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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Chest Pain. Have CAD, Eight Stents And Angina. ER Test Done. What To Do?

I have severe CAD, eight stents and angina. I' am told that I should never ignore bad chest pains but the last several times I've had them, I go to the ER and since they can't find anything wrong with the tests they run, they tell me I'm ok. I've given up on people thinking it's all in my head. How do I convince these medical professionals that this crushing chest pain I get is not in my head? I'm tired of being told there is nothing wrong when I know for a face something is causing me not to be able to breath and have terrible chest pains.
Wed, 24 Apr 2013
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Internal Medicine Specialist 's  Response
Hi,
Welcome to HCM,
After going through your history you have coronary artery disease and treated with 8 stents, I am sure you must be taking required medicines for it.
When you have chest pain and there are no changes in EKG and every other parameter is normal this can happen.
If you have chest pain there is strong possibility of angina so it must be investigated by not only resting EKG but by Holter Monitoring and tests to induce ischemia like Stress test may be Thallium.
If there are lesion which have been taken care by stents then microvascular Ischemia is possible which you have to discuss with your Cardiologist.
Otherwise optimal medical antianginal therapy should continue and you should take rest.
If sub optimal result are there with stents then possibility of CABG may be discussed with Cardiothoracic surgeon.
Angina is clinical diagnosis it may come in test or it may not come.
Please take care
Good Luck
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Have Chest Pain. Have CAD, Eight Stents And Angina. ER Test Done. What To Do?

Hi, Welcome to HCM, After going through your history you have coronary artery disease and treated with 8 stents, I am sure you must be taking required medicines for it. When you have chest pain and there are no changes in EKG and every other parameter is normal this can happen. If you have chest pain there is strong possibility of angina so it must be investigated by not only resting EKG but by Holter Monitoring and tests to induce ischemia like Stress test may be Thallium. If there are lesion which have been taken care by stents then microvascular Ischemia is possible which you have to discuss with your Cardiologist. Otherwise optimal medical antianginal therapy should continue and you should take rest. If sub optimal result are there with stents then possibility of CABG may be discussed with Cardiothoracic surgeon. Angina is clinical diagnosis it may come in test or it may not come. Please take care Good Luck