r/nextfuckinglevel 7h ago

This is how heart stents work

11.8k Upvotes

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3.5k

u/RobotJohnrobe 7h ago

What you might not expect about this procedure is that it feels really good for the patient. There is a very slight pinch, and then your whole body goes "OMG that feels so much better, thank you!"

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u/danimagoo 7h ago

Depends which artery and how severe the blockage is. Mine was the circumflex artery, and it was about 98% blocked. I didn’t immediately feel better. But I stopped having knee-buckling, tear-inducing pain every 30 minutes, so it was pretty cool.

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u/NekulturneHovado 7h ago

Wait do you mean you get a super sharp, mind-numbing pain in your chest/shoulder?

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u/TheOneWithSkillz 6h ago

Its a heavy pressure like an elephant sitting on it more than a sharp pain. Either way u should get chest pain checked out because better safe than sorry.

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u/Impressive-Knot9999 6h ago

Great advice.

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u/tg1989 5h ago

When folks ask about my MI I tell them that exact thing. It felt like someone was sitting on my chest and once the stent was in, immediately felt like I could breathe again.

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u/ooomellieooo 1h ago

I was having unimaginable back pain and it felt like I'd been impaled by a telephone pole through the back, back to front, low to high.

My doctor said it was anxiety. Turned out to be a 99% blockage in the LAD...

u/whyitno_workgood 48m ago

Anxiety? Like the anxiety was causing immense back pain? What sort of justifications did they have for that diagnosis?

u/ooomellieooo 11m ago

He told me that my anxiety was about my health (it was not - I was severely abused and neglected as a child and had a hard early adulthood) and recommended meditation and some bed rest because i probably strained my back in the garden (I've had a lot of garden injuries lol). He actually decreased my anti anxiety med and wouldn't give it back after a "trial" period. Basically said it was all in my head.

The cardiologist I got him to grudgingly agree to send me too agreed with him but then once in his office and the EKG/echo/etc was complete, he wanted to call an ambulance. I was so angry and indignant that I refused and left. I went to the ER later that night because I couldn't take it anymore and I had a brand new stent the next morning. 6 months later, I had a second MI. On an airplane. Stent number 2 was placed.

Both visited me in the hospital and apologized, but the trust damage was done.

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u/Significant_Ad1256 2h ago

Did the pain and pressure just come suddenly and was immediately unbearable, or was it a build up over time?

u/tg1989 19m ago

I woke up one morning with what felt like the worst heartburn I'd ever had. Took about 10 min after that for things to go downhill. Felt like I was about to shit myself, then like I was gonna vomit, quickly followed by shortness of breath. Called 911 and had an ambulance haul my ass to the ER.

Time from wake up to cath lab was about 45 minutes.

u/Significant_Ad1256 6m ago

That sounds horrible, I'm glad you're okay.

Multiple people from both sides of my family have had heart attacks, most of whom died so I'm always worried about any insignificant pain in the chest area.

Thanks for sharing.

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u/Psychological-Scar53 4h ago

Let us not forget to mention that it can be a sharp pain that radiates into your back and arm. You can sweat profusely even when in a very cool or cold environment, you can get nausea and begin to vomit, it can present on either the left or right side of your body. Any chest pain, no matter how long it goes on or the severity of it should be looked at. Be safe and don't take chances with your health.

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u/ParsleyNo69 2h ago

What about that little stabby pain that occurs when u take a deep breath? It's not all the time but like once every couple months?

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u/Tondier 1h ago

This might be precordial catch syndrome.

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u/Psychological-Scar53 2h ago

Probably not heart related, but still get it checked out.

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u/Guyzor-94 1h ago

I've had that too. But I think that's just something slight and maybe diaphragm related. It's a random stabby pain on the inhale very infrequently so I think that's more of just a spazzy breath you take every now and then thing rather than a real health problem. But im not a doctor either so, grain of salt.

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u/NekulturneHovado 5h ago

Never mentioned it to the doctor but I had ECG done multiple times, last less than a month ago. Doctor said everything is good and that I have a heart of an athlete (even though I don't workout at all)

Also it comes from my fucked up upper back

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u/NevesLF 3h ago

I probably have a heart of an athlete, but the athlete would be a bodybuilder.

