I had a stent put in 12 days ago. For 8 days I was fine and could hardly wait to get back to lifting and exercising. Day 9 I startet feeling discomfort and shortness of breath, various pains in chest, shoulder and neck followed. Next day feeling discomfort again shortly after waking up before it eased off in afternoon. Started again with discomfort and pain in evening, but less profound. Following day pains increased and decided to visit hospital in morning. Arrived at hospital with BP 188/105 and discomfort in chest. Tests were done and no new heart attack. (Troponin 33 and30) Seeing cardiologist he diagnosed me with angina due to small vessel blocked, too small for new stent. Prescribed Isosorbide, trimidazidine, Ivabradine and Penndopril for BP on top of acetylsaliacid and Prasugrel. Dicomfort continuing on day 4, easing off after 2 hours. No sign of angina before stent. During stent procedure doctor said the stent blocked a minor vessel and small heart attack class1 occoured when pulling out cateter. Not much information given by cardiologist. Will the unstable angina most likely be permanent? Are all the medications really necessary? (In Thailand and overmedicating is the norm) (BP and colesterol are within normal range so was not prescribed BP med and statins after procedure.) Is it possible to move/replace the stent(18mm) that ended up blocking small vessel?
Unstable angina after stent. Permanent? - British Heart Fou...
Unstable angina after stent. Permanent?
I can also add that I am not convinced about the angina diagnose as initially during the procedure in Norway they concluded that I needed 2 stent after inspection. After fitting the first stent he checked again and then came to the conclution that I would not need stent no 2 as the other vessel opened up after stent no 1 was placed. Can't shake that feeling that I maybe should have had them both. Cardiologist in Thailand dissmissed my concerns after reading my translated epicrisis.
this is highly technical! Trying to disentangle what the cardiologist has done! I’d ask you to consider phoning the cardiac nurses at the BHF (details on their website) if you were in the UK.
You might get some information from NICE (National Institute for Clinical Excellence) website.
Remember here on this forum we’re not medics and indeed forum guidelines ask us not to comment on specific medications and procedures- just things that helped us, for example. It’s possible another poster might have gone through what you’ve gone through and could comment.
And restenting is possible.
The vast majority of members on here are not medically qualified in any way, and are discouraged from giving opinions and advice on medical matters according to community rules. They can only comment based on their own experience which may not be relevant to your personal circumstances. However if you contact the BHF Heart Helpline as below you should get a professional opinion on your questions
in th uk I’d say get a second cardiology opinion
Having stents can put you back on your feet rapidly. But beware this only part of the developing story, we had to have stents for a reason and this only one stage to sorting out the problem, in your case it has created another one?
Now you have to continue monitoring yourself while the new meds start to do there job and wait for the cardiology to find you another route? They may do nothing for a while, a "wait and see approach". However if your pains increase go back to your GP.
This is my own personal experience.
I had 2 stents put in almost 18 years ago and ironically I did not have much angina as such prior that just the odd chest pain infrequently and because of my family history I had an angiogram and discovered that I had 2 significant blockages.
After the angioplasty I had a lot of chest pain and angina with and without exertion so the cardiologist performed another angiogram and confirmed that all was well and he put it down to inflammation that was caused by the stent insertion and the small vessels that were blocked off by the stents ,everything did settle down after a few months .
I still get angina to this day because of the small vessels that were blocked off but only after exertion and not all the time mind it depends if I am tired , eaten to much or it’s late in the day .
I have just recently had another angiogram that’s how i know it is the blocked small vessels that are causing it but it’s got to be excepted as it the better of two evils and it won’t kill me.
I keep as fit as I possibly can and I find that that definitely helps.
Agreed there's way too much technical information for forum members to comment on but my observations are primarily that your procedure was only 2 weeks or so ago which is a fairly invasive procedure so give your body time to heal and adapt and also to the new medications too, try not to worry and for peace of mind see if after consulting with a cardiologist whether together you feel some form of diagnostic scan to check everything ok is appropriate.
post Angioplasty ?angina - throat pressure
Microvascular angina 
Stent recovery time?
Feeling after an angina attack
