Thanks for your question.
Hear attack can cause elevation in blood pressure.
There is no specific increase in blood pressure that is suggestive of heart attack.
Heart attack is diagnosed based on presence of chest pain, changes in electrocardiogram & elevation of cardiac enzymes ( CK & troponins).
Blood pressure elevation is a sign not used for diagnosis of heart attack.
Chest pain in presence of preexisting heart disease ( you already ha a stent), use of aspirin in last 1 week, breathing difficulty should be taken seriously.
You should consider a urgent clinical evaluation.
If you have sublingual nitro at home, you can try a tablet & see if you feel better.
You can take upto 3 pills at 5 minute intervals.
If you do not feel better, then call 911 or go to urgent care.
You are right about that.
But, if nitro helps, that does not mean you will need intervention right away.
Stable angina does not need PCI emergently.
Nitro also helps some noncardiac pain as well like esophageal spasm which can mimic heart attack.
hence, my suggestion still stands---please get a clinical evaluation.
Nitro can give you headache & faster heart beat initially.
If you do not improve with nitro, that does not rule out heart problem.
Coplete stent occlusion will not respond to nitro.
Sorry, I meant complete stent occlusion will not respond to nitro.
Another artery complete occlusion may also cause similar problem.
Hmm-- this is not soda related.
if you have heart disease, and got a stent, you are should always take chest pain seriously no matter what.
Better be safe than be sorry later.