|
Current Postings
(147):
SS in Connecticut -- Thanks for the additional
info. An echocardiogram would be the first test if your cardiologist
is concerned the fatigue is heart-related -- and yours was okay, ruling
out a valve problem, along with some other concerns. There are more invasive
tests, but they are probably not indicated, given your symptoms are of
fatigue, not angina. But maybe other readers out there have some insight
into extreme fatigue 5 months after stenting.
Forum Editor, Angioplasty.Org, August 18, 2010
Additional info to my
post (SS in CT). Yes, I
had a bare metal stent placed in my circumflex artery in March of 2010.
Dr. took me off plavix at 2.5 months due to bruising. What type of tests
would be done to test functioning of stent? I've had echocardiogram (couple
of months ago), EKGs, etc. With respect to the Lyme testing- no, I don't
recall being bitten by tick, no rash. I think it is due to my main symptom
of fatigue that they are checking.
SS, Connecticut, USA, August 18, 2010
50 year old male. Had double by-pass at age 42
(not due to heart attack). No problems until recently. July 1, 2010 - started
having pain in upper abdomen
with shortness of breath, light headed, slight numbness in left arm. Went to
ER. First diagnosed with bad gall bladder, but this did not explain shortness
of breath. Had to rule out possible heart problem with past history. Did cath
and found a blockage that had clotted. Received a stent. Immediately felt better.
All symptoms gone. Symptoms came back one month later. Primarily upper abdomen
pain and shortness of breath. Had another cath to make sure stent looked OK.
Checked out fine. Nuclear stress test also checked out fine. Doc took me off
Simvastatin for awhile to see what happens. Feeling a little better - less
Ab pain, but still short on breath. Doc thinks it may be gall bladder.
After reading
everyone else's input, it looks like it may just take time to adjust to stent
or reaction to Plavix. Any words of advice. Meds - 325 mg aspirin, 27.5mg Avapro,
75 mg Plavix, 25 mg Toprol, 40 mg Protonix, was on Simcor (1000mg/20mg)+additional
40 mg Simvastatin. Went from 10 mg Simvastatin to 60 mg Simvastatin! Thanks.
Karl H, Bowling Green, Kentucky, USA, August 16, 2010
SS in Connecticut -- you didn't mention if you
had gotten a stent and, if so, what kind. Has the cardiologist done tests
of any sort to see if the stent and arteries are functioning correctly?
6 months is sort of the first "hurdle" for any restenosis (reclosure).
Also, you mentioned Lyme Disease. Is there some reason to suspect it? Had
you gotten a tick bite? Be aware that the tests for this disease are relatively
inaccurate with a
high number
of false negatives. Since you're in Connecticut, you might be able to find
a "Lyme Literate MD" (LLMD) to consult.
Forum Editor, Angioplasty.Org, August 16, 2010
I'm a 44 yr-old woman; ran 4 miles a day; had
heart attack (? trauma-induced) in March 2010. Recovered fine, back to
running, etc., but 2 weeks ago developed onset of extreme fatigue. Cardiologist
does not believe it's heart-related. Primary Care Physician has checked
blood, vitamin and iron, levels, tested for Lyme etc. - all negative.
For 2 wks now I am plagued by same fatigue. Generally okay in the am, but
as
the day progresses, I become increasingly tired with no explanation.
Please, can anyone offer any insight?
SS, Connecticut, USA, August 15, 2010
I had bypass surgery 2006 / 1 stent 2009 / 3 stents
July 2010. I felt really good 2 weeks after the stents. I now seem to get
extreme fatigue and heart
symptoms. The symptoms I am experiencing now is shortness of breath / lightheaded
/ some fullness in chest. It gets relieved by taking nitro. I have not gone
back to any exercise, because the cardio wants me to do rehab before a
gym. I honestly
do not feel like exercising with these symptoms. I am taking nitro almost everyday
now to relieve symptoms. I have noticed some odd heart beats, but I don't know
if it means anything. It is discouraging at this point, because I felt good
after the bypass and the first stent.
Clara, Ponte Vedra, Florida, USA, August 14, 2010
Karvy in India -- has your father seen the interventional
cardiologist who placed the four stents? There are tests that can be done
to assess your father's condition more specifically. "Weakening of heart
muscles" means that his heart has been damaged by a heart attack -- the
interventional cardiologist would have done a "ventriculogram" during the
stenting to measure this. Or perhaps the valves he
had need to be redone (after 20 years, articial valves can become less
than 100% -- it depends which type of valves he received).
Forum Editor, Angioplasty.Org, August 14, 2010
my father had stenting done before 4 months,
drug coated and suddenly he has started feeling unwell, increase in heartbeat,
neck pain,weakness and all.....before that he had to two valve transplantations
20 years ago. The local doctor here also suggested weakening of heart
muscles. now whoever would go thru my matter...i would like to tell him
that my
father has sacrificed his whole life for me and my brothers...he will
be of around 65 years old now...at least if you help me in resurrecting
him
completely then i will dedicate my life, my prosperity to you all. My
request to you would be to take this matter with utmost seriousness and
help me
do something for my father..if required and possible I am prepared to
do a heart exchange with my father...our blood groups are same...the question
is are you up to it. Regards
VERY URGENT......PLSSS HELPPP, Karvy, India, August 12, 2010
Pete -- angioplasty and stents can open up the
coronary artery, in order to deliver more blood (and therefore oxygen)
to the heart muscle. However, if the heart muscle becomes damaged, as in
a heart attack that is not treated in time, then that damage remains --
that part of the heart muscle is dead and delivering more oxygen to it
won't do anything. However, making sure that the part of the heart that is working gets sufficient oxygen is even more important
in cases like yours -- we assume that's why and where you got your stents.
There are medications that can help lessen the existing load on your heart
-- we assume you've been prescribed these and are taking them. Obviously,
losing weight, stopping smoking, etc. are all lifestyle changes that need
to happen as well -- anything to lower unnecessary stress on the heart
muscle.
Forum Editor, Angioplasty.Org, August 8, 2010
I am a 56 year old male. I have 9 stents 2 in
my left leg area and the other seven on both sides of the heart. I have
never gained my full strength back. It takes me all day sometimes two
just to do my small yard. Before the heart problems was done in 20-30 minutes.
I have almost constant chest pain cramping buttock going to sleep as
well
as pain in the groin and pelvic area. Heart disease runs in my family
and of course I smoked. I have been hospitalized 16 times in the last 17
months.
But my doctor says my that I have severe heart damage and really by-pass
may not be an option for me. I had a severe heart attack March 09 and
my then cardio doctor basically did not do much for me in fact he was terminated
from the office and I see another doctor there who told me he would not
trust him with his worst enemy. He then on two different occasions place
5 more stents but it has not made me improve much.
Pete, Lakeside, California, USA, August 8, 2010
Susan in Illinois -- obviously
you're keeping an eye on your symptoms. Posters have reported similar
discomforts which
do go away in time as the body adjusts. After all, you had a heart attack
which only a couple decades ago would have caused significant disability
(see our Editor's blog, "Heart
Attack and Angioplasty: A Public Education Challenge").
But you're doing the right thing in consulting your cardiologist about
this
-- especially
if
symptoms
change
or increase.
Plavix and aspirin can cause gastric-related problems -- but
it's very important to keep taking these very important medicines to lower
the risk of blood clots inside the stents -- this may be why your doctor
prescribed heartburn meds. You're also doing the right thing working out
-- staying active, eating right and enjoying it when people compliment
you!!
Forum Editor, Angioplasty.Org, August 2, 2010
I am a 53-year-old female who had a heart attack
on February 21, 2010, with no warning symptoms and no typical risk factors.
I underwent an immediate angioplasty and received two drug-eluting stents
in my LAD artery, followed three weeks later by another angioplasty to
insert a bare-metal stent in my RCA. I added Plavix and Coreg to the
aspirin I've taken daily for years. I felt very well for several weeks
but then
started feeling mild chest pressure about 20-30% of the time, sometimes
(but not always) after exertion, sometimes (but not always) after eating,
sometimes just on waking, sometimes when I was simply sitting. A stress
test revealed no blockages. It's now been five months and the episodes
of chest pressure, and sometimes palpitations, continue on an irregular
basis. My cardiologist suggested heartburn meds, which I take, but the
discomfort just doesn't seem to be gastro-related. I'm a bit frustrated
about all this but not particularly depressed. At least now I work out
regularly, and people say I look good (compared with being dead, I should
hope so!).
Susan, Illinois, USA, July 28, 2010
Tish in South Africa -- thanks for your kind words.
Regarding your mother, was her BP normal BEFORE the stent?? Have
you consulted specifically with the interventional cardiologist who performed
the stent
procedure??
This
blood pressure reading
of 184/104 is extremely high and needs to be lowered ASAP. Does your mother
have any kidney problems? She had a reaction to the iodine in the contrast
dye, too much of which can affect the kidneys. Kidney disease and high
blood pressure are related.
Forum Editor, Angioplasty.Org, July 20, 2010
Hi All, Great site and valuable discussions.
But all I read here is problems and no solutions. I found this site in
pursuance of some answers as my Mom had a stent done. Since then her
blood pressure is 184/104 every evening. Why? she takes 3 different tablets
for
BP but still this problem. PLUS she gets out of breath which never happened
before the stent? During the stent procedure she had a reaction to the
iodine. Thank God she survived that traumatic experience. Can't we get
a Professor to comment on some of our questions? Doctors and Cardiologist
are just milking us dry on every visit, but can't really help!
Tish, Johannesburg, South Africa, July 14, 2010
Mr. Hegde -- if a patient is not feeling well
post procedure, it's never a bad idea to consult with
your cardiologist. If there's nothing wrong, it sets your mind at
ease and can relieve some of the anxiety. If there is something wrong,
medications
can be adjusted, or other measures taken to help -- the idea is that
after angioplasty, the patient is supposed to feel better, not worse.
Forum Editor, Angioplasty.Org, June 1, 2010
I am 62 years old. I had angioplasty 4 weeks ago and one stent has been
put for a single block. I have been discharged two weeks ago. Since discharge
I have been experiencing mild pain in the mid chest area and breathlessness all
the time & my throat becomes dry. Is this common ? or should I see my cardiologist?
R.K.Hegde, Consulting Engineer, Dharwad, Karnataka State, India, May 30, 2010
almost 1 year ago I had two stents put in due
to blockage. They caught this when I was having a very hard time breathing
with chest pains. After the stents I felt good for about 1 month and
the chest pains came back. They went back in and every thing was good.
It took
about 7 months until I felt good with out chest pains. The Doctors think
it was some small veins of the heart that were not 100% plugged and could
not have stents put in. For me I thought I would never feel better but
I do. so do not give up hopefully it will work out for you as it has
for me.
Andy L, Two Rivers, Wisconsin, USA, May 24, 2010
hello, i had a stent put in 1 month ago, for
this last week i have been getting all sorts of pain in my chest and back,
it's as though i have strained my back and when i move suddenly i tense
up, causing the pain. i have also got fresh bruising on both sides of my
chest, on the right side there is an underlying lump. and generally feeling
unwell. help!
Barry, UK, May 22, 2010
Margie -- if you check out our topic on "Complications
from Catheterization, Angiogram or Angioplasty" you
will find many stories, unfortunately, like yours. It is a complication
with catheter-based procedures done from the femoral artery or groin
-- only 2% or so, but it's a 100% if it happens to be you. It may
be a traumatized nerve or other related problem. Have you reported
this
to
the interventional
cardiologist who placed the stent??
Forum Editor, Angioplasty.Org, May 15, 2010
I am a 51 year old female who had a medicated stent put in on 3/26/10.
