I'm 31 years old, diagnosed with antiphospholipd antibody syndrome (APS), several blood mutations that exacerbate clotting, and patent foramen ovale (PFO). Positive for TIAs in the past several years and a right-hemisphere stroke in 2007. Cardiologist is ruling out Prinzmetal's angina as well.
Been having deep chest pain for about 2 months, off and on, relieved by nitroglycerin. Normal ECG, Holter monitor, stress test; other tests have ruled out ulcers, reflux, GERD, etc. On 10mg Coumadin daily, but INR has been all over the place (2.5, next week 1.5, next week 7.0, next week 3.7). Extreme fatigue, nausea, disorientation, dizziness. Numbness in left hand, arm and foot. Although stroke specialists at a neurosciences center confirmed my stroke was due to a blood clot that passed through my PFO, my hematologist says he's uncertain. Also, even though he acknowledges that my present symptoms sound like a TIA, he says that strokes and TIAs rarely, if ever, only occur on the same side, yet the vast majority of my "events" have been right-brain with left-side numbness. He wants to check epilepsy (again, even though I've tested negative for it 6 times). Ideas? Is there any literature that says strokes and TIAs can or do favour the same side? Time's a-wasting while my docs pass me off to one another like a football...
I had two small strokes 6 weeks ago. I was put on more aggressive blood pressure, cholesterol, and Plavix blood thinner. I keep having TIA's that last from about 2 to 7 or 8 minutes on average every 3 or 4 days. I don't know what to do besides lying down with my feet higher than my head. I have s neuro and am seeing my primary doctor in 3 days. Have read the 2011 SAMMPRIS study in NEJM about how aggressive medicine management is better than stenting surgery. Just hope I can optimize my meds, lose weight, lower cholesterol, and blood pressure to lessen or eliminate TIA's and prevent or forestall a big stroke.
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