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Heart Disease (Expert Forum)
blockage they conceder no important
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blockage they conceder no important
by rayg, Feb 23, 2006 12:00AM
i am a 54 year old male who in the past 2 years have had 2 stents and a double by pass. i now have a blockage in the septrum that was stented and is now blocked again. i am in constant discomfort with pain and heavyness in my chest with shortness in breath. the doctors dont want to open the blockage? it seems like i block up quite fast. i now have a prob with sleeping and constant flutters with alot a shortness of breath. are the doctors trying to tell me there is nothing more to do with me or what? i have hypertension with a bp of about 190/110 constantly, but lately it was 66/49 while hospitalized. it occasionally drops low and i get dizzy. the doctor said if it was that low they would not have let me go home but they did. what is this a sign of? please help as i am very concerned about this prob and i am tired of feeling bad.
Doctor's Answer
by CCF-M.D.-MJM, Feb 23, 2006 12:00AM
Hi rayg,
You have several frustrating problems. The first is that the septum is difficult to stent. If that stent is closing off, there may be more risk to placing another stent than your doctors are willing to take. This is probably a good time to go to a tertiary referral center like the Cleveland Clinic, Mayo Clinic, Michigan or a host of other major teaching hospital across the country. A second opinion may be very helpful.
Hospitals like this often have sub-sub specialist that will help with things like prevention, revascularization, etc.
There is not a good explanation as to why your blood pressure is high at home and low in the hospital. Have you had your blood pressure cuff checked for accuracy. Take it to your doctors appointment and check yourself after your doctor checks your blood pressue and make sure they care close. Also make sure you are checking it in the same arm. Sometimes there are blockages in the arm or shoulder arteries that are on one side and not the other making the blood pressure drastically different.
It is possible that you have very difficult to control blood pressure, but other causes should be ruled out first.
Regarding the fluttering, a holter, event monitor or home telemetry should easily answer the question as to what are causing these symptoms. You will just need to document the exact time they happen.
I hope this answers your questions and that you feel better soon. Good luck and thanks for posting.
You have several frustrating problems. The first is that the septum is difficult to stent. If that stent is closing off, there may be more risk to placing another stent than your doctors are willing to take. This is probably a good time to go to a tertiary referral center like the Cleveland Clinic, Mayo Clinic, Michigan or a host of other major teaching hospital across the country. A second opinion may be very helpful.
Hospitals like this often have sub-sub specialist that will help with things like prevention, revascularization, etc.
There is not a good explanation as to why your blood pressure is high at home and low in the hospital. Have you had your blood pressure cuff checked for accuracy. Take it to your doctors appointment and check yourself after your doctor checks your blood pressue and make sure they care close. Also make sure you are checking it in the same arm. Sometimes there are blockages in the arm or shoulder arteries that are on one side and not the other making the blood pressure drastically different.
It is possible that you have very difficult to control blood pressure, but other causes should be ruled out first.
Regarding the fluttering, a holter, event monitor or home telemetry should easily answer the question as to what are causing these symptoms. You will just need to document the exact time they happen.
I hope this answers your questions and that you feel better soon. Good luck and thanks for posting.
Back to the BP...some folks can have a condition called Thoracic Outlet Syndrome (TOS) where there is a blockage/Kink/compression in the Brachial Plexus area and or surrounding tissues. Doppler/ultrasound scans in this area with arms in various positions can rule this in or out. Good Luck To You. ....Help is out there but sometimes we have to look a bit harder than someone else. Good Luck To You.