It is now six weeks later and I am still walking with a limp...the insertion
area was fine, no lump, no redness, bleeding stopped just fine. I wake up feeling
good, then as I go about my business, my leg starts to just wear down. By the
end of the day, I feel as if I am dragging a dead limb around with me. I also
get a pulling sensation around my groin that lasts for about 2 secs. The back
of my calf bothers me, not pain, just an uncomfortable feeling, the top of my
thigh is tight...The problem with my leg is what kept me out of work for six
weeks....couldnt go up and down stairs or walk for very long periods of time.
Very frustrating since my favorite activity of ALL time is walking. Has anyone
else experienced anything else like this?
Margie, Long Island, New York, May 13, 2010
I am a 62 year old male who had a heart attack
in November 2008. Had 2 stents inserted and felt weak and endured slight
pain, until I had a 5 graft by pass in March 2009. Once again suffered
bad chest pains and was hospitalised about a month ago. They found out
that 2 of the arteries that were grafted were totally blocked. They inserted
2 more stents. It’s nearly a month since the insertion and I feel pinching
pain, sensations in the chest and squeezing pain. I try and walk 15 mins
twice a day with great difficulty. I will be seeing the Cardio next week.
Never felt so bad and my self esteem is quite low for an outdoing person
like myself. Anybody with similar problems?
Allan, Melbourne, Australia, May 2, 2010
I am a 52 year old male, good shape, non-smoker,
healthy eater who experienced shoulder, arm and chest pain while on a golf
vacation in Charleston, SC. Was
admitted to Roper, had a cath and stent put in Mid RCA due to a 99% blockage.
This was 7 days ago and I feel great. Starting to exercise a little with no
immediate issues. The last two nights, I woke up to a little should and
arm pain. I am
on Plavix, Toprol XL, Vasotec, Aspirin and Omega-3 Fish Oil. Blood Pressure
averages 100/60. I am thinking that while at rest sleeping, my Blood Pressure
lowers and
thus causing the minor pain? Does anyone else have this or thinking this way
or am I on the wrong track.
Rob G, Ontario Canada, April 30, 2010
Got 4 stents over a year ago - exercise induced
angina. My hunch is I only needed two stents. I had pain (that I never
had before the stents) immediately after and it has become less, but
never went away. Beware of over-stenting -- some of these doctors are looking
out for their pocket-books instead of the patient. Make sure your doctor
is using IVUS and/or FFR - I would opt for bare metal stents.
Karl, Lawrence, Kansas, USA, April 26, 2010
En -- actually 50% is the "tipping point" figure
as you call it. However, this can be misleading. We've written about
other technologies, called FFR and IVUS, which some cardiologists think
are better ways
to judge
if a blockage
needs
stenting. FFR actually measures the blood pressure inside the artery, across
the blockage. It may seem counter-intuitive, but what may look like a significant
blockage on an X-ray angiogram (the "gold standard") may not
actually be reducing the blood flow to the heart. The
FAME study proved this and showed
that stenting guided by FFR had significantly better outcomes than stenting
guided by angiography alone. We see that you live in Washington. The cardiologists
at the Washington Hospital Center are big believers in IVUS and FFR (read
our interview with
Dr. Waksman). The question of menopause is not one we can
comment on. Again the idea is to reduce risk factors as much as possible.
There's no reason to think that this disease, if kept under control and
treated, should result in a heart attack.
Forum Editor, Angioplasty.Org, April 26, 2010
Followup to April 4
post -- The pain - those pinching
sensations - have gone away fortunately. Thank you for your support. The
doctor didn't
seem
to
want to add another medication
(anti-smoking) to my list. I do feel lucky being alive but it's an adjustment
trying to alter life style and outlook. I have a couple of other questions: Why
do they put a stent only after a 70 percent blockage? Is that the tipping point?
Do you feel much worse after that - risk of heart attack increases? One other
question, I haven't hit menopause yet. Is my heart disease going to get worse
after that? They decreased my aspirin from 365 to 81 mg because of all the (monthly)
side effects, which was a good thing.
En, Washington, DC, USA, April 25, 2010
I received a stent in Dec. 09. Currently my pulse
rate is low. Is that dangerous? My doctor put me on another blood pressure
pill and wants to hook me to a heart monitor. Should I look for another
doctor?
Ron R., Nevada, USA, April 19, 2010
En -- After three months, much of the stent will
be healing, getting covered by endothelial cells. The body is very smart
and it sensed this foreign object immediately! That's precisely why it's
important to start taking Plavix and aspirin ASAP -- to keep the blood
from clotting around this unknown interloper: the stent. So your body isn't
"rejecting" the stent. However, and this will be something you've
heard before, you must stop smoking --
even
two
cigarettes
a day.
It is the highest risk factor there is for coronary artery disease -- no
question
about it. If
you are looking to feel better, you need to seek out help to stop (it is
really hard to do this
alone!) -- your doctor should be able to at least prescribe something to
aid you in this. Consider yourself lucky that a technology exists that
opened up an almost totally closed LAD without surgery. You've gotten a
second chance -- now do the best you can to reduce your risk factors.
Forum Editor, Angioplasty.Org, April 8, 2010
Around three months ago they put a stent in my heart - LAD. 99.9% blockage.
There are other blockages down the road but not up to 70%. I started feeling
some pinching now and then on the left side after they did an echo about a month
ago. If I exerted myself it got worse. It felt like the body is rejecting or
squeezing the stent to me. As if it's just detected it and is feeling its way
around it. I haven't been able to quit smoking (twice a day). Not the athletic
type, have had thyroid problems. Now after a couple of weeks it seems to be subsiding.
Causes please?
En, Washington, DC, USA, April 4, 2010
RS -- thanks for your experience. Your observation
that stress can play a large part is true. Especially since the surprise
discovery of a blockage is a big and stressful realization for someone
with no history or reason to believe they have coronary artery disease.
(It's those genes!!) One addition -- if you are experiencing heartburn,
there are drugs you can
get to reduce
this
-- H2
blockers or
PPIs. There have been studies that PPIs may reduce the effectiveness of
Plavix, but nothing has been proven absolutely yet.
Forum Editor, Angioplasty.Org, April 4, 2010
After being treated for reflux for a month, stress
test revealed a problem. Coronary catheterization revealed a 95% blockage
so stent put in. I'm 44, never smoked, pretty healthy and active, good
weight, normal cholestorol...even before...so why is anyone's guess. 3
weeks later and still get some "weird" chest feelings, odd sharp pain,
and shortness of breath at times. Trying to return to more activity but
it is slow. I believe I have a good idea what causes most of our symptoms.
First off, the aspirin is VERY hard on the stomach and can often cause
heartburn. Secondly, the blood thinners cause dizziness and shortness of
breath...also probably
the "weird" feeling as the blood flow is very different now and we must adjust.
Finally...good old paranoia, stress and anxiety. Prior to any heart issues most
of us would probably not even notice what we do now...and of course our fears
cause an overreaction from our minds and bodies. And no doubt the fact that these
symptoms almost always go away...after a week, a month or 6 months...means it
just takes time for adjustment. Obviously if so many of us have it, seems pretty
normal to me. Hell...Im alive.
Not gonna stress this anymore. Cheers!
RS, Canada, April 1, 2010
contact me at any time re stenting or heart attack
questions tnk u
Elaine, Long Island, New York, USA, March 29, 2010
Rukhsana and others -- many in this topic, going
back 5 years even, report discomforts of sorts right after stenting. This
may come from a number of sources, but usually resolves after a few weeks.
Sometimes it's the addition of new medications. Most important is if the
symptom of angina returns -- you should definitely see your cardiologist
to rule out reblocking of the stent.
Forum Editor, Angioplasty.Org, March 20, 2010
Hi, i'm 46 years old female. I had 3 stents placed
in LAD and RCA which were severely stenosed with 90% blocked. I feel
pain in my chest with radiating to my left shoulder and jaw. I feel pain
in
my chest on going to the bathroom. I am really anxious.
Rukhsana, Islamabad, Pakistan, March 15, 2010
Hi, I am a 69 year old female. I had a Taxus Liberte
stent placed in the right coronary artery on Sept. 10, 2009. On Sept. 22
I went to the E.R. as my
blood pressure went to 210 over 120. They worked all night to get it down.
No Blood Clot. I am on Plavix and 81 gr. aspirin. The next day I started
with heat
spells and high blood pressure immediately after. I am allergic to M.S.G. and
that is the reaction I have to it. and Benadryl will stop the reaction ,so
I took Benadryl and it stopped it. After that every evening it would start
about
8pm . Then it went to part of the day and all night. I have had this reaction
for over three months. Taking up to 8 Benadryl a day. All the heart Dr. said
was it's in my head or try to give me more high blood pressure med. My blood
pressure is normal except when I am having a reaction. I am allergic to a gold
ring. I never had this problem until I got the stent and I believe it is the
stent. The medicine on the stent is supposed to wear off in 1 month. The allergy
Dr. I went to said it might still be the med. on the stent. I do have irregular
heart beats some since also, and it feels like a butterfly sometimes. Has anyone
else had these symptoms?
Cynthia C., Pearce, Arizona, USA, February 26, 2010
I had pain after first stent and more after the
second stent which was inserted after restenosis. Hoping it will go away
tomorrow, it has been 24 hours.
Tommytooth, New York, NY USA, February 20, 2010
anyone have jaw pain after stenting and heart
attack? Thank you for all the wonderful info.
Elaine, Southold, New York, February 18, 2010
Hi, i'm 54 years old. i had a bare metal stent
installed march of 2009. On feb10, 2010 I had a medicated stent installed
in the same spot to alleviate the scar tissue that formed. Now 7 days
later I feel numbness in my left arm and sometimes in my chest especially
after
walking at 4 mph for 5 min. Is this normal or has the stent closed. By
the way I'm on plavix and aspirin325 with perfect blood
pressure.
Skip P., Holmdel, New Jersey, USA, February 17, 2010
I had angina upon exertion and coded during my
treadmill exam. LAD 99% blocked, two stents later, beta blockers, Plavix,
etc. I feel well at resting
heart rates but begin to feel the burn whenever I exercise moderately, go out
in the cold or after a heavy meal. I take a nitro tab and that relieves the
angina but I get the nitro headache. I'm glad it's not my imagination as
it seems I'm
certainly not alone. All the tests say I should be like new, I am very much
improved but not what I'd hoped for. It seems to be gradually improving
or I'm getting
used to it, It's been three months.
Sam Young, San Lorenzo, California, USA, February 13, 2010
I had angioplasty very recently (8th Feb) and
experience more or less
the same as mentioned above. Very similar to hypo.
MD Randall, Hong Kong, February 12, 2010
bodyfortheages.com This may be the best site
to help us who have angina/severe chest pain post drug eluding stent.
See my earlier posts on this ptca.org forum. I have had severe terrible
chest
pain since morning after large Cypher implanted. Tried 50 or more types
of prescriptions, all statins, all beta blockers, hundreds of types
of supplements, painkillers, EECP, stem cell surgery in Thailand (waste
of $30,000), chelation, Phosphytidlcholine IV therapy, 4 angioplasties,
Ornish
diet, various aerobic exercises and on and on, all useless for me.
Creatine
Pyruvate with light weight training (important combo) helps me reduce
chest pain better than anything now 2.5 months into it. Not perfect,
but reduces
my pain very noticeable say 50% at times. Still watching this to see
if it continues. Studies show pyruvate could restore endothelial function
of coronary vessels. When I stop pyruvate, pain very severe in 2 days.
