It is always of concern if there is chest pain
in the setting of known vascular disease
, heart disease
and stent or bypass surgeries; he should be followed closely to see the response in the medication adjustment; if no improvement, he may need another cardiac catheterization
to look at the status of the coronary arteries, particularly the area of stenting; if he experiences acute worsening discomfort he should be seen early hopefully in an Emergency Department.
Dr Brenes-Salazar MD
Mayo Clinic MN