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What Causes Chest Pain After Stent?

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Posted on Mon, 4 May 2015
Question: had a medicated XXXXXXX stent put in my RCA on 6th of December 2014, it is now the 16th of April 2015 i am getting pain in the same place in my chest from time to time it comes and go's I do not feel sick with it and it dose not affect my day to day work. XXXXXXX Woolston North Dorrigo NSW AUSTRALIA 16/04/2015
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Answered by Dr. Ilir Sharka (49 minutes later)
Brief Answer:
A comprehensive differential diagnosis is required.

Detailed Answer:

Hello!

Thank you for asking on HCM!

Regarding your chest pain, your doctor needs to perform a differential diagnosis. Besides a careful physical examination, and a resting ECG, some lab tests (cardiac enzymes: CK-MB, Troponin), a chest X ray study, and eventual a cardiac ultrasound, are required. Probably, it has nothing to do with any stent complications (as it is a prolonged pain, and ECG is OK). Nevertheless, we have to be cautious about that issue. If any suspicions is raised, you need to perform a cardiac stress test.

In case of any sudden, strong and unbearable chest pain you can try nitroglycerin s/lingual 50 mcg. It may serve even as a therapeutic differentiation.

Hope to have been helpful! Greetings! Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Pradeep Vitta
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9541 Questions

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What Causes Chest Pain After Stent?

Brief Answer: A comprehensive differential diagnosis is required. Detailed Answer: Hello! Thank you for asking on HCM! Regarding your chest pain, your doctor needs to perform a differential diagnosis. Besides a careful physical examination, and a resting ECG, some lab tests (cardiac enzymes: CK-MB, Troponin), a chest X ray study, and eventual a cardiac ultrasound, are required. Probably, it has nothing to do with any stent complications (as it is a prolonged pain, and ECG is OK). Nevertheless, we have to be cautious about that issue. If any suspicions is raised, you need to perform a cardiac stress test. In case of any sudden, strong and unbearable chest pain you can try nitroglycerin s/lingual 50 mcg. It may serve even as a therapeutic differentiation. Hope to have been helpful! Greetings! Dr. Iliri