Back on, big pain reduction. Tested this over and ove r. 2 other companies
also make/sell creatine pyruvate, but only this one seems effective
on me. Best thing I tried by far. Will report back in 3 months. Note: make
sure it is creatine pyruvate, not calcium pyruvate.
Steve from Florida, Palm Beach, Florida, USA, February 4, 2010
I had a stent placed on 1-19-10 for 75% blockage.
I am 62 yrs old. My main symptom was shortness of breath. That has been
mostly relieved. Since coming
home, I have not felt very good with slight chest pressure, lack of appetite
and low energy. Is this just part of the recovery period?
Gayle V., Kearney, Nebraska, USA, February 2, 2010
had 2 medicated stents placed on jan 7 2009.
95% blockage in descending lad. my symptoms were crushing pain in my
chest with minor exertion. since the stents i have had regular soreness
in the
center of my chest, even when resting, almost every day. doc says i am
fine, several visits and an echo cardiogram all normal. the soreness
leads to serious anxiety. going for an exercise stress test
tomorrow.
Mitch, New York, USA, January 27, 2010
my husband has got a heart attack and underwent
angioplasty and one stenting. It is three weeks past. what precautions
has to be taken now. Can he start the
regular activities like walking etc. Yesterday i observed him taking a deep
breath and now and then he is belching and burping and gas release through
anus. pl
suggest
us the remedy.
Jayashri, State Bank of Hyddrabad, Bangalore, January 26, 2010
My husband went into surgery for renal artery
Stent, came out with heart Stent. That was Oct. 09 and he has never recovered.
He is EXHAUSTED and sleeps all the time, he falls asleep as soon as he
sits down somewhere. He has had 2 bouts of Bronchitis since October and
is now having night fevers. He is 58 but I swear he seems older then
my 78 year old dad. Hubby is adopted so no family history. I feel like
I am
losing him and his family doctor is pretty useless, just keeps ordering
more medications. He is currently taking, Procardia 30mg and 60 mg, Toprol
XL, water pill, Metformin, Insulin, Simvastatin,Plavix,Aspirin,Bystolic,
Clonidine, Lisinopril.
JJP, Chicago, Illinois, USA, January 25, 2010
Year 2000 I had an Heart Attack and was given
a Stent in the right artery and following week, due to breathing problems
had a double bypass on the left
side (No Plavix). In Dec 2009 had a rock feeling in the middle of my chest,
so all X-rays/blood test showed normal but due to my CABG the hospital
perform an
catheterization which showed the lower right artery blocked and the double
bypass was also blocked, so I had 3 Stents,Cordis, inserted. the following
day was discharge
and started taking Plavix,the next day I developed sleeping problems and a
modest chest pain. I didn't have a follow up doctor appt until the next
month, so after
2 weeks of this I went back to ER and was told I had Aerophagy. Well the med's
for this didn't help so I went to another hospital ER and their ER placed me
as an inpatient and I was given an Echo/Ct Scan and the following day another
Catheterization, and to my knowledge the doctor didn't give me a dye for looking
at all the arteries, but the doctor stated all 4 stents were Clear? Could you
answer a question Please, What's your Opinion about possible Breathing difficulties
after stent placement?
David H., St. Louis, Missouri, USA, January 19, 2010
Ok folks here is my story. My name is Tom , 53
year old male I though i was in reasonable health for a Diabetic. I am
not over weight 6'2 200lbs, Had chest pains, shortness of breath and
cold sweat on an afternoon in Nov of 2007. Blew that off till returned
a week
later went to the emergency room and had a stress test. Nothing showed
up however I new something was wrong fired that doctor hired another
and had a cardiac cath 30 days later. The doc was great and inserted nine
drug-eluting
stents 5 in left coronary artery and 4 in the circumflex artery. A year
later i had two more put in just for good measure. I was depressed and
scared all to hell to tell you the truth. Since then I am doing great.
I take plavix, aspirin, and a host of blood pressure, diabetic, and Cholesterol
medication. I exercise 3- 4 days a week and feel good. To all that have
had this done all I can say is you know your body, fight for knowledge
like i have. I fired the first doctor because i knew something was wrong
and the second did not think he would find anything, SURPRISE SURPRISE.
Keep the faith and good luck
Tom Knight, Dunbar, West Virginia, USA, January 17, 2010
48 years old had one stent in 5/09 at U of Iowa.
Have felt bad ever since. Think twice before you go in, it might change
your life. Dr Johnson was Cardiologist
haven't heard from her since. Was told she will be calling to check with me.
Don't hold your breath.
Lee McLaughlin, Bettendorf, Iowa, USA, January 16, 2010
65 yr WM. On 9/2/09 had two drug-eluting stents
installed, one in proximal LAD and one in right coronary artery. Already
on Lisinopril, post-stent, doc prescribed Clopidogrel, Simvastatin and
81mg aspirin. 20 days later broke out in hives with extreme pain and itching
in both hands. Took myself off Simvastatin, told doc what I'd done, and
within two weeks most of these reactions cleared up. Doc disagreed, however,
that reactions were triggered by Simvastatin. Since stenting, have had
first: intermittent"pangs," "twinges," minor "stabs" (seemingly triggered
with quick turning of the head when (say) looking over shoulder to make
a lane change), and other assorted minor--but disturbing--discomforts behind
and above my sternum. Have commented to wife that it feels like the stents
are "sticking
out" in my chest. Doc thinks it's in my head. More recently, mild "blooming" angina-like
discomfort--nearing pain--is often continuous and in same location. Doc talked
me back into the Simvastatin in early December and, so far, hives/pain/itching
hasn't re-erupted. So, I'm 4 1/2 months after stenting and still wondering what's
really going on in there. Sound familiar?
AA, Amarillo, Texas, USA, January 15, 2010
I had a stint [stent] placed in last may 2009
and now 7 months later I'm still having chest pains. I take plavix and
aspirin and beta-blocker and i think
God for the Morphine i was put on years ago for migraines. the only think that
helps me forget the pain is the Morphine and walking. I live in michigan and
i walked 3 miles each day. Now it is winter and i can't walk so i am moving
to florida to walk. If i did not have the Morphine to sleep i would be
in so much
pain i want to end my life.Gone without pain pills one night and prayed all
night to Jesus asking for help to get me through the night. Been to the
heart doctor
two or three time checked me out and said i was fine.They do not care.Told
them if i have to live with the pain the rest of my life i rather not had
the stint
in. well you would have died and i said at least I would be home. Listen up
people i am a christian man but i so want to sue the makers of this stint.
yes it is
a medicated stint. the only way to help people is find out why these stints
are giving us so much pain. Everyone thinks i am crazy and say nothing
is wrong with
me. I know my hands is in are Fathers hands so i pray and think him for the
life he gave me.
CH, Michigan, USA, December 28, 2009
Hi , my mother had a stent put in October of
this year and since then has complained of tiredness and muscle pain.
She is taking medication but recently has felt muscle spasms in the arm
that
she had the angioplasty.Is this normal? I Would appreciate any response
as this is causing my mum anxiety and stress.
Nadia, London ,UK, December 24, 2009
I have recently received two medicated stents.
(One on Wed. 12/16 and the second on Friday 12/18) One for an artery that
was 99% blocked and another
for a 70% blockage. Because of a snow storm here in DC the Drs. office is closed
and I can not make a follow-up appointment until tomorrow. I feel well, but
do have some funny sensations. Is this normal? Should I be concerned? I
don't want
to go back into the hospital...but don't want to ignore signs.
BG, Washington, DC, USA, December 21, 2009
Hi folks I had a stent put in on 1/6/2009 after
a heart attack im on all the meds but still have chest pain that lasts
for 15 to 20 seconds I used to get it 20 to 30 times a day but now it
can be 50 to 60 times a day when at rest. I have been back to the doc ECG
clear
blood tests clear they say im fine problem is its not them who have to
live with this I get days when im so tired I cant do anything and that
in turn leads to depression I can see from the other posts that im not
alone. Please if anyone knows the cause of this pain or a way to deal
with it I would be grateful for any help as this not only affects me it
also
has an affect on my family thanks
Gerard, Northern Ireland, December 19, 2009
Feedbacks of a 54 years, male, chronic smoker(since quit),slightly diabetic
(113/140), normal BP0ne stent in april 2008 and 2 more in nov 2008 for 98&99%On
both occasions for a fortnight felt sharp pricks in the heart, that gradually
vanished.All activities restored including walking 5 miles a day,driving my car,
riding my son's bike, and climbing stairs to my 4th floor apt.Good diet control.
Persisting pain in left chest area found to be muscle-related and cured with
light exercises.Feeling fit now with occasional bouts of fatigue due to a thickened
valve which has to be replaced in 3/4 years time.I have forgotten that I have
3 stents in my heart and lead a happy - but careful - life with wife of 28 years
and 2 grown up children.I don't panic or feel pressure.While walking up gradual
gradients feel tightness in chest which vanishes on reaching level ground. But
this tightness is not felt when climbing stairs.Why?I have found that (at least
in me) that physical conditions roll back to normalcy once you remove that consciousness
about stents that adorn your heart! I wish all who read this, this gift of God,
better still a clean heart not requiring any meddling up at all!
N. Gangadharan, Pune, India, December 12, 2009
Hi, i'm a 52 year old male, I had a stent placed
at LCx 80% back on 15th August, 2000 and unfortunately the same clogged
again. Yet another stent was placed at the same position on 02 May, 2005.
From last few week I am feeling pain in my left arm and in the chest
and this normally happens after consumption of meal and is more frequent
if
go to sleep immediately after the meal. Shortness of breath after doing
small amount of work is also felt. Till the time I am sittng or relaxing
I am perfectly fine. As soon as I do small exertion or even walk for
10 min, I get pain in my left upper arm and heavyness and pain in chest
Is
it normal or should I worry. Should I keep on walking or I should rest?
I am also diabetic with high levels of cholestrol, can it be related
to that also?
Mustafa K., Karachi, Pakistan,
December 12, 2009
Jean -- there may be a physical component here,
but another possibility is depression -- a study was just presented at
the American Heart Association meeting in Orlando that discussed this
issue after bypass surgery, but we think there may be implications even
for patients
who have not had surgery, but angioplasty and stenting instead. Part
of the issue is how to deal with the unexpected and often sudden presence
of
coronary artery disease (was this your first encounter with heart problems?)
-- Although geared towards surgical patients, some of the information
on the study's website may be of benefit. It's called "Bypassing
the Blues" -- a government-funded study done via the University
of Pittsburgh. Let us know what you think.
Forum Editor, Angioplasty.Org, December 8, 2009
Just had double stenting on 12/2/09, discharged
12/3, caught infection in hospital and sick since (4 days). Am completely
lethargic, immobile, depressed, unmotivated, no appetite, don't want
to talk to anyone, answer phone, emails, texts, facebook, etc. Could this
be side effects of surgery, medications, etc.? Taking Plavix, Isosorb,
Cozaar, Lipitor, Atenolol. No noticeable improvements. Comments/suggestions?
Thanks.
Jean A., California, USA, December 7, 2009
This
is the best article to explain what is wrong with us... there are newer
articles and american written that say the same thing... but I like this
one as it is so easy to understand, has pictures of the problem, etc. I will
later post another article that tells what some doctors are trying drug wise
to help, but none of the drugs helped me really. One is Celebrex, for example,
or prednisone, dangerous drugs perhaps, but tried by doctors. Note other
recent articles written by american doctors and scientists about patent (completely
open) stents, yet severe chest pain/angina, are by some very esteemed doctors.
