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Suggest Treatment For Breathing Difficulty And Pain Under The Arm
Question: I went to the emergency room having a hard time breathing and a pain under my arm. Both my hands tightened and my fingers came together unvoluntarily. When I got the the emergency room the doctor put a stint in my LAD when I had no blockage or occlusion. He tore my LAD. I flew to another hospital and they put four stints in my LAD to mend it. and saved my life. I recently asked the Doctor why. He said I had a SCAD heart attack which was not true according to his notes. His notes said he put a stint in my LAD and tore it. I mentioned that to him and he said oh, he believed it was spasming. My question is why would a doctor put a stint in the LAD with no blockage or occlusion?
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello XXXX!
Thank you for asking on HCM!
Regarding your concern, I would explain that it is sometimes difficult to judge medical actions without concrete data on lab tests, medical exams, and patient physical exam. I don't believe your doctor has been involved on an intentional action to damage your coronary arteries and risk your life.
Returning to coronary artery disease, it is well known that coronary stenoses are the major cause of ischemic heart disease; but sometimes coronary spasms or coronary muscular bridges may be responsible. Sometimes a coronary spasm may be superimposed t oa moderate coronary stenosis that produces coronary endotelial dysfunction (and thus stenosis). In the later cases (coronary spasms superimposed on coronary stenosis and muscular bridging coronary revascularisation with stent implantation is mandatory (when feasible).
Regarding coronary iatrogenic coronary laceration, i would explain that it is a relatively rare known complication, but it sometimes happens. Many reasons may lead to such complication (complex coronary lesions, insufficient medical expertise, sometimes even a bad chance, etc).
So, I would conclude that the best way to review medical decisions and actions in such a case, would be to review coronary angiography films and subsequent procedure.
If you could upload a copy, I would give my professional opinion.
Hope to have been helpful.
Feel free to ask me whenever you need! Greetings! Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello XXXX!
Thank you for asking on HCM!
Regarding your concern, I would explain that it is sometimes difficult to judge medical actions without concrete data on lab tests, medical exams, and patient physical exam. I don't believe your doctor has been involved on an intentional action to damage your coronary arteries and risk your life.
Returning to coronary artery disease, it is well known that coronary stenoses are the major cause of ischemic heart disease; but sometimes coronary spasms or coronary muscular bridges may be responsible. Sometimes a coronary spasm may be superimposed t oa moderate coronary stenosis that produces coronary endotelial dysfunction (and thus stenosis). In the later cases (coronary spasms superimposed on coronary stenosis and muscular bridging coronary revascularisation with stent implantation is mandatory (when feasible).
Regarding coronary iatrogenic coronary laceration, i would explain that it is a relatively rare known complication, but it sometimes happens. Many reasons may lead to such complication (complex coronary lesions, insufficient medical expertise, sometimes even a bad chance, etc).
So, I would conclude that the best way to review medical decisions and actions in such a case, would be to review coronary angiography films and subsequent procedure.
If you could upload a copy, I would give my professional opinion.
Hope to have been helpful.
Feel free to ask me whenever you need! Greetings! Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I will try. There wasn't much in the way of tests. He based his decision on a prior incident that happened four years earlier in which all tests were inconclusive. At that time I asked to see another opinion from a different department incase something else was going on. My request was refused. I had traponin in my blood but my eco was normal. I do have a PFO. But they found nothing else. The only thing that helped me at that time was anti-inflammatories. Four years later is when this wild incident occurred.
Brief Answer:
Review medical data for PFO.
Detailed Answer:
Hello again XXXX!
Regarding your prior elevated troponin level, seems that most probably it may be caused by an extracardiac reason.
As you have a diagnosis of PFO, I would recommend to review currently your clinical and echocardiographic data with your doctor, and see the possibility of anticoagulation need, as PFO may be associated with increased risk of cardio-embolic events.
Wish you a good health!
Best regards! Dr. Iliri
Review medical data for PFO.
Detailed Answer:
Hello again XXXX!
Regarding your prior elevated troponin level, seems that most probably it may be caused by an extracardiac reason.
As you have a diagnosis of PFO, I would recommend to review currently your clinical and echocardiographic data with your doctor, and see the possibility of anticoagulation need, as PFO may be associated with increased risk of cardio-embolic events.
Wish you a good health!
Best regards! Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you so much for your help. I appreciate your expertise. If I can, I will up load the information I have. It may take me sometime. Until then,
Thank you!
XXXX
Thank you!
XXXX
Brief Answer:
You are welcome!
Detailed Answer:
Dear XXXX!
Feel free to contact me whenever you can!
Best regards! Dr. Iliri
You are welcome!
Detailed Answer:
Dear XXXX!
Feel free to contact me whenever you can!
Best regards! Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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