Are Pinching Sensation In Heart While Sleeping Normal After An Angioplasty?

Brief Answer:
several possibilities can be there..

Detailed Answer:
Hello XXXXX, Welcome to HCM,
Sorry for the delay,

I've gone through your query in details and understand your concern for your mother,

Now when you said "they reduced the no.of medicines" can you please clarify which medicines are going on and which is stopped (it's extremely important as they can be a consequence of that)..

I don't want to scare you but you've read it right, because your mother is in that time phase where chances of re-stenosis/ new clot formation is quite high (the first 6 months which is standard risk factor for almost every angioplasty patients)..

It's extremely unlikely that the stent itself started irritating the vessel so need not to worry about that..

There are less severe concerns like neuro-muscular spasm, respiratory tract infection etc. where the same can be experienced but the most relevant and most important concern has to be addressed at first..

So, there's a need to inform her cardiologist about this without any further delay, to run a few necessary investigations (Chest X-ray, repeat 2D-Echocardiogram along with color doppler in and around the stent, coagulation profile repeat) for the prompt check-up in the first place and proceed accordingly..

Please don't worry, but do the needful as it's essential to rule this out in the first place in view of the precious heart and recent angioplasty..

Let me know if there's any further queries, i'll be glad to clarify..

Take Care
Kind Regards

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Brief Answer:
follow-up consultation..

Detailed Answer:
Hello XXXX, Welcome back,
Thanks for following up with the details,

First of all, to avoid any unwarranted anxiety please don't discuss these things in front of your mother..

Secondly, you should have faith in your cardiologist, she seems to be in good hands only..don't worry..

Her medications seem fine (is it AXOR or AZOR ? Dosage ? )..
Switching over to 'ECOSPRIN GOLD' is a wise approach as it improves drug compliance (it's a combination drug, now she has to take just one instead of three), so please follow them as advised and kindly don't alter the schedules on your own..

Also, please continue DREGO-D once daily in empty stomach (15-20 min prior to breakfast) for another one month..

No attachments/ECG report found here, so can't really comment on that..

However if you go back to my previous answer, you'll find that I never mentioned of ECG, as it's not really relevant in this scenario (ECG won't pick up any thing significant unless patient is grossly symptomatic, i.e. recurrence of chest pain, breathing difficulty, sweating and those alarming symptoms, which you yourself must be well aware of by now)..

Please inform her cardiologist about this without any further delay, to run a few necessary investigations (Chest X-ray, repeat 2D-Echocardiogram along with color doppler in and around the stent, coagulation profile repeat) for the prompt check-up in the first place and proceed accordingly..

Please don't worry, but do the needful as it's essential to rule this out in the first place in view of the precious heart and recent angioplasty..

Let me know if there's any further queries..


Take Care
Kind Regards

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Brief Answer:
don't worry, since already consulted with her cardiologist..

Detailed Answer:
Hello XXXX, Welcome back,

No need to worry, since already consulted with her cardiologist..

Since PANTOCID-DSR is advised already then no need to take DREGO-D, yes continue the DOLO also for next 3 days, but if symptoms persist beyond 3 days, do get her checked up thoroughly and discuss with the cardiologist regarding those necessary investigations as I've already explained in details..

Just Keep her under supervision, let her take all the cardiac medication exactly as advised by the cardiologist and don't stress yourself too much, it should be fine within a matter of time only..

Best Wishes..

Take Care
Kind Regards

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