### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
My husband had open heart surgery 4/1/11.  We are now 2.5 months out.  WIthin the last week he has started to have lots of chest pain, soreness in shoulders, neck area.  About 2 wks. ago he helped put up fresh veggies and was lifting containers that was quite heavy.  He did not report any pain, etc as he was doing this.  The abaove systems started about 7-10 days later.  Tylenol has helped some with the pain.  Hes tried ibuprofen and that seems to help alot.  We think this could be inflamation being as the ibuprofen helps.  We go back to Jacksonville FL tomorrow (6/20/11) to see cardiologist.  On Tuesday (6/21) they are planning to do an angiogram and put stents in his eliact arteries to get better blood flow to his legs.  Question:  Do you think its okay for him to take any Ibuprofen prior to Tuesdays stent placement?Also he is 59 yrs, 56, Weighs 144, is diabetic (low sugar), also has pace maker and takes meds for high blood pressure.  His surgery consisted of 4 by passes.

### output:

NAS IDs all non-steroidal anti-inflammatory Chat Doctor. .ibuprofen will relieve the pain, but it will worsen the heart your father is a post CABG(by pass) patients even in rarest of rare scenario if ibuprofen is taken we should know the left ventricle ejection fraction of heart any regional wall motion abnormality which is depicted in 2d echoic he is feeling pain tramadol derivatives with paracetamol can be taken as and when required and its very safe comes under brand name tab attract As he is going for an angiogram and angioplasty no anti inflammatory should be given as NSAIDs precipitates congestive cardiac failure in cardiac patients as he has taken painkillers in past a 2d echo plus kidney function tests are mandatory for him before getting dye injected thank you