Some others suggest it is the plastic (polymer) coating around the Drug eluding
[sic] stent adding to the already big problem of constant non-bending and
stretch. The problem of post (after) stent pain would occur with the bare
large stent, but not as much as with the Drug eluding [sic] stent... ..if
you really take time to search the web, you will see dozens of well written
articles about it... only way out I think seems to be to somehow have a bypass
around the stent, eliminate it. ..In my case (now 5 years old) it would mean
perhaps a 5 way bypass, since the stent is sticking into the left main, though
the blockage was originally only in the small part of one vessel, the LAD
ostium (end). So I am screwed. Others I know were able to bypass and remove
the stent with out much trouble, single vessel, etc., though it was open
chest, heart out, heart lung machine, full bypass, but only one vessel. In
my case, a 5 way bypass would be too dangerous, so I have sought other means
without success. I have tried all natural anti inflammatories with no success.
I feel time is running out. I have severe chest pain every nite and morning
since the morning after it was installed. Including now.
Steve G, Florida, November 20, 2009
Hi im glad that im not
the only person to still get a sharp chest pain that lasts for about
15 seconds after getting
a stent on 1/06/09 it has started to increase to about 30 times a day
doctor said im fine but I dont feel fine If its not the stent what
is it?
EG, England, United Kindom, November 16, 2009
Hi my dad had a angiogram a month ago, when
ever he walks he feels pain in his chest and i am deeply concerned. He
is also a diabetic at the same time.
Please let me know what could be the cause of the pain.
Sara, London, England, United Kingom, November 6, 2009
Hi, I'm 32 years old female. I had 2 stents
placed 2 months back, one in RCA (95%) and other in LCx (90%). From
last one week I am feeling pain in my left arm and in the chest. Shortness
of breath after doing small amount of work. Till the time I am sittng
or relaxing I am perfectly fine. As soon as I do small exertion or
even
walk for 10 min, I get pain in my left upper arm and heavyness and
pain in chest Is it normal or should I worry. Should I keep on walking
or
I should rest? I have stones in Gall Bladder, can it be related to
that also?
Meenu N., Delhi, India, October 29, 2009
had 5 stents put in jan.30, 09 recovered great
now for the last 3 months when i breathe it feels like i am breathing
ice cold air.
John C., Virginia, USA, October 28, 2009
I had a renal angioplasty to the left kidney
5 days ago which was ballooned because I am allergic to metals. Since
this time I have less energy than I did prior to the procedure. My
abdomen feels bloated especially after walking and I also have a hard
pea-sized
lump near the site and still feel discomfort (stinging/achy). I was
told I could resume work in 2 days but still do not feel strong enough
to
return at this time. Are these normal reactions? I was given a script
3 days
before surgery for of am Plavix 75 mg for 30 days.
Denise C., Florida, USA, October 25,
2009
48 yr male with a family history. Started having
occasional flutters in my chest...angiogram was done...blockage was
found and a stent was put in two
months ago. I still get the occasional odd feeling in my chest. Not a debilitating
pain or sharp pain just a discomfort. Sometimes when i take a deep breath I
get a very slight discomfort much like the one you get when your fighting
a cough
or chest cold. Sometimes its a pain in the shoulder blades or a dull pain right
in the center of my breastbone up near the clavicle. These pains all seem to
come when resting or at times of inactivity. They are minor enough that when
I go about my business I don't even really notice them....but they are still
there. Since the procedure I have gone back to working out and walk 3 miles
a day five times a week on the treadmill and get NO discomfort when exerting
myself.
It seems the only time the discomfort sets in is while at rest. I am on plavix
and aspirin in the AM and crestor and metoprolol in the PM. After reading all
these posts my mind is put somewhat at ease to see that others are going through
the same things however I'm going to mention these to my cardiologist when
i see
him in 3 weeks.
Jim, Buffalo, New York, USA, October 21, 2009
I had 2 cardiac stent placements about 2 months
ago and ever since have experienced severe GERD symptoms. I can't sleep,
have large amounts of foam regurgitation, burning in my throat and
chest,and the feeling that something is stuck in my throat. I have tried
prescription
and over the counter antacids without any relief! Why has this been
happening since the stent placements?
Sandra, Arkansas, USA, October 11, 2009
I had a medicated RCA stent implanted on 9/3,
I am a 54 y/o female. Although i am happy the blockage was found and
opened i have been having issues since
9/3. I am taking Plavix, Simvastatin, 81 mg aspirin and Toprol XL 25 mg 2X
per day. Initially I had terrible palpitations but they have subsided.
Currently
i have pain/heartburn under my breastbone within 5 minutes after I eat, I have
occasional pain/pressure in my left arm/in the back of my shoulder usually
associated with exercise. I am now taking Zantac 300 mg 2X a day as well
as Xanax as needed.
I am upset that i still don't feel remotely like i did before all of this started,
i take multiple pills and more pills to counteract the other pills. I used
to ride a stationary bike 50 miles a week, now i have arm discomfort
after 2 miles.
I really thought/hoped that once the stent was in things would be great. Now
i wonder if things will ever be good. Thanks for your thoughts.
Ellen, New York, New York, USA, October 2, 2009
I am writing on behalf of my mother who is
57 years old and who recently suffered a heart attack and as a result
had a metal stent inserted due to a narrowed artery. I have read the
various articles below and it is good to hear finally that other people
have encountered the same conditions post the metal stent. My mother
is suffering from dizzy spells, numbness in the arm, throbbing feeling
throughout her body and heartburn, it has been now been 6 weeks since
the stent was put in. She is also on a lot of medication which again
has been mentioned below from others also. She is feeling very down
and depressed can someone tell me good news in that this will get better,
as the doctors are just telling us everything is normal and not to
panic.
If you do feel better now how long did
you have to wait ?
Margaret, Northern Ireland, September 27, 2009
I am a 61 yr old wf, and have 5 stents in the
upper LAD and LAD. The first was in 2002, bare metal, and other 4 were
between 2007 and 2009, I have had the
nuclear tests and the last ones did not reveal my blockages -- on the CT revealed
the blockages, I am on about 12 medications. I do not feel well, have chest
pain and chronic angina, the doctor says I am fine, but I have the radiating
chest
pain again, shortness of breath, very exhausted and depressed. I am pretty
scared, my father died of a heart attack when he was 50, I am an only
child. I keep telling
the doctor of my signs and he keeps telling me I am okay. Do any of you run
into that after awhile you just don't complain to anyone, even though
you know something
is going on.
Sharon, Alabama, USA, September 25, 2009
To: Everyone Now 5 years later, same very severe
chest pain every day, after very large Drug eluding [sic] stent placed
9 mo after 2004 MI in ostium of LAD. Done at Cleveland Clinic Weston
FL.
The
Cleveland Clinic interventionist just ignored me for no reason. Said
it must be esophageal ulcers!... Later went to top Cleveland Clinic Gastero,
who did extensive studies, said everything in esophageal area perfect
and sent me back to Cardiologist who again blew me off for no reason...
Cleveland Clinic intervention dept. could care less... Refused to look
into it... Still now just as bad as first day. I have tried everything
to no avail. Dozens of drugs, Renexa, all B Blocker brands, C Channel
brands, Ace Inhib brands, hundreds of types of home remedies, supplements,
best Co Q available, Chelation, Phosphitylcholine IV therapy, Stem Cell
angioplasty in Bangkok Thailand with Theravitae (complete waste of $30,000.00).
Nothing natural I took made me worse or better... but all drugs would
actually make my condition worse, so I would search around, or stop them...
Also complete IVUS of stent at Mt Sinai in New York by top interventionist,
and investigation of stent over and over, including extensive esophageal
investigation, and aorta CT's... all super normal. Records sent to top
7 interventionists in USA, heads of departments at major hospitals: Current
thoughts: Doctors at U of Texas Austin, and N Western U Chicago told
me that they have documented thousands with severe pain like mine from
Drug eluding [sic] stent. Johnson and Johnson blew me off when I contacted
them, could care less... The Texas/Chicago study is on web. It
involved 11 major hospitals
and thousands
of cases. Read it. (Editor's note: you can read Angioplasty.Org's
article about the Texas/Chicago study here,) Possibility
now: one Florida top interventionist (and U Texas Drs also) recommended
he
gives Celebrex to many of my type of cases, of which he said there are
far more than reported (and steroids perhaps cortisone or other steroids,
if Celebrex does not work) to reduce severe constant stent caused inflammation.
The Texas Dr's also try these remedies. Have tried all over the counter
and natural inflammatories, hundreds... none work. Will now consider
dreaded Celebrex, but he said to increase aspirin a lot when taking Celebrex,
if not on Plavix. Now off Plavix for years. Local Cardio does not like
the idea of celebrex, and especially no way to Cortisone, and I agree
that Cortisone (steroid) not an option. Any one extensively investigate
this as I have?
S J Greenwald, Palm Beach, Florida, USA, September 21, 2009
Beverly -- a 20% narrowing normally is not considered
significant enough to perform an intervention. One question, which the
stress test might answer, is whether the 20% blockage is "ischemic"
(is it reducing blood flow and causing your angina)? A newer way to have
measured this would have been to use an FFR
(Fractional Flow Reserve) catheter during the angiogram. A few extra minutes, and
less
expense,
etc. would
have
yielded
a more
accurate assessment. Unfortunately only about 5% of cath labs use this
technology.
Forum Editor, Angioplasty.Org, September 19, 2009
Thought I was a pretty healthy 62 yr.old female.
Stopped smoking 4 yrs ago , don't drink at all and I am very active.
Complained of pressure in the
chest to dr. and had an ekg, negative. One month later 04/03/09, had two strong
pains in arm and chest, more like hot pressure, ended up with drug eluting stent
in lvef 75%. First two months felt great, then it went down hill have had this
pressure in left arm and chest, they think I am nuts. Had another cath 09/17/09
found 20% at sight of stent now have to do stress test to see if it is more than
20%!!! May have to have another stent. Still have the pressure and shortness
of breath and low HR 30-40 till I want to pass out. anyone else? There trying
to adjust my medication and say maybe a pace maker may do the trick, anyone out
there have
this problem?
Beverly Austin, Reynoldsburg, Ohio, USA, September 18, 2009
I had two stents done on September 3rd, 2009.
I am just not feeling right. Have pains in my chest but Dr. at PT says
this is normal and should pass after a month. But after reading this
Forum "will It"? It also seems like I have these weird thoughts. Just
glad to be alive.
Andy, Wisconsin, USA, September 12, 2009
Good morning: I had a stent placed in LAD (80% blockage. I really
hadn't had symptoms but discovered this problem in a pre-op exam. Since
placement of the stent I have had jaw & ear pain and headache and shoulder
discomfort. Am on Lipitor, ToprolXL, Plavix, Lisonopril & aspirin. Are
these symptoms normal, am I adjusting to stent or meds? I am nervous
and anxious about all this.
Gloria, California, usa, August 28, 2009
I had angioplasty in February 2009 and was
diagnosed with angina, irregular heart beat and had one stent inserted
into the proximal LAD artery as there was significant disease involving
the mid to distal LAD artery amounting to 60 to 70%. I received a 2.75
x 33 mm stent and it was recommended I have a repeat angiogram in two
to three months with planned intervention to the mid to distal LAD artery
if no evidence of restenosis in the proximal LAD stent. Restenosis occurs
when
the "treated" artery starts to close over again. I was prescribed medication
for my angina and irregular heartbeat (6 tablets each day). After several weeks
I stopped all my medication and started eating foods that contain the same medical
properties. I bought a blood pressure monitor and check my pressure several times
daily. I stopped eating transfats and started eating flaxseed oil with cottage
cheese, onion, garlic, avocados, almond nuts, oats, natto, corn, fresh fruit
and vegetables, folic acid tablets, and I have normal blood pressure and feel
very well. Unless heart attack victims change their diet and simply rely on medication
they will continue to have heart attacks.
