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Can heart attacks cause intermittent chest pain and intermittent breathlessness?

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Posted on Wed, 9 Dec 2020
Question: I had an MI in 2014. post cardiac chest pain, went to XXXX in XXXXX for treatment.- docs didnt think much of it. Had a stent placed 3 months later by XXXXXXX clinic- 2nd opinion. chest pain continued.I got used to it and decided that alot of the pain was in my head.

in March 2017 I had symptoms short of breath, didnt feel right, some chest pain, went to the ER, got admitted. The cardiac docs came in the next day and said they wanted to look in and see that everything was OK. Next day they placed 5 stents in my LAD. I was in shock. chest pain and shortness of breath symptoms continued on and off, and still continues. I had 2 stress tests, one in November 2017 which showed some problems, and one in January 2018 that was fine. I was on the treadmill and today got short of breath and left arm pain when jogging for 2 minutes. It stayed with me for hours on and off. If I go to the doctor and complain they're going to give me more stents. I am worried about the 5 stents clogging up. its been a year. They are drug eluting stents in my LAD- they docs were too ambitious I believe and thats why they did this. in any case, I am looking for another opinion on what can be done here. I am on 50mg metoprolol, 75mg plavix and 10mg lipitor. What is my prognosis? SHould I go in to the docs and let them open me up again? Can these symptoms come and go, and i dont have to be worried about them? ANy insight into my problem would be appreciated

My recent stress test says I have mild anteroseptal hypokinesis. Can this be a cause of my chest pain discomfort for the last 3 years?
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Answered by Dr. Bhanu Partap (41 minutes later)
Brief Answer:

You need to start Antianginal Drugs

Detailed Answer:

Hello,

When you get a Heart attack, then the area of heart attack get less functioning than the other area and is called Hypokinesia which is mentioned in your report. Sometimes it comes back to normal but sometimes not.

Cause for your chest discomfort can be due to some micro arteries where stents cannot be placed and only medicines can help.

Breathless episodes can be due to muscle damage in a heart attack which is impairing in the breathing process.

It’s advisable for you to start with Antianginal drug which can be helpful in suppressing your symptoms. Kindly personally consult a Cardiologist for a prescription.

Hope I have answered your query.

Take care

Regards,
Dr Bhanu Partap, Cardiologist
Above answer was peer-reviewed by : Dr. Kampana
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Answered by
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Dr. Bhanu Partap

Cardiologist

Practicing since :2010

Answered : 2825 Questions

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Can heart attacks cause intermittent chest pain and intermittent breathlessness?

Brief Answer: You need to start Antianginal Drugs Detailed Answer: Hello, When you get a Heart attack, then the area of heart attack get less functioning than the other area and is called Hypokinesia which is mentioned in your report. Sometimes it comes back to normal but sometimes not. Cause for your chest discomfort can be due to some micro arteries where stents cannot be placed and only medicines can help. Breathless episodes can be due to muscle damage in a heart attack which is impairing in the breathing process. It’s advisable for you to start with Antianginal drug which can be helpful in suppressing your symptoms. Kindly personally consult a Cardiologist for a prescription. Hope I have answered your query. Take care Regards, Dr Bhanu Partap, Cardiologist