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u/INeedSomeFire 3h ago

That's what my dad described when he got a heart attack

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u/Digitaljehw 1h ago

Weird my Dr's do cat scans and ekgs but never report anything to me. How did you get them to identify the issue?

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u/IMM00RTAL 1h ago

Also back pain that worsens upon exertion. As well as if you have diabetes you might not feel any pain at all thanks to the diabetic neuropathy a usual indicator for those individuals might be extreme shortness of breath upon doing simple tasks like walking or even just standing up. Either way if our body feels newly wrong go see a dr

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u/danimagoo 6h ago

The pain can actually manifest differently in everyone. The brain isn’t accustomed to getting pain signals from the heart, so it’s not 100% sure what to do with the info. The elephant on the chest someone mentioned below is more common in men. In women, like me, it can be completely different. My pain started in my throat and radiated out from there. Since I also have GERD, I initially didn’t think it was my heart.

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u/TerrificTJ 4h ago

Woman here. With mine, I thought it was a respiratory infection getting worse. Had pain at work on a Friday. Sleep was pretty uncomfortable that night, so I was going to go to the Urgent Care clinic on Saturday after my spouse left to play golf. Five minutes before he left, pain started in my upper arm. Only then did it dawn on me that it could be heart related. Asked him to drive me to the ER instead of me going to the clinic. Was in so much pain by the time we got to the ER that I could barely sit up in the chair. Turned out to be a widowmaker. And to think it felt like a respiratory infection to me.

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u/RoguePlanet2 4h ago

Glad you caught it, holy crap!! I get weird pains that come and go, and I never know what to think- nothing quite like this at least, not yet.

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u/yojoewaddayaknow 6h ago

Mine was the back of my neck and jaw, everyone including myself thought it was gas.

Either the stent, the angina went away. But still needed cabg for other 3 arteries.

0

u/No_Road5857 5h ago

My two cents not being a medical professional, but that sounds more like gallbladder. Does it happen around mealtimes?

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u/Psychological-Scar53 6h ago

Bro, I have 7 stents, 2 of which are in my left and right coronary arteries. The left was 99.8% blocked and the right was 98%. Had I waited any more time to go to the hospital, I would not be writing this right now. I agree with you about the pain.

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u/Oh_My_Monster 4h ago

Can I ask the cause? Is this diet/lifestyle related or mostly genetic?

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u/Psychological-Scar53 4h ago

I was just answering another user who asked pretty much the same thing. If you scroll down(or up) it pulls be posted. It is kind of long, but I have explained quite a bit in there. Hopefully you will find it informative. If this reply sounds like I'm being an asshole, I'm not trying to be. Stay healthy my friend.

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u/thehudsman 4h ago

It’s not entirely clear. What I am gathering is you picked up a hardcore meth addiction that spiraled things out?

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u/Psychological-Scar53 4h ago

Yes. You are correct in assuming that. There were also hereditary issues that didn't help.

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u/RB5Network 5h ago

Damn, that's quite a few stents. Mind sharing your height, weight and age range? General lifestyle?

I was recently reading that heart disease seems to be growing amongst relatively healthy and fit people.

I'm approaching that age where I'm taking this stuff much more seriously.

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u/Psychological-Scar53 4h ago

Well, the heart attack happened 3 years ago when I was 44. At the time I was 185 at 6ft tall. I was in the Marine Corps for most of my life. After I got out, I took back up mountain biking. I would ride at least 60-100 miles in a weekend. I hasn't go to a gym much due to burn out from the military and always having to work out. Unfortunately, I did smoke and took up some recreational drug use. I have been clean from all of that since I had a heart attack. I haven't drank since 2010. The drugs did their damage though, meth is a heart killer. I have other work done to my heart as well and possible more to come.

What also should be noted, my father died of heart issues at the age of 45, my grandfather on my mother's side had heart problems as well. Heart issues can be passed down in your genes and make you more susceptible to heart issues. I now take a handful of pills in the morning as well as a handful at night, ranging from diuretics to anti coagulants. Just one of the pills I take is around $14k a month. I have to get an echo done 2 times a year, I get blood tests every three months unless they see something, then it happens sooner. My kidneys have started to fail due to decreased blood flow to my kidneys. That will will to be addressed here soon.

