thank you..... in regard to your comment about my question #2, reading journal articles from NIH on the subject of stress induced cardiomyopathy (Takotsubo cardiomyopathy), which may be initially treated as an MI, it seemed there was no accepted drug regime for the long term and that many some cases there may be minimal drug treatment right from the beginning. And the indication was that most cases of TC completely resolve within a couple of months with very low probability of recurrence. So I wanted to be clear about the need beta-blockers for life scenario due to side effects. I am not aware of any side effects at this time although I do hove transient episodes of fatigue most days.
Dear p1954,
It is hard to give you an accurate answer without reviewing your medical history personally but I will try to answer your questions with the information that you have provided.
To answer your first question, I think stenting at the time that you did have it was the right thing to do. You had presented to the ER with symptoms that were suggestive of coronary artery disease and I think it was the right thing to do. Coronary artery disease often presents with atypical symptoms like yours and it is necessary to have a high index of suspicion to treat this disease.
Your second question makes me a little confused. Coronary artery disease or an obstructed coronary artery is not synonymous with myocardial infarction. From the description of your angiogram, you did not have a myocardial infarction. Regardless of occurrence of MI, coronary artery disease is an indication to use beta blockers (coreg in your case). Stress induced cardiomyopathy and CAD have different pathogenesis and are not related at all.
Hence, I would certainly keep you on low dose beta blockers for now, unless you begin to have adverse effects.
Hope that helps
CCFHeartMD19