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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Cause Of High Bp And A Little Chest Pain After Angioplasty?

My dad Had an MI 2 mnths back. He underwent angioplasty n 2 stents were placed. He gets a little chest pain at times which subsides on its own. And sometimes he gets high blood pressure, what could be the cause now?
Secondly he has persistant dry cough. Wat is the reason for that?
Mon, 29 Jun 2015
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Cardiologist,  's  Response
Hi. Thank you for your question and welcome to HCM. I carefully read your query.

I would open my answer by giving you an information regarding stents. A bare metal stent (BMS) has a 16-20% rate of narrowing, whereas a drug-eluting stent (DES) has a 4% rate of narrowing. I think that you were advised, on discharge, to have periodical cardiac stress tests, 1, 3 and 6 months after the stent implantation. My opinion is that if these symptoms are of high intensity and severity, and/or similar with the ones that heralded the heart attack, you should conuslt your cardiologist and consider performin another coronary angiogram to see how the stents are doing.

As about the dry cough, I assume your father is on a drug from the class of angiotensinogen converting enzyme inhibitors (ACE-I: captopril, enalapril, lisinopril), which produce cough as a side effect in 10-15% of subjects that use it. If this is the case, I would recommend changing this drug with a drug from the angiontensin receptor blocker (ARB: losartan, valsartan, eprosartan) class. The dry cough should subside in three weeks.

I hope I was helpful. Best regards.
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What Is The Cause Of High Bp And A Little Chest Pain After Angioplasty?

Hi. Thank you for your question and welcome to HCM. I carefully read your query. I would open my answer by giving you an information regarding stents. A bare metal stent (BMS) has a 16-20% rate of narrowing, whereas a drug-eluting stent (DES) has a 4% rate of narrowing. I think that you were advised, on discharge, to have periodical cardiac stress tests, 1, 3 and 6 months after the stent implantation. My opinion is that if these symptoms are of high intensity and severity, and/or similar with the ones that heralded the heart attack, you should conuslt your cardiologist and consider performin another coronary angiogram to see how the stents are doing. As about the dry cough, I assume your father is on a drug from the class of angiotensinogen converting enzyme inhibitors (ACE-I: captopril, enalapril, lisinopril), which produce cough as a side effect in 10-15% of subjects that use it. If this is the case, I would recommend changing this drug with a drug from the angiontensin receptor blocker (ARB: losartan, valsartan, eprosartan) class. The dry cough should subside in three weeks. I hope I was helpful. Best regards.