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chest pain after stent placement
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pudty posted:
I had a stent put in about 2 weeks ago and still have a dull ache between my breast. Sometimes it goes away while resting but returns as soon as I resume activity. Is this normal and how long does it last?
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cardiostarusa1 responded:
Hi:

"Is this normal"

No. Please consult with your doctor promptly on the matter.

In general, as applicable to the patient, if a coronary stent has been successully implanted, keeping the artery widely patent, effectively restoring blood flow, there should be no symptoms, unless say, there is a problem ocurring elsewhere in the same artery or in another artery.

Also, as reported, as applicable to the patent, 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).

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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

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It's your future......be there.


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



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