Many good posts but people aren't coming back to report their resolutions after discussing their problems. I am a 50 year old male, weight lifter and martial artist. A couple of significant injuries last year layed me up for three month stretches. After the second one I went out for a run on a cold November day and got chest pain. Later found chest pain again shoveling snow and after MIBI they said I was blocked. Judy did angio and they found 95%+ blockage and stented me. Now was put on Plavix for one year and Crestor for ever. I am built heavy from the weight but not fat. BP is great but cholesterol has been high since my first test 10 years ago.
The first two days afer stenting it felt like someone punched my heart. Aftet that more fluelike symptoms. The heart still feels a bit sore(more like flu than angina) and the energy is improved but I have noticed a couple of pains that felt a lot like the chest discomfort I had before the stent. The heart pain was from a blockage lower left side of the heart, but the radiant discomfort was right of center on my chest and I had always thought it was indigestion. Last night I got the right side pain again, first time since the stent, almost a burning. Since the stent is on the other side, it can't be inflamation around the stent.No other symptoms of any kind.
After all the above, has anyone had this sort of referred pain? I am thinking the return of the pain in that area could indicate a flow issue at the splint although a blockage in 4 days seems extremely quick. Less likely would be that the area had been in regular pain for so long it was just a "twinge"
Did any of you have a few of the old angina jabs come back but require no new treatment? I know it is early on and I am seeing my Doc in a few days but I have been thinking of nothing but my heart for 5 days straight.
I'm sorry to hear your problems, and a few things come to mind. First, has the Cardiologist given you a full report on the condition of your heart? For example, the distal area of the LAD, which you describe is quite a small vessel and maybe they could only clear a portion of the plaque, hoping the rest would be resolved by collateral development. Is there any dead heart tissue?
The next thing which comes to mind is vasospasm. After I had stents put into my left artery, I felt a pinching pain which came and went on a regular basis. Exercise did seem to trigger this and when the pinching was there, I did feel short of breath. Apparently the catheter wire tickled my artery and caused it to spasm. I also would feel a strange twitching now and again, like my heart was missing a beat and then giving an almighty jump to get back to normal. Calcium channel blockers for three months seemed to cure all this.
It is a misconception that stents can't block very quickly, or we cannot form new blockages quickly. Body cells regenerate quickly to form any repair, you must have seen how quickly scar tissue forms when you cut yourself? This can be the same in a stent which is why drug eluting stents were developed. The drug coating is meant to prevent this, but if you think about a 'mesh' stent against the artery wall, only 20% is actually touching, due to all the gaps between the struts. So drug eluting stents are far from perfect. This is why Europe have just started to use new balloons, called (funny enough) drug eluting balloons. Coated with the medication, they are inflated inside the artery and give 100% delivery of the drug to the artery lining. Then, IF, a stent is required, it's inserted and the medication is already in place acting as a big boost.
Personally I think you should ask for either a nuclear scan or angiogram to make sure some blockage hasn't formed. If your arteries were seen as clear, then there is no reason you should be having these problems, unless there is heart muscle damage.
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