What causes difficulty in breathing after an angioplasty?
Patient: sir,My husband is 56 yeras old.weight 80kg.undergone angeoplasty in 2004.medical stent put. His stress test always shows ecg changes ,but doctor says it will show it even after plasty and it is okay. He is taking medicines for heart,high bloodpressure and cholestrol.From say 1.6 years , he is having some problems which I notices....1)while chanting *aarti* that is ,*mantras* when u have to chant long lines in one breath, he has to stop in between.2)Sometimes in his sleep, exhales through mouth3)unsound sleep4)feels like eating every now n then5)for last 6 moths has started chewing paan-parag,with tobacco   and cannot resist it,though in limit6)last  4 moths gets irritated every now and then at anything .gets angry very fast which is contrary to his nature7)his teeth r really bad with this chewing tobacco habit.someone also suggested me to get ENT check done for him as oral hygiene is very important .also his father died of CANCER and mother of HEART ATTACK. he knows that chewing paanparag with tobacco is bad but cant control.8)his postlunch blood sugar is less than fasting sugar level.Please advise.regards Doctor: Pan parag and tobacco are very unhealthy things and need to avoid .  If his ecg and echo shows some. New changes then need to under go angiography....if some blood test done ???.. if these are OK?!!if he can climb two floors comfortably ???