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Pain in ribs after laying down to sleep after an angioplasty. Reasons ?

My dad underwent an angioplasty recently. The course in the hospital was as follows: 68 yr male patient admitted in CIU with above complaint for required managment and close monitoring, lab investigation done. 2d echo done s/o IHD, RWMA, Grade I diastotic dysfunction, Mild LV systolic dysfunction. Patient underwent Emergency Coronary Angiography on 4/2/13 s/o IHD- double Vessel CAD. Recommendation : Primary PTCA to RCA, PTCA stenting to OM at a later stage. On 4/2/13 Coronary angioplasty done PTCA to RCA (stent: Xience V 3.0 x 15 mm, Xience Prime 3.0 x 33 mm) Stood procedure well. yesterday night my dad could not sleep. He is experiencing pain in ribs after laying down to sleep.
Asked On : Thu, 21 Feb 2013
Answers:  1 Views:  51
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Cardiologist 's  Response
Hi friend,
Welcome to Health Care Magic

The pain in the rib could be from injury to the bone or nerve (intercostal) at the time of surgery.
Reactive pleural / pericardial pain (Dressler's syndrome) should be considered.
Examination, followed if necessary by an EKG enzyme, ECHO and chest x-ray will clarify.

Take care
Wishing speedy recovery
God bless
Good luck
Answered: Fri, 15 Mar 2013
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