Once you have your stent you can experience angina for a number of reasons. Certainly, after a "fairly good meal" you can get it. Try a smaller portion size or make your intake more leisurely.
If you feel angina when eating then you still have a problem. Does your cardiologist know about this? Did your heart attack leave irreversible tissue damage?
When you eat something, your digestive system becomes much more active and requires more blood/oxygen to digest your food. Your heart has to work harder for this.
These are the exact symptoms I felt for a year before I had my heart attack.
When I talk to my cardiologist about the pain or angina and body sweats after eating they seem to think it is diabetes related not angina, however when I mentioned that Nitro spray makes the pain subside usually two to three sprays. They look at you with a puzzled look on their face and say I don't see the connection. One of the first books I read after being diagnosed with heart disease talked about the deferring of blood for digestion and the reverse of that for exercise. I think I can see the connection. Perhaps it's time for a new cardiologist. On another topic I read something you left for another reader that you would take s stenting over open-heart surgery any day.
After reading many comments from this blog and the pain people are having after angioplasty with stents, comparing that to the results I've heard from people I know have had open-heart surgery the recovery is much longer can be multiple years in recovery but when they do recover there is no residual pain according to them. For me one heart attack in two stents have changed my life forever it seems.
I can only relate the situation in the UK. After my heart attack last November I had a stent. Then after only a few days we are sent home with our medication. The next bit is the most interesting.
There then follows a 6 week Rehab Course rune by a special Cardiac Rehab Unit. Each session is rune by three separate specialities. A cardiac rehab nurse who has all the medical know how. A cardiac physio instructor who runs rehab exercise programmes. Thirdly there is a cardiac psychologist who help you get your head around what has happened to you.
All three working together build confidence from understanding and knowledge.
Specifically, in a heart attack part of the heart muscle is irrevocably damaged. The heart has reduced capacity to respond to demands made on it and when you are making too many demands it will let you know - usually through angina symptoms.
The good news is that by exercising aerobically for at least 5 half our sessions per week, the heart (which is just a big muscle) can be strengthened to help compensate for the damaged area.
The beauty of the programme is the combination of the three disciplines. Getting the knowledge is important and then being able to get your head around it vital. A positive attitude is necessary. Especially when it comes to diet and exercise. My improvement in 3 months is nothing short of miraculous but I will always have limitations.
If I eat right, exercise right and don't abuse my heart, I don't get any angina. If I am careless, the old ticker soon lets me know.
Try this link for a copy of the booklet used here. It os packed with useful information
Comparing a hand full of people out of many millions can't really give you an accurate statistical analysis. My comments are based on my own experiences, which are a triple bypass and 6 stents. I don't have pains from any of the stents, and my bypass only lasted three months. I have also spoken to many people who have received both stents and bypass surgery and they all seem to prefer stents. I personally believe that in years to come bypass surgery will become a thing of the past. Even my cardiac surgeon admitted to this. With the way technology, stem cell research and medicine is moving at a fast rate, it will become obsolete.
After my bypass failed, I was left with the options of leaving my heart alone until the LAD completely failed, or have a transplant. For two years I searched for a pioneer with the help of my GP. Eventually we found one at a major research college in London, and he agreed to perform the angioplasty procedure. 12 Cardiologists had told me the procedure was impossible, and too dangerous to even consider. During the procedure 9 of those cardiologists watched and hopefully learned, so they can push the boundaries further. Yes those procedures are risky, and not for every case, but for people who are left with no option other than wait for their LAD to collapse, there's now hope. I still get angina, but there has been some improvement and I feel very happy knowing that vessel is now open again. So, I'm sure you can see why from my experiences that I believe angioplasty rules over bypass.