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    Includes Expert Content
    Sharp Pain going to Neck, Jaws and arms
    avatar
    msarwar posted:
    I had triple stents 6 weeks ago due blockage of Coronary arteries. Medicated stents were used and Plavix( BD), Dilatrend (BD), Crestor at night and CoApproval and Asprin has been prescribed once daily. I still have sharp spells of instant pain waves in jaws, arms and some time at the back of the shoulders. Since i am Diabetic, no chest pain is felt but some times tightness feeling going up to collar bone is felt. This happens while at rest as well. Frequency is two to 3 times daily. My Cholesterol is quite low, BP is normal, before it was 130 90 now 110 75. BSF levels are between 140 to 155 . Am i suffering from unstable Angina? After stenting Jaw and Arms pain spells are more frequent than what was before stenting.What is the way forward now. Please advise on this condition and medication.
    Reply
     
    avatar
    cardiostarusa1 responded:
    Hi:


    "Am I suffering from unstable Angina?"

    If the three stents were successully implanted, effectively restoring blood flow, then one would think that you should not have unstable angina, unless there is a problem ocurring elsewhere in one more coronary arteries.

    Also, as reported, discomfort or pain, typically occurring in the chest/thoracic area (and may or may not radiate elsewhere) following successful percutaneous coronary interventions such as angioplasty, with or without coronary stenting, may/can occur (though considered uncommon, judging by the sheer number of stents implanted worldwide each year), and such discomfort or pain may/can be indicative of acute coronary artery closure (angioplasty-only), coronary artery spasm (angioplasty-only or occurring near the stented site), or heart attack, but may also be due to local coronary artery trauma, coronary artery wall stretching, or may be deemed "idiopathic" (no known cause, cause unknown).

    The bottom line

    Coronary stents (bare-metal or drug-eluting/medicated) 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.

    Best of luck down the road of life.

    Take care,

    CardioStar*

    WebMD member (since 8/99)



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    -

    Be well-informed

    WebMD

    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 heart.....

    This is especially true if you have had an interventional procedure or surgery to improve blood flow to the heart../It is up to you to take steps.....

    Recognize the symptoms......

    Reduce your risk factors......

    Take your medications......

    See your doctor for regular check-ups...
    ...

    http://www.webmd.com/heart-disease/guide/living-with-heart-disease

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

    Epidemiologic studies (EDS) have revealed risk factors (encompasses new, novel or emerging) for atherosclerosis, typically affecting the carotid, coronary, and peripheral arteries, which includes age, gender, genetics (gene deletion, malfunction or mutaton), 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).

    -

    HeartSite

    Coronary artery anatomy

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

    http://www.heartsite.com/html/lad.html

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    Quote!

    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 future......be there.


    . .


    WebMD/WebMD forums DOES NOT provide medical advice, diagnosis or treatment.

     
    avatar
    James Beckerman, MD, FACC responded:
    I recommend you talk to your doctors today about these symptoms.


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