John T., Canberra ACT, Australia, August 24, 2009
First, thanks to all who've posted before as I've taken comfort from your
kinship. My circumstance is MI 03AUG2009, medicated stent LCX OM 05AUG2009 with
follow-on cath on 17AUG2009 leaving medicated stents mid-LAD and RPDA. First
cath post-op went well with no oddities so I was receptive to follow-on cath's
as in my assessment they would 1) improve blood flow and 2) reduce the likelihood
of a future MI. I now find myself with odd "ghost pains" (small quasi muscle
aches but inside the chest), what I presume (hope) to be acid reflux / heartburn
under the sternum and high in my throat, and lot's of anxiety which merely compounds
/ muddies things. I'm also frustrated as I was previously active and am presently
restricted to convalesce. My son is weary of being my arms and legs and my wife
if bravely enduring as my therapist. I definitely share the conflict I read in
many of the posts about should I go to the ER / I am a wimp / is my circumstance "normal." One
thing I haven't read but have found to be of some use is to take the Plavix and
aspirin with food. I also remind myself that I am fortunate to have survived
the MI and that angioplasty with medicated stents is a far superior option to
earlier procedures like CABG. Bottom line my MI was a blessing as it allowed
me to "remedy" a problem that could have resulted in far worse outcomes (just
not always easy to view it this way given post-op feelings).
Matt, Dallas, Texas, USA, August 23, 2009
Thomas -- you're unfortunately an example of
a patient for whom the standard nuclear stress test did not pick up the
coronary artery disease (CAD). Many of the imaging experts in our Imaging
and Diagnosis section have suggested that a CT Angiogram might be a better
test for identifying blockages than the standard nuclear stress exam.
Forum Editor, Angioplasty.Org, August 23, 2009
Jan '05 suffered heart attack - 99.5% blockage
of LAD. Had complained to GP about being tired, etc. Prescribed EKG,
Echo, and nuclear stress test - all showed there was no problem. Three
stents in LAD. Two stress tests showed I was doing great. July '07
went to dr with chest pain - eventually placed two additional stents.
Two
more stress test, Echo, and Doppler show no blockage and good function.
Have occasional chest pain (10-20 seconds). Is there a connection between
the chest pain and the stents. On Plavix, Coreg, Altace, and 320 mg
aspirin. Just put on Imdur in response to chest pain complaint. Can't
help but
wonder
what's next.
Thomas Ferguson, Middletown, Pennsylvania, USA, August 20, 2009
Elaine -- read through some of the other posts
and you'll find that you are not alone in your "post-stent" adjustment.
Definitely write down all of your complaints and get your cardiologist
to address them. Tiredness, joint pain, etc. can all be possible side-effects
from some of the medications, which may need adjustment. Depression is
a not uncommon reaction as well to your new situation -- perhaps your
hospital or cardiologist has a cardiac rehab program available. Very
often sharing these feelings with others is the first step to feeling
better.
Forum Editor, Angioplasty.Org, August 20, 2009
Hello everyone, my name is Elaine I had a stint
[stent, ed.] put in July 2009. On plavix, Lipitor, aspirin, Atenolol,
Quinapril and Hydrochlocrothiazide. I am tired all the time my limbs
are so heavy.
Plus depression. What am I going to do can't keep going this way will
see doc in two weeks. This is really hard because I walk now it is
so hard. Any advice out there?
Elaine, Pennsylvania, USA, August 20, 2009
hello on dec 18 i had a bare metal stent installed,
through diet and a new look on life i lost 37lbs and thought i was
in the clear, till last month
the pain returned in my left arm and some sharp 1-5 secs jabs in my chest.
they put in a drug alluding [eluting, ed.] stent inside the bare metal
stent and for
the first 7-10 days i felt great however last sunday, pain and tiredness
returned.
This sucks i
am
37 and have no known family history.
Larry, Brantford, Ontario, Canada, August 18, 2009
Wow! It is enlightening for me to read all
the posts here. I had a Promus stent in LCA less than two weeks ago
due to an 80 t0 90 percent blockage. Prior to that, I had always exercised
vigorously for 1 to 2 hrs a day, so this came as quite a surprise.
A
few days before the cath, I began feeling pain in chest and numbness
in both arms. The procedure went quite well, with no complications
and there had been no MI. A few days afterwards, I tried to resume some
of
my activities-biking a bit, running- and was astounded to find that
I had shortness of breath just walking a few hundred yards. Also, constant
fatigue and loss of appetite. After reading your posts, it seems that
all this is normal and I am being impatient. I am age 66, female and
want to run a marathon before I croak,
and this site has given me hope.
Jan F., South Carolina, USA, August 15, 2009
To recent posters -- you're right that this
question is asked all the time. It seems that people react to stenting
differently: some are fine right away, others seem to need a period,
sometimes a longer period, of adjustment. Assuming there are no vascular
complications to recover from (that's a whole other story) it's more
of an adjustment to the increased blood flow and often the medications
that are prescribed. Very often an angioplasty is the first time the
patient has been diagnosed with coronary artery disease, and the first
time several of the standard meds have been given. These drugs can have
side effects from shortness of breath and muscle pain to coughing and
drowsiness. We certainly suggest that all patients having ANY unexpected
symptoms should discuss these with their cardiologist. Assurances can
be given, meds can be adjusted and, in the rare cases where something
is amiss, corrective action can be taken. As for activity after stenting,
this is also an individual case-by-case decision to be guided by your
doctor. For more stories on weight-lifters, marathon runners and bicyclists,
read our Forum Topic on Exercise
After Angioplasty.
Forum Editor, Angioplasty.Org, August 15, 2009
I am 43yrs old male. LAD 99% blocked. I had
2 medicated stents, but even after one month experiencing pain and discomfort
in left upper part of chest.
I consulted 3 doctors and all necessary tests undergone were normal. The doctors
are having no answers other than saying that everything is normal. My concern
is still the same as why is this pain? and why the doctors are not having any
answer to my problem?
Dr S, Oman, August 14,
2009
Just had a stent in the LAD (1 week ago). Post
procedure, occasional clamminess, burning sensation in the chest (comes
in waves), strong heart beat and raised pulse that subsides with 25-50mg
metoprolol. Trust the cardio and the post op tests (all ok) but he
seems a little light on when it comes to explaining these disturbances.
Seems
I have company, thanks, its reassuring hope they subside over time.
The way I look at it all these are better than the alternative, I don't
want
to join the turf club yet! Will check in from time to time.
Kevin Darke, private citizen, NSW, Sydney, Australia, August 11, 2009
Hi. In Early July 09 I had to have a Stent
placed in my mid RCA as a result of a 98% blockage. I only have one stent
in
there and was placed on plavix, aspirin and a couple BP meds and cholesterol
med. After 10 days, my Cardio told me to resume normal activities. I
got back on my skates and started my program but found that after about
15 min or so, I feel pain up my throat and jaw particularly in the jaw
joints. I occasionally get some chest discomfort when lounging around.
I know this is asked a million times on this forum, but no one has really
answered it clearly. Is it typical to have an adjustment period after
stent placement? I have never taken BP or Cholesterol meds so is my body
adjusting to that stuff? Am I just being a baby and should just suck
it up? Most others I know who have had them said that they felt 100%
afterward, but none of them really exercised like I do. Any input here?
It would be appreciated.
Jake, Michigan, USA, August 4, 2009
Just a note of follow
up. It has been 10 weeks since I have had new alluding
[eluting] stents put in to open bare metal stents that closed up on me. I have
had the burning, angina and a feeling of mentholatum in my chest for
the
entire 10 weeks,
but it has begun to subside. Taking Plavix, Aspirin, Diovanin (HCT) and Isosorbide.
Something I didn't realize is that my symptoms occur heavily after I take the
meds or after a meal and then taper off. I took 0 meds prior to my MI last November.
Not even a tylenol....so my system isn't used to these meds for sure. I took
a TUMs after a meal and wouldn't you know, no symptoms. I believe the aspirin
is making my stomach irritable and maybe the other meds as well. So maybe this
is just gastro related and not stents after all. I will post when I know more.
John N., Indiana, USA, July 28, 2009
I had two stents placed in the right coronary
artery on Friday. Today, with almost any activity, I get a burning
sensation. Has anyone else experienced this? It subsides rapidly with
rest. I welcome
any comments.
Arthur, Cranston, Rhode Island, USA, July 27, 2009
AD -- you're welcome and thank YOU for following
up. TO ALL READERS! Look over AD's initial post here --
it's very detailed in the way he is feeling poorly, to the point where
he thought he might want to go to the ER. Then read his most recent post
below -- even just a few days and he is feeling better.
As for BP monitors, the electronic ones with cuffs
are not bad -- a good idea is to bring it with you to your doctor's appointment
and "calibrate" it by having him use it on you right after
he takes your BP with his office monitor. That way you get a sense of
how accurate
it is, and whether it reads high or low. Also BP can vary over the course
of a day. In taking a reading, SF cardiologist and blood pressure expert
Dr. Colman Ryan has told us he throws out the first reading and then
averages the next two or three to get the most accurate BP.
Forum Editor, Angioplasty.Org, July 27, 2009
Forum Editor, many thanks for your response
and alerting me on Prilosec interactions with Plavix. I have contacted
my cardiologist and
PCP and awaiting response. I am sure even they are unaware of this latest
development.The discomfort I was feeling on left side has gone away since
for the most part. Still experiencing some Gout, blurry vision and at
times light headedness but Its been exactly two weeks now since the DES
placements and I am feeling much better now. Any recommendations for
BP monitors? The electronic ones are always some points off from the
mercury
ones. Any guidance will be helpful. Regards, AD
AD, Leesburg, Virginia, USA, July 27, 2009
Hi! I'd been on several
prescriptions for heart failure but still felt shortness of breath.
In December 2009, I had 3
stents placed for radiation damage from radiation therapy from 1972.
Since then I've had lots of trouble with shortness of breath. Finally
starting to feel better but it's been a long uphill journey. Glad to
see I'm not alone!
Robin, Madison, Wisconsin, USA, July 27, 2009
AD and others -- you are right that the stent
booklet states you should not feel the stent itself, but a number of
posters in this topic do feel discomfort. This is documented, and in
some this
discomfort lasts a bit longer than in others, as the body gets used
to the increased blood supply and other changes. Some of these changes
are
new medications that are prescribed, especially
if
the
patient
had
not
previously
been diagnosed with coronary artery disease. These meds can cause a
range of side-effects, from coughing to light-headedness, muscle ache,
etc.
If you experience discomfort, we recommend discussing this specifically
with your cardiologist. Perhaps your drug regimen can be adjusted,
or a specific drug swapped for another. Or, if he/she suspects anything
serious, it can be tested for.
And AD, you mention you are taking Prilosec. Are you
taking this over-the-counter on your own? You should definitely discuss
this with your cardiologist. You should read our article, "Heartburn
Drugs Increase Cardiac Events for Stent Patients by 50%" about the fact
that PPIs like Prilosec may interfere with the anti-clotting properties
of Plavix.
Forum Editor, Angioplasty.Org, July 25, 2009
I am a 43yr old south asian male and experienced
gastric and acidity symptoms over the weekend two weeks ago. The heartburn
pain radiated from chest to neck and up to my jaws. Abnormal ECG lead
to blood enzyme test in the ER that showed Troponin I level of 31(normal=0.3).I
was medivaced and catheterized the same day where two DES stents (one
in Ramus -fully blocked and one in LAD-partially blocked) were placed.
