Aa
Aa
A
A
A
Close
1677369 tn?1304526277

please help

I am 47, have had 25 heart caths since nov 06,three heart attacks, three stents in the LAD,have three leaky valves,small artery dz, chf, and coronary art.dz. I have extreme chest pain and have spells of blacking out. they have done the halters, all that jazz, and now when i cant take it any more and go to to the Dr. or the hospital, they check me and then come off with " well you know you have small artery dz". They have tried all sorts of meds with no success, at on point they even had me on 100 mg of moriphine sulfate twice a day for the pain. the pain is still as bad, but i cant live on the pain killers like that. they have tried the nitrates beta alfa and calcium channel blockers, and i currently were a nitro patch in addition to the imdur and norvasc and using the nitro spray. my wife and i both used to be medics and know this cant keep up, please any suggestions?
4 Responses
Sort by: Helpful Oldest Newest
Avatar universal
Hi,
     Small vessel disease is primarily due to blockage of vessels with fatty deposits or spontaneous narrowing of vessels due to emotional stress. In most cases the exact cause is also unknown.
But the treatment for this condition is mainly with ACE inhibitors, nitroglycerin, beta blockers, calcium channel inhibitors, statins and angiotensin 2 receptor blockers etc. Also, supplementation with coenzyme Q10 and L-arginine has shown improvement in this condition. Pain is due to inadequate supply of blood to the heart and that should be dealt with. Hope this helps. Best.
Helpful - 0
Avatar universal
Just in case this can help,
This is used in cases of micro vessels: "catheter-based percutaneous myocardial revascularization or channeling (PMR/PMC), laser therapy".

http://www.aafp.org/afp/990901ap/tips/20.html

Jesus
Helpful - 0
1677369 tn?1304526277
thank you both for the information, some of these treatments have never been mentioned to me. we have tried several of the medications, but not all.Dr. Veena,how might you suggest to try and deal with the inadequate supply of blood? Any advice would be greatly appreciated, again thank you both from both myself and my family, they are getting tired of seeing me in so much pain and most of the time unable to even enjoy family activities.
Helpful - 0
Avatar universal
Hi,
     Inadequate blood supply to the heart can happen due to blockage of the arteries supplying the heart. This blockage can happen either due to fat deposits or due to spasm. For spasm nitrates can be used. For fat deposits or atherosclerosis statins, antiplatelet drugs and weight management with keep your cholesterol under control can help. Hope this helps. Best.
Helpful - 0
Have an Answer?

You are reading content posted in the Congestive Heart Failure Community

Top Heart Disease Answerers
159619 tn?1538180937
Salt Lake City, UT
11548417 tn?1506080564
Netherlands
Learn About Top Answerers
Didn't find the answer you were looking for?
Ask a question
Popular Resources
Is a low-fat diet really that heart healthy after all? James D. Nicolantonio, PharmD, urges us to reconsider decades-long dietary guidelines.
Can depression and anxiety cause heart disease? Get the facts in this Missouri Medicine report.
Fish oil, folic acid, vitamin C. Find out if these supplements are heart-healthy or overhyped.
Learn what happens before, during and after a heart attack occurs.
What are the pros and cons of taking fish oil for heart health? Find out in this article from Missouri Medicine.
How to lower your heart attack risk.