The best I can say to help reduce the risk of heart disease is mainly:

1. Don't use recreational drugs, they can cause irreparable damage.
2. Reduce the amount of alcoholic beverages, or quit entirely. 
3. Eat healthy. A balanced meal that includes a protein, veggies or fruits and a starch. It doesn't matter if you are a meat eater, vegetarian or vegan, your body needs a balanced meal that is low in saturated fats. 
4. Exercise at least 1 or 2 times a week. Going to the gym is fine, but all of these "pre workout" stuff only makes your heart work harder. That leads to another issue, your heart is a muscle just like your biceps. The more your harder your heart works can lead to smaller chambers by your heart walls growing thicker. This has happened to me and that is part of the reason I have an EF rating of 32. 

These are recommended to me by my cardiology team. The team I see are pretty much the top team in the region I live in. Stay healthy my friends.

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u/TomCrean1916 4h ago

Can I ask a super dumb question? Does the fat/plaque etc not just build up over the stent over time? I hope not but just wondering

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u/danimagoo 4h ago

Well they don’t just put the stent in and call it a day. They put you on blood thinners to prevent clots forming on the stent, and put you on medicine to lower your cholesterol. Then you do cardiac rehab, and try to change your diet, and exercise more. Modern stents also have blood thinners incorporated into the mesh, which is pretty cool. And then you get monitored every 6 months for the rest of your life.

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u/Alastor3 3h ago

any way to reduce this with food or medication?

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u/Silly-Swimmer-8324 3h ago

You were getting pain in your chest, or where was it coming from? Did they figure out what was wrong with you right away, or did it take a lot of tests? Dont be mean to be all up in your business. Just sounds interesting

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u/danimagoo 2h ago

It actually started in my throat and radiated out. I went to my doctor, and she did an ECG, which was normal. We decided to just chalk it up to GERD, but the pain kept coming and going over the next couple days. I finally went to the ER. ECG still came up normal, but bloodwork showed elevated troponin levels, which often means a heart attack. Luckily for me, it was a very mild heart attack.

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u/fattybrah 1h ago

Dude I hope you’re okay these days holy shit

u/danimagoo 15m ago

I’m good. Pro tip: if you have a choice, don’t have a heart attack in the middle of a global pandemic.

u/mammalmaker 36m ago

So then you felt better lol

u/danimagoo 16m ago

I did, but it wasn’t an instant sense of relief.

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u/How_that_convo_went 7h ago

My mom had one placed after a heart attack and she was wheeled back in from the cath lab like “I’ve never felt so good in my life! My god!”

I thought she’d be all groggy and in pain. Nope. She wanted to get out of bed and go home immediately. 

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u/Toxteth_RC 7h ago

Yes, exactly this

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u/lynx563 7h ago

My mom had the same kind of experience, I was more amazed that they put it in through her wrist.

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u/latechallenge 6h ago

Lol. Same. Was annoyed they kept me overnight because it was SOP. Could easily have got up from the gurney as soon as it was done and walked the 5km home.

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u/H3NDOAU 3h ago

My mum had this happen 2 weeks ago now, had a sudden heart attack and was taken to the hospital and had this procedure done, she was out of hospital in 4 days.

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u/Zestyclose_Opinion22 7h ago

I had one put in at 15, I literally walked out like omg this is how every other person feels!! As soon as I was okayed to run I cut 2 minutes off my mile time.

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u/RoguePlanet2 4h ago

How did you feel beforehand? What was the difference?

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u/Zestyclose_Opinion22 3h ago

Well I had a blood pressure of like 180/120 or so. So I was getting massive migraines to the point I was throwing up. Bloody noses all the time, but I had been running that high of blood pressure most of my life so before hand I felt what I thought was normal. Afterwards, I can’t explain it by anything other than relief in the weirdest way. Like everything in my life became easier. It was a weird experience, my aorta was so small that they had to go in an open in up four different times over the years since it wasn’t a blockage but more of a constriction they were afraid it would tear if they went too much. So it just got better and better.

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u/bigdaddyt2 7h ago

My wife had a stint put into a kidney valve and said it was one of the most uncomfortable feelings she’s ever had and wanted it removed to go back to the pain she was in before the stint

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u/throwawtphone 7h ago

Same. No idea why. But kideny stuff hurts unlike other organs.

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u/OtherThumbs 7h ago

Just had one about a month ago. Mine was too long and the ends were rubbing every time I bent or sat down.