I was discharged on 3rd day and my Troponin I was at 3.7 at discharge.
Its been 13 days and I have been getting better gradually but started
feeling a strange discomfort (not pain) on left side of chest just
under the nipple area since last night. Feels like burning sensation.
Its constant.
The stent booklet suggests I should not feel the stents. Haven't tried
nitro yet. Not sure if I should go to ER. Just walked a mile at normal
pace and felt fine breathing wise. My BP is in normal range with meds.
I am on Plavix, Aspirin, Zocor, Lisinopril and Lopressor. Some side
effects I am feeling are: Gout, Blurred vision mostly at night and gastric
stomach.
I am taking prednisone (tapered dose) for Gout and Prilosec for gastric
issue. Would love to know if anyone has tried any remedies for such
side effects. I have primary care and cardio appointments next week.
Hopefully
I will get my dosage adjusted. Right now I am trying to decide if I
should go to ER with this chest uncomfort? I thank you all for posting
your
stories
here. Very helpful.
AD, Leesburg, Virginia, USA, July 25, 2009
I am a 55yr. old female and had a heart attack.
I had 100% blockage of my Right Coronary Artery and had a medicated
stent put in. That was June 3, 09
I have a poking feeling in my chest sometimes it feels like something is stuck
there. Is that normal? Will it go away? Maybe it's the stent I feel. Anyone
else have that feeling?
Lynn S., Rochester, New York, USA, July 24, 2009
i had a stent put in my heart a couple of weeks
ago and i still feel discomfort and little pain is it normal or what
is going on?
Dighto Lane, Towanda, Pennsylvania, USA, July 24, 2009
Wanted to call attention to Joyce's
posting on July 13, 2009 in the topic "Angioplasty
Recovery Period" -- addresses many of the questions
being asked here.
Forum Editor, Angioplasty.Org, July 23, 2009
If you read through the over 400 posts on this
topic, you'll see that a number of posters have
described chest pains for a while after stenting. Although some describe
this going away after a few day or even weeks, pain can be an indicator
of any number of things. As for what action you should take, nothing
on this Forum should be used in place of medical advice -- every patient's
clinical situation is different. Certainly continue trying to contact
the cardiologist who
did the procedure and impress on his/her office the urgency of your concern.
As for a trip
to the ER, you really have to judge for yourself if there's a problem
needing emergency assistance. Can other readers chime in here? Definitely
let the Forum know how things pan out. Also, when you say "stent 25 and
26" are you saying your father has had 26 stents placed??
Forum Editor, Angioplasty.Org, July 23, 2009
Hello, I'm new to this site. My father just
had stent 25 and 26 place in circumflex on the 21st of July. He has been
home since yesterday afternoon, but when I talked to him this morning
he states he had chest pain since last night continuing into this morning.
He states it's a 5 out of 10 and the pain lasts longer than he is used
to then ends and comes back within just a few minutes. My father is not
one to c/o pain. Had him call MD office and let them know he was having
increased pain that he was not having in hospital and he needs to talk
to someone. That was 2 hours ago and still no RN or MD has returned his
call. I think he should let me take him to ER, but he "doesn't want to
bother
anyone". Has anyone else with stent placement had this increased specific pain
after procedure? Like I said he has had many angios with stent placement and
has not had this
problem. Any help!?!?!
KNJ, Ontario, Canada, July 23, 2009
I just got an stint [stent] last Saturday and
it's coming to Wednesday now and i kinda still have the fluttering and
little pain what is up with that
does
anyone
know? And does the Ramipril really help fluttering?
GH, Manitoba, Canada, July 22, 2009
I WANT TO KNOW IF ANYONE HAS A PINCHING PAIN
IN THEIR CHEST AFTER HAVING
A STENT?
Gloria, Meridian, Mississippi, USA, July 14, 2009
I am a 68 wf who has 8 stents placed 6/13/09 & 6//15/09 & later
developed pylonepnritis which required hospitalization for 8 days. I
am now home for a
week & feel
extremely tired & weak. I don't know if it from the stents or infection & I am
getting very depressed because I thought I would be better by now. I am seeing
the cardiologist on Mon. I hope he has an answer.
Betty, New York, USA, July 11, 2009
Had a myocardial infarction November 2008, immediate
response from our wonderful EMS personnel, got me to the hospital in
time to control the heart
attack and transport me to another hospital for cath and bare metal stents. Got
two in my LAD to remove 80% blockage. Felt fine for 3 weeks during convalescence
and then started feeling angina symptoms. 6 weeks to the day I drove myself to
ER and was there all day. All tests were negative, but I got cathed again, where
they found the bare metal stents had closed up. Got eluding stents placed in
same locale and now feel weird all the time. Burning in chest, numbness
in arm and
face, dizziness or lightheaded. First time all the symptoms hit, about three
weeks after operation, I went to ER after taking four sublingual nitro pills.
They had no effect what so ever. ER found no indications of MI in progress and
Cardiologist said it was Angina. Released me, go to cardio rehab and had a check
up. Docs all say I am in great shape with my heart. But symptoms still occurring
and they say I am good to go till next year's follow up. Scared every time it
happens that it is a MI, but how does one tell... I feel foolish and like I am
a whiner for
complaining, but what does one do when no one believes you?
John N., Indiana, USA, July 9, 2009
I had 2 stents put in 2 weeks ago, 06/15/2009
95 percent blocked.48 years old female I feel no better. still have
angina and chest tightness, get tired and out of breath easy, chest also
feels
warm inside when I get the angina.Not sure if it is working as I feel
it is not. Going to doctor tomorrow. starting
to get depressed.
Helena, Baltimore, Maryland, USA, July 5, 2009
SK, hi, just to reassure you about your husband,
i had stent for lad occlusion 7 weeks ago , one month later i got the
same symptoms as your husband , i was subjected to a 2nd cardio-angiogram
but every thing was ok. As my doctor told me that what cause this pain
is stretching or spasm of the coronary artery because of the stent.What
i think the case of your husband is a type of neurosis, he will need
a psychological rehabilitation.
Salam, Alislam, Saudi Arabia, June 28, 2009
In December of last year, I underwent LCX stent
placement for a 50% blockage. Since then, I have been dealing with a
'pinching' sensation in the left side of my chest, and the irregular
heart rhythms I used to feel once in a while are now occurring several
times a day. The doctor says everything is okay, but a lot of these times
I feel as if I'm about to pass out. I've also been feeling very tired
since then. Any ideas?
Dove, New York, USA, June 27, 2009
I just completed angioplasty and 2 stents were
placed in my coronary distal artery about 3 days ago. When I took my
medication after that I experienced pain in the center of my chest every
time I swallow. I also feel that same pain whenever I eat but only when
I swallow. I didn't have these symptoms prior to my heart cath...what
is going on?
Julie, Kansas, USA, June 26, 2009
Hi, I'm a 60 year old male with a recent heart attack and 2 medicated
stents that followed due to significant blockage. 8 months later I am still experiencing
minor "ache" in my upper left chest, and occasional "strange" sensations apparently
only other stent recipients can understand, because doctors just look at you
like you're making it up. I believe a lot of the strange sensations stent recipients
believe are heart related are actually just acid reflux: pain, of course, is
in an entirely different category, and seems unexplainable in my case, since
my cardiologist says "everything's fine!". Hang in there and try different statins,
NOT just your doctor's favorite!
Hank, Los Angeles, California, USA, June 22, 2009
My father has undergone a PTCA procedure done
on his left circumflex artery on 10/6/2009. Now he has got a swollen
ankle with complaints of short breathness too. He is on ecosprin and
clopidogrel and few other medicines. Could these have
an effect?
Pranjal, New Delhi, India, June 13, 2009
I have had a MI, 11 yrs ago. I had my first
stent inserted in my LAD it was a bare metal one. Following that five
yrs later I had another bare metal
stent put into my mid circumflex. I experienced fatigue and chest pains following
my first procedure, but felt most of it had to do with med adjustments. The
2nd time I thought something was wrong, I called my cardiologist and
she stayed in
touch with me throughout the day and the next followed up with me, as she felt
what I was describing was a spasm as the interventional cardio inserted a large
stent. In time it did let up. 4 yrs later I again had to have angioplasty and
had 2 DES stents inserted in my right coronary artery and 1 bare metal stent
in my mid circumflex again , and again I suffered pains following and strange
sensations. I also had a suffered a infection in my artery and my artery closed
down in my arm, I had a lot going on and the discomfort I felt was not very
comforting that all was well. It did take a few months for all to calm
down, maybe this
will help others feel a little comfort. I take a lot of meds and have never
completely felt myself again, but I feel pretty good. Just remember doctors
prescribe the
meds, but I think unless you're taking all these meds yourself, you can't say
for sure how your patient feels from them. To end, I think a lot of
discomfort some
feel after stenting is the body adjusting to the insertion and healing.
Donna G., New York, USA, June 9, 2009
Wow! To each person's article I've read, God
bless each of you. I'm somewhat scared for my friend now. He's getting
a stent in tomorrow, he has a partially blocked artery. Right now I
don't know much of what's going on because he's not telling me much.
He's in
Texas and this is the route that he decided to take. I wish him as
well as everyone else, the will power to keep going and stay focus on
the
positive side of life, that's YOU and FAMILY!!!!
Lisa, Missouri, USA, June 1, 2009
Nilakantan -- muscle or joint pains are a known
side-effect of statins. Perhaps your cardiologist can adjust the dose,
change to a different statin or you can supplement the cholesterol-reducing
effects of the statin through a stricter diet -- although this is not
always
successful.
Re: your
earlier post, the Forum is a place for sharing information and not
a Q&A vehicle (we'd need a full staff of physicians for that). That
being said, your doctors were good in motivating you to change life-style,
but progression
of
coronary
disease
sometimes
does not respond to that (although it's hard to say where you'd be if
you hadn't made those adjustments). Medications (such as statins) can
also help, but why blockages continue to occur is the mystery of coronary
artery disease. Researchers are learning more every day, but for now
the use of stents and other catheter interventions, when lifestyle and
medical treatment aren't enough, can be very effective in preventing
or reducing angina.
Forum Editor, Angioplasty.Org, June 1, 2009
An year after stent, and six months after further
2 stents in different locations, muscle pains occur. Cardiologist rules
out angina and attribute muscle pain to Atorvastatin (brand name
Lipitor, ed.)
which is common. Any therapies for that? By the way my queries
of 10 May 2009 still unanswered.
Nilakantan G., Pune, India, May 30, 2009
I'm a 48 year old male, I had stent put in 10
days ago. Went home with new prescription Metoprolol 25 mg. Also on
plavix and lipitor. At night I take
a ambien to help go to sleep, but I'm now getting some feelings of Anxiety
during the day. Is there a certain time of day I should be taking the
Metoprolol. Dr.
said she eventually wants to increase Metoprolol to 100 mg. Will this make
anxiety worse? or is there something else I could take?
Lee, Iowa, USA, May 26, 2009
I had a stent put in made by St Judes. it was
the drug coated coated, since the stent and the Angioplasty I feel
100 per cent better. I had it done at Staten Island University Hospital,
excellent hospital and doctors there. (Editor's note: St. Jude doesn't
make a coronary stent -- perhaps Steven is referring to the vascular
closure device Angio-Seal, which IS made by St. Jude.)
