HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Have Congestive Heart Failure. History Of Infarction. Have Hypothyroidism. Arm And Chest Pain. Are These Episodes?

I am a congestive heart failure patient and had a heart attack resulting in severe infarction 13 years back. my EF is between 20-25%, low BP 90-60, enlarged heart, dilated left ventricle . my medicines include dilatrend, lowplat, aspirin , lasoride, nitromint, vasteral, thyroxcin, tamsolin, avodart, rovista and capoten. I also have hypothyroidism due to extensive use of amiodarone and prostrate problem. For the past three months i have been having pain in my arm and then descending into my chest only when i go to the bathroom and sit down on the toilet seat or when i lie down at night for sleep or sometimes when i begin eating my dinner. It easily goes away by taking nitroglycrin. Some doctors do not recommend an angiogram because of the condition of my heart. Are these episodes, angina pains or something else.
Mon, 18 Feb 2013
Report Abuse
General & Family Physician,  's  Response
Hi,
thanks for your question. With your past history and the symptoms you describe, especially with a positive evolution on nitroglycerin, it is a stable angina pectoris.

For sure, your heart condition does not permit doing an angiography. An ECG could be done to further strengthen this clinical suspicion, which is almost 100 % sure in your case.

I would suggest you respect your treatment protocols, never forget to move or be in an environment without nitroglycerin and take out drugs regularly. Most patients tend to neglect the role of low dose Aspirin, take it serious, its key in the management of angina pectoris. You can try as much as possible to avoid all or most of the circumstances that you know can initiate the angina pain.

Thanks for the question and wish you the best of health,
Best regards,

Luchuo, MD.
I find this answer helpful

3 Doctors agree with this answer

Note: For further queries related to coronary artery disease and prevention, click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Recent questions on Heart attack


Loading Online Doctors....
Have Congestive Heart Failure. History Of Infarction. Have Hypothyroidism. Arm And Chest Pain. Are These Episodes?

Hi, thanks for your question. With your past history and the symptoms you describe, especially with a positive evolution on nitroglycerin, it is a stable angina pectoris. For sure, your heart condition does not permit doing an angiography. An ECG could be done to further strengthen this clinical suspicion, which is almost 100 % sure in your case. I would suggest you respect your treatment protocols, never forget to move or be in an environment without nitroglycerin and take out drugs regularly. Most patients tend to neglect the role of low dose Aspirin, take it serious, its key in the management of angina pectoris. You can try as much as possible to avoid all or most of the circumstances that you know can initiate the angina pain. Thanks for the question and wish you the best of health, Best regards, Luchuo, MD.