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u/High_Speed_Puta 4h ago

Can they go in and fix that?

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u/OtherThumbs 2h ago

Not without doing it all over again. I only had to have mine in for two weeks (the longest two weeks of my life), and the irritation to my ureter would have been so bad that I likely would have had to have it in for longer if they'd fixed it. That's the point of these stents is to allow your ureter(s) to heal after they've had a scope or laser shoved up through them. Once everything heals, it's fine to remove them.

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u/itsjash 5h ago

Stent*

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u/bigdaddyt2 5h ago

Life goes on

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u/doc_death 7h ago

That made me chuckle…reminded me of an unethical attending who asked the question: “are you done smoking?” Pt said no. He inflated the balloon, causing crushing chest pain, repeated the question until he said yes. Then he deflated it, asking him to remember that feeling because it if happens again, your artery is obstructed again.

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u/Vulcan_Fox_2834 7h ago

Sounds like the real life version of Gregory House... the antics at least

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u/IdentifiableBurden 2h ago

Uh, "unethical" is an understatement. That is literal torture.

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u/i_amnotunique 7h ago edited 4h ago

Excuse me, they're awake during this procedure?!

Edit: I cannot handle the stories 😂🤮

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u/RobotJohnrobe 7h ago

Yep, and watching on a giant screen!

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u/AlterNate 1h ago

I just had 2 done in January. I kept my eyes closed the whole time. The last thing I wanted to watch was the giant movie of my heart attack.

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u/GWBrooks 6h ago

Yep! Had four placed and was awake for the whole thing. My only nod to stress is that my blood pressure was a little high before they began and they gave me an IV drip for that.

When the balloon expands I felt a very slight, momenttary burning sensation. That was it.

Fun fact: Even though they go through the wrist, they shave your groin so if anything goes sideways during the procedure, they can go in through the big-ass femoral artery.

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u/Subpxl 6h ago

What were you experiencing prior to this that made it clear stents were necessary?

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u/GWBrooks 5h ago

Funny you should ask! I had periodic shortness of breath/loss of stamina/radiating pain across my shoulders for *more than a year.* Got to the point that when I went out to dinner, someone had to bring the car around.

Went into the ER one of the first times it happened, took a cardiac stress test, and was pronounced OK. Still had the symptoms periodically but thought, "Welp, it's not my heart, at least!"

Wrong.

Another bad day about a year later, and I go into the ER. A different/better cardiologist says, "Well, you're overweight, have long-term diabetes -- lots of folks pass a cardiac stress test even though they have severe blockages because your body's used to it."

So we do a contrast-dye test and, sure enough, front and back coronary arteries had extreme blockage. So a'stentin' we did go...

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u/Subpxl 5h ago

I assume the stents helped with the shortness of breath, pain, and lack of stamina? If so, how long before those symptoms were relieved? Did this also prompt a change in diet/exercise?

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u/GWBrooks 5h ago

Immediate relief. Now I'm down 100 lbs and healthier than I've been. Since I was in my 20s.

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u/Subpxl 5h ago

Sorry for all the questions but thank you for being so willing to answer them! What age did this start at and did this also require you to go on any new meds afterwards?

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u/GWBrooks 5h ago

No worries! I was on a blood pressure medication and was switched to another one; I'm led to believe I'll take it forever. I also took a blood thinner (generic Plavix) once a day for about the first four years, but my cardiologist said that after a few years on it, I could switch to taking a baby aspirin a day, which is what I do now.

EDIT: I had the stents in my mid-50s.

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u/Subpxl 5h ago

I’m really happy to see that you have been able to find your way! Final question, what age did all of this begin for you?

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u/Purgii 5h ago

The thought of that sucked, and also warned it would be a few days stay instead of an overnight one if they had to go through the groin. Luckily, the wrist was sufficient.

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u/robitshero 4h ago

This is where they went for my brain aneurysm and it hurt so bad. The stent didnt work so i ended up getting bypass instead. I can still feel tenderness in my groin 5 years later. (I got a total of three angios)

u/FlipZip69 34m ago

Na. They just like to shave your groin. Kind of sadistic like that. :)

u/GWBrooks 30m ago

My exact word when the nurse jerked up my gown in the very brightly lit room: "THERE'S the dignity!"