Steven K., New York, USA, May 23, 2009
To Madi, Kat and all readers -- the major concern
after an angioplasty/stent procedure is an abrupt closure
of the artery, something that rarely happens
in the stent era -- and something that would have very strong
symptoms. Also if patients feel significant angina, this
is certainly of concern as well. But, if you look
through the almost 400 posts to this topic since it was started,
you'll see a similar pattern and complaints, usually somewhat
undefined discomforts,
strange feelings, etc. These are certainly disturbing, however,
many report these do go away as the body adjusts. Some of
these
complaints
may
also be
due
to
new
medications
prescribed. Plavix and aspirin, for example, can have gastric
side effects (heartburn, etc.) which is why sometimes antacids, H2
blockers or PPIs
are also recommended (but recent studies have shown PPIs
-- Nexium, Prilosec, Prevacid, Protonix,
etc -- may reduce the effectiveness of Plavix). Other drugs
may have side-effects of fatigue, muscle pain, etc. And finally, anxiety
about
these discomforts, and certainly about the discovery of one's
coronary
artery disease, is known to have physicial manifestations.
Some
posters report
that a visit or two to the cardiologist to adjust the
medications
or
help
with these discomforts have provided relief. Relaxation exercises
also can ease anxiety. And sharing these concerns, as many do
here, is useful
just so you know this is a not uncommon experience. Hope this
is of some help.
Forum Editor, Angioplasty.Org, May 23, 2009
Hello. My father suffered a heart attack and
had a stent implanted in his artery about 6 months ago. However, he
keeps complaining that his chest area feels hot or warm till this day.
Many
trips to the hospital produces results that there was nothing wrong
with him. This burning sensation has made him very tensed and very stressed.
Please, please, what is going on and what is the solution?
Thanks a million!!
Madi, New South Wales, Australia, May 23, 2009
I'm a 52 yr old female, just had my second stent
in my LAD, and I've been having these 'sharp' pinching kind of pains,
and occasionally a 'fluttering'
feeling in my chest. Is this normal? My cardiologist says nothing is wrong,
everything looks good but he also scheduled me for another stress test.
The last one was
a week before my latest stent. Does anyone have an explanation for the 'pinching'
pain?
Kat, Millville, New Jersey, USA, May 22, 2009
Hi, On April 22, I had a nuclear stress test
and blood work...well 8000.00 worth and got the green light! My heart
was in perfect shape..On the 25th I had a major heart attack in the
ladies restroom at a roping. I died and then came back..Needless to say,
I had
85-95% blockage in 4 arteries. I am home now, my Dr. put 5 stents in,
but I am having chest pains quite often and a little shortness of breath.
I take the nitro and get some relief but I don't know how many times
a day I can take it? For every episode? Are these chest pains normal?
I am trying
hard not to be afraid!! Anyone have any answers?
CA, Monahans, Texas, USA, May 17, 2009
Rhonda -- thanks for sharing your situation
and feelings with us. Yes, this is a scary time but we urge our patients
to communicate as much as possible with the interventional cardiologist.
Especially after reading through the materials on a site like ours, the
patient is in a better and more informed way to understand what their
situation is -- hopefully with less "dread". Your nuclear stress
test was possibly positive, but the only way to be sure is to take a
direct
look via an angiogram. The advantage is that, should something be found,
it can be treated in the same procedure -- although you should discuss
this with your cardiologist BEFORE the cath lab, if possible. It's possible
your existing stent is closing up (in-stent restenosis) --
something which can be addressed by redilating it with a balloon, or
possibly another
stent
inside of the existing one. Or perhaps there is a blockage in another
part of the LAD or even another artery. These days bypass surgery is
pretty much reserved only for patients with very severe diffuse multivessel
disease. There is also the possibility that nothing has changed and the
angina is not related to a blockage -- women experience coronary artery
disease differently from men. Good luck and please let the Forum know
how you fare.
Forum Editor, Angioplasty.Org, May 16, 2009
Hi everyone, I am new to this site. I was doing
some surfing since my latest nuclear chemical stress test and very
scared and looking for answers. I had a stent inserted in my LAD in July
of
2008. I haven't' had any heart related issues since the stent was put
in, until recently. I had one day of mild chest pains on and off through
out the day. I reported this to my interventional cardiologist that
had me come in for an ekg and a subsequent nuclear chemical stress test.
OMG that was the most horrible test. The drugs make me feel like my
lungs
were collapsing and on fire. I had an immediate headache and became
nauseated and throwing up less than 2 minutes into the test. The nurse
that day
told me everything looked fine. The next day Friday at 5 pm I got a
call from his office telling me some ischemia was noted in the test that
they
want me to go in for another angiogram. The test indicated some further
blockage but that my heart was pumping well. That's literally all she
could tell me. Now I'm terrified. I don't know anything other than
the blockage is on the left side again. So could it be my LAD? do I need
yet another stent in that area? Could I be looking at having heart
by
pass now? I wasn't able to speak to my Dr. 5:00 on a Friday of course
he was unreachable. I'm 44 years old. I never expected to be dealing
with all of this at my age. My family does have significant instance
of heart disease though. My Dad had bypass surgery at the age of 46.
Until reading this site I didn't even know it was possible to put more
than one stent in the same vessel like the LAD. Maybe that's what they
will do? I guess I wont have any answers till after Monday's angiogram.
I'm just really scared.
Rhonda, Marble Falls, Texas, USA, May 16, 2009
Saeed and others feeling pains after stenting
-- take note of Natalia's post below from May 13 (thank you Natalia!!)
and also read my post
from March 21.
Forum Editor, Angioplasty.Org, May 16, 2009
i am 35 year old an Had a stent placed in L coronary (85% blockage) 2
months ago. After the blockage was discovered thanks to a persistent PCP, and
the stent inserted, now some time I am feeling chest pain. i have tested the
blood and treadmill walk, the result seemed fair but still i am feeling pain
in my
chest some time can you please explain?
Saeed, Abu Dhabi, UAE, May 14, 2009
THIS MIGHT HELP -- My mother, 74 y/o. prior
to stenting she experienced chest pain once every 3 ms radiating to
the jaw. She was recently stented. After the 1st stent, she developed
severe
chest pain several times a day. Her cardiologist did another angiogram
and put another stent in. The chest pain subsided for a week and came
back with the same severity radiating to the left arm and jaw and back.
She went back for another angio which showed 10% occlusion which is
minimal. Her cardiologist explained that the heart is having spasms and
they need
to come up with the right cocktail of meds to relieve those spasms.
They have tried many different medications for 4 months. The pain is
basically
gone now. She is taking: Lopressor 25mg twice a day;Norvasc 5mg twice
a day;Plavix 75mg once a day; Aspirin 325mg once a day;Nitro patch
0.4mg 8a.m-8p.m.; Zocor 20 mg at night. Also, try to take some Xanax
.25 at
night it calms everything down. Once in a while she gets some numbness
in the tongue and jaw and some residual chest pain but not as sever
as before She takes nitro spray for that and she gets instant relief.
I
hope this helps. Good luck to all of you.
Natalia, New York, USA, May 13, 2009
I had a stent placed
in April 2008 for a 96% blockage. At that time 2 smaller blockages of 45%
and 50% were also present, but
the doctors assured me
that they would at least remain the same with medication, diets and exercises.
I followed that regime to a T, but again in Oct 2008 felt the same symptoms of
an attack. Angiogram revealed that the minor blockages had escalated to 96% and
98%, which necessitated in implanting two more stents. Now I feel fine and fit,
with walking of about 5 miles a day, strict diet control, but sometimes
feel a slight
pain in the chest, which is NOT activity related. My questions are
1.Can another
blockage develop within 6 months?
2.Can I increase my exercises to include swimming
too?
Nilakantan G., Pune, India, May 10, 2009
I had a stent placed on 4/24/09 in my LAD.
It's a week later and I'm experiencing chest pressure and it feels
more difficult to breath. For the past 6 hours I've been feeling what
can
only be described as stabbing pains in my back. They are like spasms,
that come 5 or 6 in a row and subside for a while and come back an
hour or so later. I still feel winded climbing stairs, but my heart isn't
racing like it used to when I'd get to the top. I don't feel much different
than before the procedure (I had one artery blocked over 70%.) How
long
do the pressure and breathing difficulties go on for? Also, has anyone
ever experienced this stabbing pain. It feels like a knife being stuck
in my back.
Sherry, Burlington, Wisconsin, USA, May 3, 2009
It's been 4 weeks since I had a stent placed
in my left ccm. Prior to my heart attack, I was feeling great and never
was sick a day in my 57 years.
Since I had a stent put in, I been having weird chest sensations, it feels
like my heart to moving and I constantly seem to be taking deep breaths.
I went back
to my doctor and he told me that everything was fine. I wonder how long these
sensation will last, I am awoken most nights out of my sleep with heart sensations.
Larry, Naples, Florida, USA, April 23, 2009
Hi There my name is Sean and I am 32 years
of age.On the 16/01/2009 I experienced severe central chest pain and
shortness of breath which lasted an hour or so, it got to the point
I went to the hospital. I was diagnosed with a spontaneous right coronary
artery dissection and required a bare metal stent. A month later I
started
to get the pain again but not as bad but in the same place, all my
other arteries are clear, I have no blockages and a fasting Cholesterol
of
3.3. I went straight to the hospital where they decided to do another
angiogram just to make sure all was ok with the stent, it had started
to heal well and there were no obvious problems. Since then and it's
now april I have been in and out of hospital with the same pain, I
have had every test under the sun and nothing! So they send me home with
anti-inflammatories
and panadiene.This is driving me crazy, is this just stent pain? I
thought stent pain only went on for a week or two after insertion? Does
anyone
have any ideas,I have seen 3 cardiologists who cannot explain the pain
which makes it all the worse. Regards.
Sean Clark, Australia, April 5, 2009
Update from my 10/2/08 AMI and stent in my circumflex: After a visit to
the emergency room on 3/19, I went in on 3/27 for Ad Hoc Angioplasty. Two Medtronic
DES stents were placed in my LAD to correct a 90% and 80% blockage. I feel great,
better than I have in years, except for the headaches. I hope they will subside
soon as my body adjusts to the increased blood flow.
Eve, Petaluma, California, USA, April 5, 2009
GR -- many on this Forum topic have noted feeling
"abnormal" for a week or more after a procedure (balloon or stent)
but different patients have different experiences. New drug regimens
also
can have effects, especially on the elderly. Sometimes dose adjustments
or changes in meds are done. (But don't stop taking anything, especially
Plavix, without consulting your doctor.) Specifically fatigue is listed
as an uncommon but possible side-effect of statins. Fatigue can also
come from feelings of depression which are not uncommon -- pretty normal
actually. But don't take any of this as medical
advice -- that's something only your cardiologist can
give. If
you
are having
a communications
problem with your doctor, perhaps a second opinion would be a good
idea.
Forum Editor, Angioplasty.Org, April 4, 2009
I had a DES and ballooning in RCA last month,
placed on aspirin, Plavix, statin and metoprolol. Have not had a day
where I feel my "normal" self since. Went back this week and saw the
case manager at the cardiologist's office who sternly assured me that
none of my meds could be causing my fatigue. She ran an EKG and did thyroid,
which I knew would show nothing. My EKGs were normal even with the blockages.
She all but dismissed me as a whining little ole lady. Trust me, I am
not. I located this forum to see if it were just me or if others had
the same problem. I'm afraid of going off this stuff now that I have
read about the possibilities. I'm becoming very despondent over the whole
situation.
GR, Florida, USA, April 3, 2009
I am a 57 yof I had a stent placed in my RCA
in Aug of 2008 I never felt good after the stent. I work in a hosp
as a Resp therapist and work 12 hr shifts on my feet most of the day.
