HomeAnswersInternal MedicineangioplastyWill drugs taken for angioplasty recovery result in numbness of extremities?

Post angioplasty, my dad complains numbness in hands while walking. Why?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At April 20, 2020
Reviewed AtApril 20, 2020

Patient's Query

Hi doctor,

My dad had an angioplasty a month back and now he complains of SOB and numbness in his hands while walking. It occurs only while he goes for a walk otherwise he is completely normal. Please help. He is currently on Concor (beta-blocker), Ascard, Lipiget, and Brilanta.

Hello,

Welcome to icliniq.com.

One of the reasons for breathlessness can be a side effect of tablet Brilinta (Ticagrelor). It happens quite frequently in patients taking it (about 13 percent of the patients to be precise). But I would suggest you not to stop the drug until the breathlessness is quite severe because it is very important to keep the blood thin and the stent open. So he should continue taking Brilinta.

Another reason for breathlessness can be decreased ejection fraction, pumping of his heart, water getting accumulated in the chest and hence the breathlessness. And to make sure that this is not the cause I want you to answer my few questions.

Is he having any swelling in the feet? Is he having difficulty breathing when he lies down? Does he have a cough? If the answers to any of these questions are yes and to prevent the water from accumulating in the lungs you can add a diuretic which will make him do more urine and get the water out of the lungs.

But to confirm it as soon as the COVID situation settles down, you can get an appointment with your doctor for a echocardiography and get it done.

For numbness, it can be usually a sign of a neuropathy either due to nutrient deficiency or any metabolic disease. I would prescribe you a few drugs. Does he a have history of diabetes mellitus?

The Probable causes

Brilinta induces dyspnea. LV dysfunction.

Investigations to be done

ECG. 2D echo.

Differential diagnosis

LV dysfunction. Brilinta induced dyspnea.

Probable diagnosis

Brilinta induced dyspnea.

Treatment plan

Tablet Torsemide 5 mg 1-0-0, Neurobion 0-1-0. Continue taking Cconcor, Asgard, Lipicure and Brilinta.

Preventive measures

Maintain a healthy lifestyle.

Regarding follow up

Follow up after seven days.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Kapil Kumar Gupta
Dr. Kapil Kumar Gupta

General Medicine

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