Clopidogrel and stable angina
Common Questions and Answers about Clopidogrel and stable angina
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New data show that when clopidogrel and omeprazole are taken together, the effectiveness of clopidogrel is reduced. Patients at risk for heart attacks or strokes who use clopidogrel to prevent blood clots will not get the full effect of this medicine if they are also taking omeprazole.
I am 58 and just been diagnosed with stable angina on exertion. Had all tests run on me with the conclusion that I have early arthero. An angiogram revealed no blockage except one in a small secondary vesell , too small to put a stent. The doctor suggested medication and collateral vessels should developped.
Two questions:
1) I was lucky.
It is said that crataegus Q is good for geart and angina. It is also said that it does not interfere wirh the current medication which I take for my heart (beta blockers, AEC-I, asprin, clopidogrel etc) and does not have side effects.
Still I did not want to take a chance and therefore I started on very low dose- 5 drops twice daily and increased it to normal dose of 15 drops twice daily over a period of 15 days.
The fact that you have stable angina (chest pain and dyspnea on exertion) it is more annoying. Your cardiologist probably would ask for an angiogram to check if there are any occlusion.
My advise, as I am sure that you already knows, is that you should loose weight. I know it is not easy .... here are 2 facts just to try to motivate you:
1) Every kg of meat in your body carry about 1 km (yes 1000m) of vessels .
P, Clopidogrel U.S.P, Enalapril Maleate Tablets IP, Atenalol Tablets I.P, Tonact 40 and Alprax; from 2 months.
Are these pills helpful in any way to unblock arteries? Is CABG manadatory as per the values indicated above? Your advice is of extreme high value and appreciation. Please HELP.
Pain in the arms, neck, jaw, shoulder or back pain can be angina although it is not typical stable angina that occurs with exertion and relief at rest. Because your husband's coronary occlusion without angina could be the condition has slipped into unstable angina. Unstable angina occurs even at rest; there Is a change in the usual pattern of angina and is unexpected. It is usually more severe and lasts longer than stable angina, maybe as long as 30 minutes.
Unstable angina is usually a progression of stable angina and the pain comes on with or without exertion.
Because of your age it is unlikely the pain is angina, but it can't be ruled out..It is possible that it goes away, but that doesn't indicate you did not have angina. Unfortunately, there is no clear way to identify whether pain is angina as the range and degree of pain has wide variations.
There are different variations of angina, and stable angina is the most common. With stable angina it is easy to bring on the symptoms because they occur just as you expect, when the heart needs more oxygen but it's not able to obtain enough. Stable angina doesn't occur at rest UNLESS the blockages have become very severe but the discomfort would be there ALL the time.
You could be suffering from unstable angina.
There are two types of angina, stable and unstable. With stable angina it is easy to diagnose and predict when symptoms will occur. It is also usually treatable with medication, PCI or bypass. Lifestyle and diet change can also have a big impact on relieving symptoms. With unstable angina it is more difficult to diagnose because symptoms can be very intermittent. This condition is basically caused by coronary arteries going into a spasm, squeezing and restricting blood flow.
There are different types of angina. The unstable angina requires immediate attention, while the stable angina can be treated with medications.
So, if your aunt has unstable angina, she needs to have looked at that on short notice.
If she has stable angina there is perhaps not so much urgency, but she needs to have it treated anyway if she wants the gallbladder operation
If it appears that theangina is from a new blockage, chances are they can put in another stent to solve the problem.
And coronary artery spasm, can be superimposed upon normal or diseased arteries, and can provoke pain in the absence of increased myocardial demands such as variant angina and some cases of stable or unstable angina. There is "also a group of patients who have angina without demonstrable evidence of coronary artery disease" such as heart valve disorder, hypoxia, etc. The tests are equivocal so I was introducing a variant spasm with undiagnosed stable angina...
ve eight stents and always was given a handful of Clopidogrel (Plavix) during the prep time before the surgery, and a couple of aspirins. They want the blood as thin as possible during the procedure to reduce the risk of stroke or arterial obstructions, obviously. I'd not be concerned and take the medication as asked.
Best wishes with the procedure, keep us informed.
s heart disease, and the shortness of breath is not all the time, only with exertion, then this could be angina, stable angina. With stable angina, you should notice that the shortness of breath occurs more when out in cold air exerting yourself. As the weather cools (as it recently has in the UK) it tends to reveal more potential angina patients. I used to feel great in the summer, but terrible in winter.
So, is the shortness of breath with exertion, such as walking or climbing stairs?
The best treatment for soft plaque buildup is by a healthy diet, exercise, etc. And for some individuals that is not enough, and there may be a link to genetics. Then there are individuals that smoke, drink poor diet, etc. and don't seem to have a problem?!
Yes, CT scan 128 slice angiogram does provide a score that indicates the degree of soft plaque within each coronary artery and the total score.
The pain in the shoulder/shoulder blade region seems to have been due to tension, and the need for new pillows, I took anti inflammatory and had muscle massage, and it did the trick, also the pain (which was slight) by throat, is gone. Doctor seems to think it was all due to anxiety (I do have anxiety disorder - since before the MI)So I hope I can believe the doctor!!!
I also had cholesterol tested today, it was 5.
If angina occurs with stress, physical exertion and there is relief from angina with rest it is referred to as stable angina, if angina is not relieved with rest it is referred to as unstable angina. If the chest pain is ischemia, nitro medication will provide relief.
Whether or not to drive a bus may be contraindicated until there is a diagnosis and treatment, but a doctor who has your husband's history and other information would be in the best position to advise.
s called stable because you can cause the symptoms and stop them predictably. There is unstable angina too, which is random and not predictable. One possible cause for this is artery spasm, where the muscle in the artery goes into spasm and squashes the vessel, restricting or stopping blood flow. Commonly known as Vasospasm, this can happen anytime, anywhere. There is also Refractory angina where there seems to be no known reasons.
Isosorbide mononitrate and nicorandil are vasodilators commonly used in chronic stable angina. ACE inhibitors are also vasodilators with both symptomatic and prognostic benefit and lastly, statins are the most frequently used lipid/cholesterol modifiers which probably also stabilise existing atheromatous plaque.
If the medication you are taking lowers your blood pressure, maintain normal heart rate and there is no chest pain (angina) it would appear you are properly treated and your medication is effective. You may not need continued medication with Bidil if you have stable angina (no chest pain with rest or minor activities)...unstable angina is chest pain with or without exertion and continue med would be appropiate.
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