Acute refactory angina does any one else have this?

Question

My dad has this disease and has been told he only has a couple of years left - if there anything else we can do? How much fentanal can he take he is on highest amount changing patches every 49hrs

To add more detail my dad has had 2 heart bypasses the first repairing 3 valves back in 1988 and the 2nd in 1997 repairing the previous bypasses plus another 3! And fentynal patches are used along with oral morphine to ease pain he only has very low percentage of veins/arteries working in his heart now. He is classed as terminally ill and people like him which is becoming increasingly common are now being helped by cancer hospices.

Answer 1

There is a new drug for refractory angina - Ranolazine, that might help.

Other options include EECP [Enhanced External Counterpulsation] and TMR [Transmyocardial Revascularization].
TMR is only performed in specialized centers.

Don't have enough information to know if your dad is a candidate
for any of these, but these [and heart transplantation] are the options available for refractory angina.

Answer 2

I've actually never heard of acute refractory angina. Angina is usually a term that refers to chest pain that is brought on by exertion, and is relieved with rest or by taking nitroglycerin. There are several types of angina, but I've never heard of the refractory type. Generally, if angina is not responding to medications prescribed by a doctor, then a stress test is done, or perhaps coronary artery catheterization (to fix blockages in the arteries that supply the heart).

In addition, I've NEVER heard of fentanyl patches being used to treat angina. Based upon the limited information you've given me, I would strongly recommend a second opinion. Good luck.

Answer 3

my husband has had chest pain for over 14 years and only recently found out he has a dead part of the heart and angina which he has nicorandil tablets 20 mg 2 a day and a gn spray for when needed he has only been to see a caardiologist 3 mths ago and was told he cant have an angi gram cause the dye will kill his transplanted kidney and pancreas so he now has to wit for a special scan which we told is 6 mths wating list ,and no point to come back to see cardiologst till had scan , my hubbys dad died of angina and needing a tripple bypass so runs in family we told , hope everythinf goes well for u and your dad have they put him on the heart transplant list
good luck

Answer 4

do a google search on this it gives a good outline of your dad's problem.as a sufferer of angina pectoris my self i have some idea what he might be going through just hope that he has a lot more than a couple of years but cant suggest anything more positive other than a rapid advancement in medical science.
give him my best

Answer 5

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