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How Dangerous Is Intermittent Angina After Placing Several Stents?

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Posted on Thu, 9 Feb 2017
Question: How dangerous is Intermittant Angina, Now have several stents. He said he could not put any more stents. slight exertion causes angina.
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Answered by Dr. Sagar Makode (33 minutes later)
Brief Answer:
Medicine needs to be optimized and probably its not life threatening.

Detailed Answer:
Hello,
How is your heart function, is it normal or weak ie Ejection fraction?
First you have already underwent Stenting that means the major vessels must have been opened and there must be blockages in other small vessel which are not stentable, as you've mentioned, which are causing angina. So I think it's not a life threatening angina. Your medicine for angina needs to optimize and dose needs to increased so keep regular follow with your doctor so that he ll maximize the dose of anti anginal medicine. There are very good antianginal med are available.
Since your age is also more, more intervention like bypass surgery should be avoided and you need to be on medicines.You continue daily activities and walking till angina limits your activity.
Also You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly. Regular exercises like brisk walking or walking according your capacity atleast 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity.
Continue all your medicine properly without missing.
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Sagar Makode

Cardiologist

Practicing since :2013

Answered : 1867 Questions

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How Dangerous Is Intermittent Angina After Placing Several Stents?

Brief Answer: Medicine needs to be optimized and probably its not life threatening. Detailed Answer: Hello, How is your heart function, is it normal or weak ie Ejection fraction? First you have already underwent Stenting that means the major vessels must have been opened and there must be blockages in other small vessel which are not stentable, as you've mentioned, which are causing angina. So I think it's not a life threatening angina. Your medicine for angina needs to optimize and dose needs to increased so keep regular follow with your doctor so that he ll maximize the dose of anti anginal medicine. There are very good antianginal med are available. Since your age is also more, more intervention like bypass surgery should be avoided and you need to be on medicines.You continue daily activities and walking till angina limits your activity. Also You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly. Regular exercises like brisk walking or walking according your capacity atleast 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Continue all your medicine properly without missing.