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Dr Basu
Dr Basu, Experienced Specialist
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Experience:  MD
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If you are near or having a heart attack or have a partially

Resolved Question:

If you are near or having a heart attack or have a partially or blocked artery will your blood pressure be high. And if so, what pressures would be indicative of this...thx
Submitted: 4 years ago.
Category: Health
Expert:  Dr Basu replied 4 years ago.

Hi,

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.

 

Customer: replied 4 years ago.
What would be the other things to look for...minor chest pain with no other symptoms (breathing,sweating etc) are present.
Expert:  Dr Basu replied 4 years ago.

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.

 

Customer: replied 4 years ago.
No breathing issues just some minor chest pain...lower area...plavix/aspirin for 1 year
Expert:  Dr Basu replied 4 years ago.

Ok thanks.

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.

 

Customer: replied 4 years ago.
I have been told that if i am having a problem and I take it that if it feel better that is a bad sign...but if i do nitro and it makes me feel worse then that is a good indication that it is not heart related.
Expert:  Dr Basu replied 4 years ago.

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.

 

Customer: replied 4 years ago.
I am scheduled for a stress test this friday....will be trying nitro in a few minutes.
Expert:  Dr Basu replied 4 years ago.
Good luck,
Customer: replied 4 years ago.
I am scheduled for a stress test this friday....will be trying nitro in a few minutes. tryed Nitro a few minutes ago...made me feel terrible for a few minutes...
Expert:  Dr Basu replied 4 years ago.

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.

Customer: replied 4 years ago.
Please explain that in english...thx
Expert:  Dr Basu replied 4 years ago.

Sorry, I meant complete stent occlusion will not respond to nitro.

 

Customer: replied 4 years ago.
which means that if it is blocked again....
Expert:  Dr Basu replied 4 years ago.

yes, correct.

Another artery complete occlusion may also cause similar problem.

Customer: replied 4 years ago.
thx for your help...I have neglected to mention that i have been off of soda for 3 days cold turkey...have done this before but did not feel like this
Expert:  Dr Basu replied 4 years ago.

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.

 

Best wishes,

Customer: replied 4 years ago.
agreed and thx for you help.....todd
Expert:  Dr Basu replied 4 years ago.
Good luck Todd.
Dr Basu, Experienced Specialist
Category: Health
Satisfied Customers: 21905
Experience: MD
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