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Smoking addiction. have pain in the right hand extending to the arm. History of heart attack, had open heart surgery. Sign of heart attack?

My husband is 52 and a smoker and had a heart attack over a year ago and a stint placed and then open heart surgery with 4 arteries bypassed shortly after. He has been complaining of pain in right hand going up the right arm . Can this be a sign of a heart attack or heart related issues. It has been waking him up at night.
Asked On : Mon, 23 Jul 2012
Answers:  1 Views:  74
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General & Family Physician 's  Response
Hello. Welcome to hcm.
Smoking causes narrowing of arteries and accelerates atherosclerosis. This caused him heart attack. Pain in hand up to arm might be a narrowing of artery supplying the nerves to arm. Pathology may be in spinal cord or cervical plexus. Also very rarely it can atypical sign of heart attack.
I adivce you to consult your doctor and get a CT thorax to rule out any compression on nerves and if your doctor suggests,you can undergo angiogram to find out the location of narrowing. Dont take pain killers as it is not good for heart unless prescribed.
All the best
Answered: Tue, 24 Jul 2012
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