I
started having SOB and extreme exhaustion. I came home on a Sun night
at 8 PM and slept until Tues morning. I went to my cardiologist and
had a positive stress test I had to have another stent put in the LAD
for
blockage in Mar of 2009. Now I am worried this is going to be an ongoing
thing, stent every 6 months. Everyone I talk to too in the Drs. office
has multiple
stents, lil scarey.
Jill Asaro, Houston, Texas, USA, March 21, 2009
To posters who are concerned that something
is wrong, what we read from a large number of you is that there is a
tightness or heaviness in the chest immediately post-stenting. This has
been reported before and may be an adjustment to the stenting, and the
increased blood flow. It may also be a symptom of anxiety, which naturally
follows any type of significant medical issue. But we always urge patients
to listen to their own body and, if they feel something is not right,
not to hesitate calling their cardiologists, preferably the interventional
cardiologist who did the stenting procedure -- he/she is trained to spot
potential problems post-procedure. As for
tests to see if everything is ok, you should discuss these with your
doctor,
and
also
read our section
on Patient
Guide to Heart Tests.
Forum Editor, Angioplasty.Org, March 21, 2009
my father had heart pain since few days and
doctors advised to have tmt test and it was +ve and doctors did angiogram
and they put stent 5 days back
, but after putting stent he is feeling discomfort like he has pain in between
heart and shoulder and he is depressed and tense. We consulted several doctors
for second opinion and they took ECG and say it might be muscular pain as they
find ECG doesn't show any problem. What could be causing this or are than any
suggestions on what our next step should be?
Suniath, Dallas, Texas, USA, March 18, 2009
I am 50yrs old and had 2 stents done in my
heart artery in Jan 2007. To date, I feel worse than before the stent.
My heart
feels very tight and pain. I experienced missed heart beat. I have breathless
days. My shoulder and heart area feels very tight and as though I cant
breathe enough oxygen. Went back to the Doctor and went through more
test but the result the doctor said is " I am ok. Everything
is fine" I
still feel the stress in my heart. What should I do?
Phil, Singapore, March 12, 2009
It has been approx. 2 months that I have had
2 stents inserted with a blockage of 70 - 90%, am currently on Plavix
and Lipitor, symptoms include not as energetic, my left arm, from
my forearm and down, I feel as if someone is applying pressure, A little
tingly, my chest doesn't hurt but I do feel some pressure in middle
of chest. I will be scheduling appointment with Dr. i want to schedule
as
a precaution. Is this normal or should I worry?
Manuel P., San Antonio, Texas, USA, March 11, 2009
Eve -- sorry to hear of your story. Our Forum
Topic, Complications from Catheterization, Angiogram or Angioplasty,
contains stories of others who have experienced femoral access site
complications (currently reported as around 3%) some with extensive bleeding,
such
as yourself. (You might be interested in reading about the alternative
of using the wrist or transradial access site, which has radically reduced
bleeding complications.) Let us know how you fare with the new stents.
Forum Editor, Angioplasty.Org, March 11, 2009
On 10/2/08 I thought I had a bad case of indigestion.
I quickly did some research on the web and determined it was either indigestion
or a heart attack. I drove myself to the nearest emergency, got hooked
up to the monitors and it was determined that I was having a myocardial
infarction. Emergency intervention and an ambulance ride to a different
hospital found me in the cath lab undergoing the stent procedure on a
99% blocked circumflex artery. During the procedure they perforated my
femoral artery and I lost 5 pints of blood. 4 days in ICU - 1 day in
a regular room and I was released from the hospital. I found out that
my LAD also had two blockages (80 & 90% respectively) which were not
addressed at the time of my heart attack. On now what I call "heart bean
soup" I
take numerous medications daily. Recently I underwent the Thallium stress
test since I have been having some difficulty exercising and dealing
with normal every day activities. The stress test showed now abnormalities
with my heart muscle but the EKG was positive for ischemia. My cardiologist
had me get a copy of my CD rom from the procedure in the hospital and
we looked at it together. NOTE: I have never had chest pains, pain radiating
down my arm, etc. - just the horrible indigestion I felt when I had the
heart attack. I have been diagnosed with "silent ischemia" and am now
scheduled to have two additional stents on 4/2/09.
Eve, Petaluma, California, March 10, 2009
SK -- stress can play a large part -- anxiety,
shortness of breath are all related. This is not to say there's no
other problem, but if he has had caths that show the artery open, then
it's
probably not the stent. As for allergic reactions, could possibly
be to the drugs. Is he allergic to metals of any sort? Some studies have
shown the polymer coating on first generation drug-eluting stents
to cause inflammatory responses, but the Endeavor stent actually
has
a very
biocompatible
polymer.
Has
he gotten a second
opinion,
specifically from another interventional cardiologist??
Forum Editor, Angioplasty.Org, March 3, 2009
My husband had an 80% blockage to LAD. An Endeavor
stent was placed. Since then he has been having shortness of breath and
chest pains. He was sent for
a second opinion. He has had all together 4 caths since Nov 24. The shortness
of breath gets worse. The physicians say that the heart looks fine and we saw
a pulmonologist that says that all pulmonary functions look ok. He is on Plavix
and Lipitor. He tells me that he is dying slowly. I don't know what to do. No
one will listen to us. He is very sick and has been to at least 5 doctors. Any
suggestions?
SK, Canton, Georgia, USA, March 2, 2009
Bill -- see the "stent study" at the top of
the right hand column. Also read our 2005 story, "Drug-Eluting
Stents May Cause Allergic Reactions".
Forum Editor, Angioplasty.Org, February 27, 2009
In December of 2007 I had a Taxus Express 2
Paclitaxel-Eluting Coronary Stents implanted (2). For the past year
I have developed a severe rash on my entire body and large dark red blotches
on my arms. I am suffering from severe itching and burning. I was taken
off Plavix and Hydrochlorothiazide as a possible cause but to date
have
had no relief. After reading similar postings, I feel that all these
problems are related to the stent implant. My cardiologist disagrees.
I've been to several dermatologists (given creams, cortisone, prednisone)
and am now considering an allergist. The question is what can he do
for me. I'm desperate
for some relief.
Bill, Londonderry, New Hampshire, USA, February 21, 2009
Donna -- everyone reacts differently -- on this
Forum hears mostly from people who are having problems -- remember the
vast majority of patient don't. Sounds like you've suddenly got to make
significant lifestyle changes (diet and heavy smoking) as well as adjusting
to new medications -- not to mention the anxiety of discovering you have
CAD, which is normal. That's a lot to deal with, but get help from friends
and medical professionals (e.g. smoking cessation -- which is VERY important,
but you know that). The stent itself is probably not the cause of these
symptoms. Luckily you did not progress to a heart attack, which means
your heart is working ok, so use this chance to move forward and make
those changes that ultimately will make you feel better. If you continue
to have symptoms, definitely see your cardiologist. You might need to
have your medications adjusted.
Forum Editor, Angioplasty.Org, February 10, 2009
Hello, I underwent a cardiac cath 3 days ago
that resulting in the placement of one drug-eluting stent placed in a
previously 80% blocked artery. I have two
other "minor" blockages that will only be treated via my new medication regimen,
my new diet and the fact that I MUST give up a rather heavy smoking habit. For
the record, I am a 51 year old female. Since the procedure, I am experiencing
mild chest pain on a regular basis that I can only describe as "twinges of pain
and a fluttering-like feeling". I also am experiencing some pain and discomfort
in my left upper arm, shoulder and neck. There has also been some twitching or
spasm on the underside of my forearm about mid-way between the bend of my elbow
and my wrist. I have also had mild headaches, dizziness, some mild nausea and
a few episodes of breaking into a cold, clammy sweat. This is my first stent,
I realize that on am also adjusting to new medications: Plavix, aspirin, Crestor,
Coreg CR, Digoxin....the problem is that I DO NOT KNOW WHAT TO EXPECT TO FEEL,
NOR FOR HOW LONG!! Is the normal, when will it subside???? I do not wish to not
react if I should be reacting, nor do I wish to over-react! Can anyone help out
a fellow panicky person who
is adjusting to CAD??? Much appreciation!
Donna, Maryland, USA, February 2, 2009
following placement of 2 cardiac stents after
some months of what was thought to be reflux pain I am finding the pain
to be more frequent and severe, a burning ache type pain which can come
on at rest or with exercise, only hoping
time will heal.
TT, Australia, January 25, 2009
Arthur -- check out our related topic, "Complications
from Catheterization, Angiogram or Angioplasty" -- you'll find many
patients who have had similar problems at the femoral (groin) access
site -- and some who have suggestions.
Forum Editor, Angioplasty.Org, January 24, 2009
hello i had a stent inserted due to arterial
blockage... after the operation....July 2008.....i was also diagnosed
with PAD..... the problem is.... in the right leg where the femoral
artery was accessed..... i have developed severe pains from the calf
and below
....... particularly while sleeping....... the right foot gets cold...and
severe sharp pains in the foot awaken me.... also when i walk..i develop
pains and need to rest my leg after walking a couple of hundred feet......
i had none of this before the femoral incision and stent placement...
any help
you can offer me would be greatly appreciated... thank you
Arthur Dinkel, Denville, New Jersey, USA, January 21, 2009
Wow I just found this site...I'm not crazy.
I have complained to my Dr. every year for the last three years at my
yearly exam about weird chest pain but the EKG was negative Then in May
2008 I went to a cardiologist and a hour later I'm in the hospital getting
a stent. Everything written on this site is true ...I have weird pain
in chest Dr.s looks at me like I'm nuts. Shoulder pain at times. Heavy
breathing at times, bleeding from nose, The list goes on and I'm sick
of it. Wife is in her own world and has turned against me and has become
anorexic. Don't eat this Don't eat that. Exercise ....if I get on a machine
the way I feel It will be the last thing I do. Do Dr.s know about this
stuff? and not saying anything. or do they just don't know what's going
on! What do I do?
What do I do? Living in fear. Help.
George L., Clinton Corners, New York, USA, January 19, 2009
I'm a 48-year old male diabetic who suffered
a heart attack early Jan 2009, and had 1 stent inserted. My anxiety is
not as bad as in the first few days after the procedure, but I continue
to experience some chest discomfort in the area of the pectoral muscles
on and off during the day, & a weakness in my left arm. Am on Plavix,
Bilicor, and Ecotrin (aspirin). Also Simvastatin for
cholesterol.
MT, Johannesburg, South Africa, January 14, 2009
5 stents 12 months ago and still have chest
pain. Shortness of breath
everyday. Is it common? I am 47 years old.
Steve, Napa, California, USA, January 11, 2009
Hi, I'm 46 years old female. I had 2 stents
placed 2 days ago (1/09/09) one in the RCA (80%) which already had
4 stents in it and a small stent placed in the Circumflex (90%) Since
then
I'm feeling a new feeling of tightness in the chest almost like if
you were getting a chest cold. Now it's hard to take a deep breath that
heavy
/tight feeling. With no wheezing at this time. I've also have had slight
right jaw pain which is one of the signs that got me in the hospital
to begin with, this started as I was coming up the 6 steps to enter
my house after leaving the hospital and a pain between my shoulder blades
which was there before I had the stents the same pain I'm hoping maybe
it is something else and maybe it is. The heaviness/tightness started
during the night I woke up trying to get my breath. Can anyone relate
to these same signs??
Brenda J. , Maryland, USA, January 11, 2009
|
The Cardiology
Patient Forum needs your help...
|
 |
|
To Patients: If
you feel you might be having an allergic reaction to your drug-eluting
stent, you may be interested in enrolling in a research study
-- the only one of its kind -- to determine if you are having
such a reaction. For more information, email :
stentstudy@angioplasty.org
|
|
|