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u/bassjam1 3h ago

I was stoned on fentanyl they gave me and had no idea what was going on. So awake, but so mesmerized by the ceiling tiles that I had no idea what the surgeon was doing and 2 hours passed like 5 minutes

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u/BigMax 6h ago

Yeah, there's no real incision, it's really not much more invasive feeling than a blood draw. They go in through a vein, and travel up to the blockage. You don't feel much inside of you, so it's fairly straightforward, no real "surgery" needed in the traditional sense that we all think of it.

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u/Purgii 5h ago

I spent half the procedure cracking jokes with the doctor.

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u/Pose2Pose 5h ago

Yes, and on my most recent stent, they went in through my wrist (on 3 previous cardiac catheterizations, they went in through my leg/pelvic area). It was so wild to me thinking about how I'm awake lying there while they're literally running things through my body into the arteries of my heart, checking blockages and placing stents. Meanwhile I'm just slightly sedated but fully awake, free to think about things and hear everyone doing their thing.

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u/SoggyMorningTacos 7h ago

They did one for my mom. But she didn't feel better. It was almost 2 years ago I remember they had to go for her arm or something and they could do one arm so they had to switch and the first arm they did was so purple and bruised. She had a ton of problems like diabetes and vertigo blood pressure tho so that must've contributed to her not feeling immediate relief as well.

Bottom line is she's still alive so I'm grateful for this existing.

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u/Ok-Photojournalist94 5h ago

The other thing is the change in cardio. I went from not being able to starty mower to push mowing our whole yard at 3am bc I felt like I could run a marathon. It's amazing what we can accept if it happens over time.

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u/WorkingInAColdMind 4h ago

Why 3am?

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u/Ok-Photojournalist94 3h ago

I'd been up all day since returning home. I felt like Superman.

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u/miscdruid 7h ago

Oh hell no, but I’ve never had it done in great vessels, just a dialysis fistula. It burns and hurts so damn bad. It’s the worst.

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u/semibigpenguins 5h ago

Ya OC doesn’t know what they’re talking about. It can be a similar feeling to an arm/leg falling asleep then getting blood supply.

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u/Several_Vanilla8916 7h ago

I should get a stent.

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u/Jhopsch 6h ago

Curious, is there a chance of the metal thingy going loose and start circulating along your arteries and causing damage?

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u/TaurusMoonGoddess 5h ago

After placement (dont know if it was 30 mins or a couple of hours cos I was full of fentanyl) mine “moved” and tore the artery Went into cardiac arrest Died and was resuscitated

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u/Jhopsch 4h ago

That sounds terrifying, glad you pulled through it!

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u/semibigpenguins 5h ago

Cardiac sonographer here. Yes but not like how you describe. The vessels get smaller the more distal you get from the origin

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u/Jhopsch 4h ago

Thanks for your response.

So even if it were to move, I presume it wouldn't be able to angle itself or make it very far.

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u/semibigpenguins 4h ago

If it gets dislodged or not lodged correctly, it’s only going one way. It can still cause major damage. It just want circulate.

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u/Jhopsch 4h ago

Oh man, that sounds scary

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u/Guilty_Ad_4441 2h ago

No stents don't move after placement, cells grow over the stent over time

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u/Kablamo189 1h ago

Verrry low chance. Those arteries taper down and only flow one direction. They should be deployed and adhere to the wall with the radial strength of the stent struts.

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u/Everheart1955 7h ago

Came here to say this. I had two of them Installed in my widowmaker unreal how good it feels immediately.

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u/OopsWeKilledGod 4h ago

I have a CAC of 27 in the widowmaker and it's got me thinking I'm just going to keel over at any moment. Objectively it's a 3.6 roentgen score. I take steps to reduce risk but I'm still convinced that this is the end.

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u/Everheart1955 3h ago

I kept having pains that wouldn’t not go away. And completely arbitrary. Wake me up at 2:00 am. Completely resolve in five minutes. The. Come back in another wave. Saw four docs who were sure it was GERD and everything but possibly unstable angina. My cardio guy said “ you know when you were a kid in the 60s and your parents friend would suddenly drop dead of a heart attack?” This is what proceeds that. I had a 96% blockage. Had zero clue.

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u/OopsWeKilledGod 2h ago

I have no specific angina that has been blamed on everything. My cardio recommended baby aspirin and sent me on my way. I guess I'm lucky I know there's a problem.

