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What Causes Dull Pain In The Chest And Left Arm?
Question: I do duffer from Angina and had 3 chemical stents put in about a year ago. I was woken up at 4am this morning with symptoms of, Dull pain in chest and left arm and back and neck, itchy skin, light headed, feeling sick and mild sweating.
My Blood pressure was, 13/90, pulse 112bpm.
5am, symptoms continue, Blood pressure, 133/90, pulse, 103bpm, at this time I took an extra dose of, Clopidogrel 75mg, at this time my symptons continue.
Can you advise me what I should do, if anything?
My Blood pressure was, 13/90, pulse 112bpm.
5am, symptoms continue, Blood pressure, 133/90, pulse, 103bpm, at this time I took an extra dose of, Clopidogrel 75mg, at this time my symptons continue.
Can you advise me what I should do, if anything?
Brief Answer:
Visit hospital as soon as possible and get ecg done
Detailed Answer:
Hello,
You should visit the hospital as soon as possible. As this can be minor heart attack and we need to rule it out or in as soon as possible. One can get heart attack in other vessels or in the stent also. So get ecg, troponin test done.
If you have Sorbitrate 5 mg with you, keep it below tongue and you can every five minutes upto three times. Also, You should also have ecosprin 325, clopidogrel 300 mg and Atorvastatin 80 mg or rosuvastatin 40 mg, chewed and swallowed. So fast actions.
Hope this helps you and get back if you have any doubts.
Visit hospital as soon as possible and get ecg done
Detailed Answer:
Hello,
You should visit the hospital as soon as possible. As this can be minor heart attack and we need to rule it out or in as soon as possible. One can get heart attack in other vessels or in the stent also. So get ecg, troponin test done.
If you have Sorbitrate 5 mg with you, keep it below tongue and you can every five minutes upto three times. Also, You should also have ecosprin 325, clopidogrel 300 mg and Atorvastatin 80 mg or rosuvastatin 40 mg, chewed and swallowed. So fast actions.
Hope this helps you and get back if you have any doubts.
Above answer was peer-reviewed by :
Dr. Remy Koshy
Thank you for your advice which was taken. The diagnosise was that it was a severe anigina attack and that further investigations are now being made, as this was my first bad attack since the 3 stents that was put in, XXXXXXX of last year and at that time they thought that with the clopideral with constant use would eleveate the problem andwas totally unexpected by the heart consultant.
A gain many thanks
Mr XXXXXXX Hawes
A gain many thanks
Mr XXXXXXX Hawes
Brief Answer:
Need to be on aspirin and clopidogrel, both at least for the year
Detailed Answer:
You are welcome.
One needs to be on both Aspirin and Clopidogrel after the stents for at least one year. Preferably up to 3 years and afterward along with statin and other medicine.
All the best.
Need to be on aspirin and clopidogrel, both at least for the year
Detailed Answer:
You are welcome.
One needs to be on both Aspirin and Clopidogrel after the stents for at least one year. Preferably up to 3 years and afterward along with statin and other medicine.
All the best.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Unable to take aspirin as I am allergic to it and the clopideral is to be taken for life, another substitution of the aspirin is being conciderd.
Regards XXXXXXX hawes
Regards XXXXXXX hawes
Brief Answer:
You can discuss the option of Ticagrelor or Prasugrel alternatively
Detailed Answer:
Ok,
Then you please discuss with your local Cardiologist regarding starting of Ticagrelor or Prasugrel instead of Clopidogrel which are better and potent antiplatelets than Clopidogrel. Chances of attack and stent thrombosis are less with these.
Let me know if I can assist you further.
Regards
You can discuss the option of Ticagrelor or Prasugrel alternatively
Detailed Answer:
Ok,
Then you please discuss with your local Cardiologist regarding starting of Ticagrelor or Prasugrel instead of Clopidogrel which are better and potent antiplatelets than Clopidogrel. Chances of attack and stent thrombosis are less with these.
Let me know if I can assist you further.
Regards
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
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