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    After Insertion of a Stent
    BronxTarheel posted:
    I am not the first person to write about this here, but this is personal and I need to get some feedback.
    I am 62, I had bradycardia four years ago and had a stent inserted. No problem there except that I swear that I know when it used to kick on but the cardiologist said I am not supposed. to feel it.

    In April I was feeling tired after doing anything strenuous but it was odd. I felt immediately tired but not short of breath and after the initial difficulty I was fine. Last fall I was walking 2.5 miles with no exertion except in the first 100 yards or so.

    I complained to my doctor and she ordered some tests. The nuclear stress test indicated something was off and I saw a cardiologist who basically said we don't know why we got these results, let's go in there and take a look. So I agreed to having a catherization and they put a pair of stents in the left anterior artery right where it branches off to another artery.

    The fly in the ointment is that I was out of work from Septermber until the first of May, so I had to take off two days for the catheterization and they had me back at work on the Tuesday after Memorial Day.

    At the hospital they put me on more drugs like Lipitor and Plavix and they gave me a prescription for Nitroglycerine which freaked me out to no end.

    I go the cardio rehab three mornings a week. I exercise without effort for the most part. My blood pressure has never been lower, in fact I thought it was too low yesterday 100/60. My heartrate is around 65 to70 even when exercising.

    I am a type II diabetic. My a1c is 6.1, When I was unemployed I walked a couple of time a week. Now I exercise at rehab and walk for 20 minutes or so at lunch as long as the heat is ok and it is not raining.

    For the most part I feel just fine but I get these twinges and sometimes I just feel uncomfortable. No real pain, just a little discomfort.

    Today at work I had one strong twinge on the far right side of the chest that lasted for a second or two. I came home and I just feel uneasy.

    I am hypersensitive to any little thing in my chest or arms.
    What can I expect? Are these twinges normal? Is mild discomfort something to worry about?

    thanks to all
    cardiostarusa1 responded:

    Are these twinges normal?

    No, but reports of so-called twinges, or even pinges, have been reported here (and in other Web-based forums) from time-to-time, and mainly in those who didn't consider themselves as being hypersensitive.

    "Is mild discomfort something to worry about?

    Yes of course, that is, unless you know that it is nothing serious, nothing concerning that is causing it or its a "benign" symptom.

    "What can I expect?"

    Recovery can be relatively quick and painless (except for the catheter insertion site) for many coronary stent patients, especially if no heart attack (that's a whole other matter) occurred, though complications, some unforeseen, may/can occur at any time, such as chest pain/discomfort or other, as well as dreaded side effects from prescription drugs (which can delay/hamper the recovery).

    The bottom line

    Coronary stents (bare-metal or drug-eluting) are only a Band-aid or spot-treatment, as it doesn't address the disease process and what drives the progression.

    Coronary artery disease (CAD) is a lifelong unpredictable (may/can exhibit periods of stabilization, acceleration and even some regression) condition requiring a continuum of care, as well as good doctor-patient/patient-doctor communication and understanding at ALL times.

    Best of luck down the road of life.

    Take care,


    WebMD member (since 8/99)



    Be well-informed


    Living with Heart Disease

    Coronary artery disease (CAD)

    CAD is a chronic disease with no cure. When you have CAD, it is important to take care of your......

    This is especially true if you have had an interventional procedure or......

    Recognize the symptoms......

    Reduce your risk factors......

    Take your medications......

    See your doctor for regular check-ups...


    Coronary artery anatomy

    Starting with the left anterior descending (LAD), the most critical, next to the ultra-critical left main (LM).


    Heart-Healthy Foods

    Avoid foods high in saturated fat and cholesterol. Choose skim or low-fat milk, low-fat yogurt and reduced-fat cheeses. Eat more fish and poultry. Limit servings to five to seven ounces a day. Trim visible fat. Limit egg yolks. Substitute two egg whites for one whole egg or use an egg-substitute. Eat more fruits and vegetables, whole grains, breads and cereals. Use less salt and fat. Season with herbs and spices rather than with sauces, gravies and butter.


    Good to know, for the primary and secondary prevention of heart attack and brain attack/stroke

    Epidemiologic studies (EDS) have revealed risk factors (encompasses some new, novel or emerging) for atherosclerosis, typically affecting the carotid, coronary and peripheral arteries, which includes age, gender, genetics (gene deletion, malfunction or mutation) , diabetes (considered as being the highest risk factor), smoking (includes second and thirdhand), inactivity, obesity (a global epidemic, "globesity"), high blood pressure (hypertension), Low HDL (now questionable, according to recent studies) high LDL, small, dense LDL, RLP (remnant lipoprotein), high Lp(a), high ApoB, high Lp-PLA2, high triglycerides, HDL2b, high homocysteine (now questionable), and high C-reactive protein (CRP/hs-CRP).



    "Be a questioning patient. TALK to your DOCTOR and ASK QUESTIONS. Studies show that patients who ask the most questions, and are most assertive, get the best results. Be vigilant and speak up!"

    - Charles Inlander, People's Medical Society


    It's your there.

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