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Heart Disease  (Expert Forum)
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Re: Angina or gastrointestinal
This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve Prolapse, Pacemaker, PAD, Stenosis, Stress Tests.

Re: Angina or gastrointestinal

by Lynda__0, Jan 01, 1995 12:00AM
Posted By Lynda on July 31, 1999 at 12:14:37
Hello,
I hope you can help. My brother in law is 42 & diabetic and was having chest pains ,had 2 caths , angioplasty
with a stent this past April.The vessel that the stent was put in was so tiny they were not
sure they had one small enough. The Dr. said that he would be better if it totaly
blocked because it is such a small vessel. Because of continuing angina he had another cath done
cath. It showed that in 2 months, the stent,  is blocked 70%. Vasospasm is
what they think is causing the angina now as they did before the stent. The angina has
gotten so bad that in the last 6 days he has had to take over 50 nitros. He is also on all
typical heart meds. Yesterday he went to see his Dr ,and although through it
all, they say other than this tiny vessel his heart is in great shape no damage or is in any
danger of anything life threating ,it has the Dr's baffled as to why he is having so much
angina,  These episoides  seem to come on after mild excertion ,after
he  eats and is sleeping. Now they are going to do a upper GI series to see if it is related
to something other than the heart, and not angina at all. I could go on about what did
not happen in April. My question is what could mimic these symptoms other than what he has been treated for? Thank you so much for being there.




Member Comments

by CCF CARDIO MD DLB, Jan 01, 1995 12:00AM
Posted By CCF CARDIO MD - DLB on August 02, 1999 at 08:07:44
Dear Lynda
Sometimes even a small vessel blockage can cause a lot of pain. Similarly, spasm of the coronary arteries can cause anginal chest pain, especially if it is superimposed on an area of blockage. Gastroesophageal reflux of acid or esophageal spasm can mimic angina. An upper GI series should help sort this out.
I hope this has been useful. I wish you the best of luck. Feel free to write back.
Information provided here is for general purposes only. Specific questions should be addressed to your own doctor. If you would like to make an appointment at the Cleveland Clinic Heart Center, please call 1-800-CCF-CARE or inquire online by using the Heart Center website at www.ccf.org/heartcenter. The Heart Center website contains a directory of the cardiology staff that can be used to select the physician best suited to address your cardiac problem.











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