue taking tour cardiac medications and along with it take antacids, diclofenac and Vit D correction as adviced.
Wishing you good health.
Regards
welcome to HCM.
Since you have got yourself evaluated by an angiography and your doctor has cleared you from the heart side, means that the stent is working well. Angina can be caused by microvasuclar ischemia, which means the smallest vessels of the heart arteries are having blocks. These blocks cannot be seen by angiography nor can be stented. The treatment for micro vascular ischemia is antianginals, statins and anti platelets. You need not worry because it won't cause you any health issues.
Other causes if chest pain here should be excluded. Like hyperacidity can mimic chest pain of cardiac origin. Please take a course of antacids for 14 days and see if your pain abates.
Another cause can be costochondritis which is inflammation of the rib cartilage. This cinflammation can be contained by using anti inflammatory medications like diclofenac and ibuprofen.
Next VitD levels should be checked. Bit D deficiency can also cause rib pain, bone pain fatigue. Please check your Vit D levels and take correction for vit D of they are low.
You have a low probability of this pain originating from cardiac causes. So please continue taking tour cardiac medications and along with it take antacids, diclofenac and Vit D correction as adviced.
Wishing you good health.
Regards
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