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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Decay Of Nails After Stent Implant In Heart?

Two years ago, I had a stent implant in my heart. When I got home from the hospital I noticed blood under the big toe nail. There was not injury to this toe. I eventually lost the nail. When the new nail was about halfway grown out, I lost the nail again. The third nail is again about halfway grown out and doesn't appear to be growing anymore. I don't know if the two things are related, but last night I woke up with my big toe (same toe) hurting badly. I couldn't stand the bedclothes on it. It is swollen and red today and still hurting. What is the problem?
Fri, 10 Jun 2016
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Cardiologist,  's  Response
Hello and thank you for using HCM.I carefully read your question and I understand your concern.
I will try to explain you something and give you my opinion.

Having pains in your leg and finger and the lost of the nail is not normal.It means having problems whith the blood supply of your extremities.

The fact that you had implanted stents fortify this suspicion, becouse this means that you are diagnosed whith coronary atherosclerosis and you had stenosis in your coronary arteries.

Whith the same mechanism you might have stenosis in the arteryes that supply your extremities and they are now soffering from ischemia.

So, I advise you to seek medical attention.If I was your treating doctor I would recommend a color doppler of your extremities to evaluate possible stenosis and after that maybe an angio ct.

After that we can judge how to deal whith the problem.

Hope I was helpfull.

Best regards, Dr.Ervina.
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What Causes Decay Of Nails After Stent Implant In Heart?

Hello and thank you for using HCM.I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. Having pains in your leg and finger and the lost of the nail is not normal.It means having problems whith the blood supply of your extremities. The fact that you had implanted stents fortify this suspicion, becouse this means that you are diagnosed whith coronary atherosclerosis and you had stenosis in your coronary arteries. Whith the same mechanism you might have stenosis in the arteryes that supply your extremities and they are now soffering from ischemia. So, I advise you to seek medical attention.If I was your treating doctor I would recommend a color doppler of your extremities to evaluate possible stenosis and after that maybe an angio ct. After that we can judge how to deal whith the problem. Hope I was helpfull. Best regards, Dr.Ervina.