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  • Help needed for my Dad

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    Old 09-23-2013, 12:08 PM   #1
    chris147
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    Help needed for my Dad

    apologies i posted this in the wrong section, did not see there was an angina forum!

    Hi all

    MY dad is 63 yrs old, smoked all his life but quit 2 years ago, he has high blood pressure which is under control with tablets.

    About 5 weeks ago he told me of a weird pain he was having, he said his lower left jaw started to ache for about 10 seconds then the pain would go to his chest, not in the middle of his chest but to the sides and the whole thing would last about 30-45 seconds then go. This would happen about once a week and only at rest.

    So i googled it and of course it threw up unstable angina. I made him promise me that if it happened again he would let me take him to A & E. Anyways it did happen again and on saturday i took him.

    He had a ECG and that was fine, they did a chest X-ray and that was clear, took all sorts of blood and they came back fine.

    the first doctor he saw in the hospital that it could be unstable angina, and would not let him go home because his heart rate was 136 and blood pressure was sky high.

    So we had to wait in a holding room while he tried to calm down. My dad is a very anxious person and he hates hospitals, he just worries and there is no way they can get a true reading in there with his blood pressure and heart rate.

    Anyways a few hours later a specialist came to see him and reviewed all his results and said he can go home as he had calmed down. He said its not cardio related and his heart was fine. i asked him if it was angina and he said no.

    So they sent him home, the only thing they advised him was to see his gp as his colestorol was slightly high (5.7)

    Since he has been home he has monitored his own BP and thats averaging out at 130 over 85 with a 75 beats per minute heart rate.

    He only gets this pain once a week and its never for more than a minute, he never gets out of breath walking etc and is generally fit.

    Could this still be angina? the specialist really checked him over etc and ruled it out, but im still worried.

    Thing is ill never get my dad back to hospital unless it gets much worse as his thinks he has had the all clear.

    Any advice would be welcome

    thanks

    chris

     
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    Old 09-23-2013, 09:11 PM   #2
    Power on
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    Has he ever had a echocardiogram ? Or a stress test

     
    Old 09-23-2013, 11:28 PM   #3
    chris147
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    Re: Help needed for my Dad

    Quote:
    Originally Posted by Power on View Post
    Has he ever had a echocardiogram ? Or a stress test
    No just ecg, bloods, physical exam and chest X ray

     
    Old 09-24-2013, 05:20 PM   #4
    Power on
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    Is there any family history of heart issues? Father , Mother grandparents? Dr should not make diagnoses or even mention them without more proof or test
    I wish your father luck keep an eye on him .

    Cheers

     
    Old 09-24-2013, 11:58 PM   #5
    chris147
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    Re: Help needed for my Dad

    Quote:
    Originally Posted by Power on View Post
    Is there any family history of heart issues? Father , Mother grandparents? Dr should not make diagnoses or even mention them without more proof or test
    I wish your father luck keep an eye on him .

    Cheers

    No there is no history in the family on his side, thanks for the reply though, he has not had the pain for 4 days now.

    Does this sound typical of unstable angina? lasting only seconds and once a week?

     
    Old 09-25-2013, 07:14 AM   #6
    Voxx976
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    Re: Help needed for my Dad

    chris,

    It sounds ENOUGH like unstable angina to warrant a nuclear stress test to check for partial blockages.
    NUCLEAR is good because it can detect even areas where microvessels are obstructing good blood flow.

    The possibilities of an unstable angina attacking rapidly converting to a heart attack are too close to ignore.

    The testing so far done does not rule out unstable angina.

    Certainly hypertension and high cholesterol contribute to the need for the stress test. Better safe than sorry.

     
    Old 09-25-2013, 07:59 AM   #7
    chris147
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    Re: Help needed for my Dad

    Quote:
    Originally Posted by Voxx976 View Post
    chris,

    It sounds ENOUGH like unstable angina to warrant a nuclear stress test to check for partial blockages.
    NUCLEAR is good because it can detect even areas where microvessels are obstructing good blood flow.

    The possibilities of an unstable angina attacking rapidly converting to a heart attack are too close to ignore.

    The testing so far done does not rule out unstable angina.

    Certainly hypertension and high cholesterol contribute to the need for the stress test. Better safe than sorry.

    Thanks, i know it will be hard to get him to go back to hospital as he thinks he has had all clear.

    Im baffled as to why a senior consultant could miss this? would you say its more likely angina? is it possible it could be a muscle spasm like they said?

     
    Old 09-29-2013, 05:56 AM   #8
    Voxx976
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    Re: Help needed for my Dad

    Quote:
    Originally Posted by chris147 View Post
    Thanks, i know it will be hard to get him to go back to hospital as he thinks he has had all clear.

    Im baffled as to why a senior consultant could miss this? would you say its more likely angina? is it possible it could be a muscle spasm like they said?
    Chris,
    I could not possibly say what is more likely, and of course it is possible for it to be only a muscle spasm (but radiating to the chin seems to make this somewhat improbable.)

    Seriously though, there's no sense playing a guessing game when a really good pretty non-invasive, if lengthy, test like a nuclear stress test is available. It is a bit of a pain in the butt but not when compared to a heart attack.

    How do doctors miss it? Because unstable angina is apparent only during an attack except to nuclear stress testing and angiography.

    (When my angina turned unstable, I skipped the nuclear scan and went right to an angiogram...but I was CERTAIN what is was and saw no need for wasting time ... but that's just me.)

    Last edited by Voxx976; 09-29-2013 at 06:01 AM.

     
    Old 09-29-2013, 01:50 PM   #9
    chris147
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    Re: Help needed for my Dad

    Quote:
    Originally Posted by Voxx976 View Post
    Chris,
    I could not possibly say what is more likely, and of course it is possible for it to be only a muscle spasm (but radiating to the chin seems to make this somewhat improbable.)

    Seriously though, there's no sense playing a guessing game when a really good pretty non-invasive, if lengthy, test like a nuclear stress test is available. It is a bit of a pain in the butt but not when compared to a heart attack.

    How do doctors miss it? Because unstable angina is apparent only during an attack except to nuclear stress testing and angiography.

    (When my angina turned unstable, I skipped the nuclear scan and went right to an angiogram...but I was CERTAIN what is was and saw no need for wasting time ... but that's just me.)
    Thanks

    He is going to doctors on Wednesday about his cholestrol, so he will mention the pain there.

    He has not hand the pain for 8 days now, so im hoping its nothing major

     
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