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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Migraine While Suffering From Stable Angina Pectoris?

I have stable angina pectoris. I follow mostly a paleo diet and limit my carbohydrates, especially the refined kind. However, I have noticed on mornings when I go for my 2-1/2 mile walk (hill county) where the night before I had a high carb meal, my angina is significantly less, sometimes to the point of not feeling it at all. Normally, I feel it in the first big hill then after that it goes away even though I walk up a couple more big hills.
Wed, 4 Sep 2019
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General Surgeon,  's  Response
Hello,

* In a patient with stable angina pectoris, migraine should be carefully evaluated for the possible issue with the blood supply of the head and neck via carotid vessels as there may be aorta stenosis or sclerosis with age-related or atheromatous changes hampering the blood supply to the brain.

* I recommend a consultation with an expert neurologist for the evaluation with MRI brain or other relevant investigation and further management in that direction.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Bhagyesh V. Patel, General Surgeon
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What Causes Migraine While Suffering From Stable Angina Pectoris?

Hello, * In a patient with stable angina pectoris, migraine should be carefully evaluated for the possible issue with the blood supply of the head and neck via carotid vessels as there may be aorta stenosis or sclerosis with age-related or atheromatous changes hampering the blood supply to the brain. * I recommend a consultation with an expert neurologist for the evaluation with MRI brain or other relevant investigation and further management in that direction. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Bhagyesh V. Patel, General Surgeon