Hello, Your history of an angioplasty should not exclude you from having an extraction. Your medical history needs to be reviewed with your dentist. Out of control high blood pressure would be a reason not to extract until your blood pressure is under control. Taking a blood thinner would require a period of stopping the medication prior to an extraction. Your dentist will consult with your physician. You should consult with a dentist and have an x-ray taken. Antibiotics only control the spread of an infection. You must follow through with treatment. Usual options would include an extraction or root canal followed with a restoration. Anti-inflammatory medications such as Tylenol or Motrin may offer some relief until you visit the dentist. Thank you for your inquiry. I am available for any additional questions and hope you are able to feel better soon.