Resolved question:
My father had a coronary intervention 3 weeks ago before the PSI he used to have pain in his left shoulder. After the PSI he wasn't feeling the pain any more and 3 days before the pain got back. He has been doing some physical activity lately. Does any of these correlate?what he should do?
Submitted:
4 Days
Category:
Cardiologist
Hello,
Thank you for your consult at DoctorSpring.com.
Please answer the following to enable me to help you best.
What was the reason that your father underwent a PCI?
Did he go for angiography because of the left shoulder pain?
How many arteries were treated with the PCI?
Does the shoulder pain occur at rest or on exertion?
What kind of pain is it ? Dull or sharp ? localised or diffuse?
Any sweating or nausea with the pain?
Does the pain increase on shoulder movements? If you have angiography, angioplasty reports, echo and ecg reports, kindly upload them. That would be really helpful.
As of now you could subject him to a ecg so as to rule out any episode of stent thrombosis and subsequent heart muscle ischemia. If the ecg at the time of pain is normal we could be assured that at least its not a emergency.
Please reply as follow-up.
Regards
Dr Vivek Mahajan
DM Cardiology
He was feeling pain in his chest and he couldn't breathe
No he did not.
Two of his side arteries were blocked
The shoulder pain occurs only in movement not at rest
The pain is sharp and it localized, he feels pain only on top of his left shoulder. No sweating no pain involved.
The pain is constant.
I have a copy of his ECG before surgery
Hello,
The pain in shoulder doesnt seem to be cardiac. It seems unrelated or musculoskeletal pain. Cardiac pain isnt localised isn't sharp and doesn't aggravate by shoulder movements.
You should probably get a ecg done and compare it with post procedure ecg. If no changes relax. Anyways it doesn't seem to be cardiac pain because he doesn't have pain on exertion.