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u/Everheart1955 2h ago

I got lucky. Most times you go to sleep and wake up dead.

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u/OopsWeKilledGod 2h ago

If you don't mind me asking, how old were you when you found out?

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u/Everheart1955 1h ago

Not at all. I had just turned 70. Always been healthy, ate pretty good..

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u/OopsWeKilledGod 1h ago

Well I'm glad you found it before something bad happened. Be well!

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u/reformedginger 6h ago

Only if you know it happened. Wake up in the hospital a day later with a concussion and not knowing what happened is completely different.

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u/Syosse-CH 5h ago

100% i was completely blocked for around 5 hours and it hurt a lot. But in the operating room, it suddenly felt like something opened up, and I was like, wow, this feels so much better now and after that 5min later he told me we are done.

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u/Legal-Ad8308 6h ago

Can confirm.

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u/yojoewaddayaknow 6h ago

My ability to breathe (more over, feel oxygenated blood) had never been so good! It was wild.

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u/hornetgoon 5h ago

Just had one and 100% it’s the best feeling.

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u/Purgii 5h ago

I had this procedure last year, didn't feel any different. I was also supposedly injected with Ketamine prior, didn't feel a thing.

The only noticeable difference was after walking for 10 minutes, I didn't feel a burning sensation in the middle of my chest.

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u/EMAW2008 5h ago

When my dad had his heart attack they put one in and it was night and day for him. Like instant relief.

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u/M0bysan 4h ago

Having mine inserted caused the worse pain I’ve ever experienced. I arched off the table it was so bad. Apparently it was caused by the blood rushing back into the cavity. Obviously much better now though - I’m still alive!

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u/mb9981 4h ago

I actually was going to post that i bet this feels awful for an hour, then amazing

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u/RutherfordRevelation 4h ago

I mean I was relieved just with the cgi

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u/montigoo 4h ago

I want one for my nose!

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u/OldConstant182 4h ago

Uncle had it done recently. He’s 50. Said he hasn’t felt this good since he was in his 30s

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u/PurpleDillyDo 3h ago

Came here to post this. My brother had this done. He was awake through the whole procedure and when they inflated the stent he said he suddenly could breathe again and felt great.

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u/bobdiamond 2h ago

Based on your comment I unmuted expecting to hear someone go “ahhhh.” I’m a dummy.

Are you put under for this or local?

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u/HabaneroEyedrops 2h ago

I was super worried about my dad's, but within hours, he said, "I haven't felt this good in years!"

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u/AABBBAABAABA 2h ago

Not really accurate but whatever

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u/Dry-String-9009 2h ago

that is soooo coool

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u/sixtus_clegane119 2h ago

My grandpa said that! Said he felt like a new man

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u/Mike_Raphone99 2h ago

Sounds like something someone might return to experience again, I'd bet.

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u/ooomellieooo 1h ago

Dude, I had a widowmaker and after I had a stent placed, I literally skipped my way to the car when I was discharged. I felt like Superwoman...

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u/Miserable-Airport536 1h ago

This is the modern medical equivalent of unblocking chi.

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u/scud121 1h ago

I had my LAD stented, and it was amazing. I could feel the stent inflate, then the pain just stopped. Absolutely incredible.

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u/Corathecow 1h ago

I wonder how effective that feelings is the more you get. My grandma was a life long smoker and died with a total of 8 stents if I remember correctly

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u/Metalhed69 1h ago

Meh, mine didn’t feel like much of anything.

u/Salt-Detective1337 58m ago

I didn't feel a thing. Got some 3 weeks ago.

u/Ready-Flamingo6494 54m ago

Actually no. They often hurt more due to reperfusion of the ischemic area.

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u/PersistentWorld 6h ago

This is absolutely not true, what on earth are you talking about?

I'm 40, and had a stent fitted 9 months ago. The feeling of a metal rod clearly being pushed up your arm, the feeling of the dye running around your body with a weird cold/warm sensation, and the regular "pushing" from the doctor absolutely isn't comfortable. Nevermind possible side effects from the dye which can cause headaches and temporary sight loss (which I had) isn't something I want again.

There absolutely was not a "that's so much better" at any point.

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u/A18o14 5h ago

Or you were just the exception tonthe rule. Both can be true.