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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fatigue And Chest Discomfort?

I had 2 stents 3 days ago. I felt good with the exception of fatigue. Today I have chest discomfort. I took nitro and it eased up for awhile. I m afraid that every little thing I feel is another heart attack. I don t want to make a trip to ER unnecessarily. How do I know when to go? My discomfort isn t like what I felt with NStemi but kind of feels like indigestion. Not much of an appetite so not eating much. Am I being paranoid?
Thu, 16 Feb 2017
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General & Family Physician 's  Response
Hello,
Thank you for the question at health care magic

I recommend that you go to the ER .
Post stent placement chest discomfort can be due to several reasons like
-Coronary spam : This is usually benign, occur in first few weeks post procedure .Symptoms resolve quickly with nitroglycerin.
-Re stenosis : either due to blood clot or tissue growth, takes few weeks to
months to occur
-A new coronary occlusion
-It can also be gastric discomfort/indigestion

You need to be evaluated for what is causing this pain.Your also need ECG, repeat angiogram to look for the cause of chest discomfort

Hope I was able to answer your question
Regards,
Dr.Lekshmi
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What Causes Fatigue And Chest Discomfort?

Hello, Thank you for the question at health care magic I recommend that you go to the ER . Post stent placement chest discomfort can be due to several reasons like -Coronary spam : This is usually benign, occur in first few weeks post procedure .Symptoms resolve quickly with nitroglycerin. -Re stenosis : either due to blood clot or tissue growth, takes few weeks to months to occur -A new coronary occlusion -It can also be gastric discomfort/indigestion You need to be evaluated for what is causing this pain.Your also need ECG, repeat angiogram to look for the cause of chest discomfort Hope I was able to answer your question Regards, Dr.Lekshmi