It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Angina Message Board
Post New Thread   Closed Thread
LinkBack Thread Tools
Old 04-17-2005, 02:51 PM   #1
Junior Member
(female)
 
Join Date: Apr 2005
Posts: 30
SeaBreezes HB User
Variant/Prinzmetal Angina and Coronary Artery Spasms?

A few questions have evolved since my last post. I'm hoping someone here can help me with these, as I am trying to get all my information together before my cardiologist appointment.

1. Are variant angina, prinzmetal angina and coronary artery spasms the same thing? How are they different?

2. Can variant/ prinzmetal angina and coronary artery spasms be picked up on a stress test?

3. How dangerous is variant/ prinzmetal angina or coronary artery spasms, particularly if it is left untreated?

4. Is there any other way to diagnose this type of angina without doing a heart cath and egovorine?

5. Are there other symptoms associated with variant/prinzmetal angina or coronary artery spasms aside from chest pain occuring at rest?

6. What causes variant/prinzmetal angina or coronary artery angina (I'm not talking about risk factors, I mean physically, what is causing the pain)?

I know these are a lot of questions, but like I said earlier, I need to learn as much as possible before this appointment. The web search has been somewhat useful, but I prfer to talk with those who have experienced this, or have a great deal of knowledge related to this.

Thank you in advance for taking the time to read this.

 
Old 04-17-2005, 04:33 PM   #2
Registered User
(female)
 
Join Date: Dec 2004
Posts: 259
browneyedsusie HB User
Re: Variant/Prinzmetal Angina and Coronary Artery Spasms?

Hi Seabreeze...My husband is 34 and he has Prinzmetal angina. So here is what we know about it
Are variant angina, prinzmetal angina and coronary artery spasms the same thing? How are they different?
Yes they are the same thing. Coronary artery spasms are known as variant or prinzmetal angina. I sometimes see it referred to as an unstable angina. This is our next question to our cardiologist.
2. Can variant/ prinzmetal angina and coronary artery spasms be picked up on a stress test?
We were told they would not be as they are usually during rest and between the hours fo 12 am and 8 am. They say it is common to have the episodes at the exact same time of morning a couple of mornings in a row ( this is what happened to my husband)
3. How dangerous is variant/ prinzmetal angina or coronary artery spasms, particularly if it is left untreated?
There is no real way to treat PM angina. Most people with it have no signs of cardiovascular disease. There are ways to help prevent it..no sudden temperature changes are one. My husband was prescribed nitro spray to use if it happens again and if it does not work on the second try....he has to go to ER. Have you been told there was a way to treat it?? Oh actually..calcium channel blockers appartently work to lessen spasms. We were told to increase Magnesium.
4. Is there any other way to diagnose this type of angina without doing a heart cath and egovorine?
We were told this is the true blue test to check for this form of angina. My husband had a heart cath as they were sure he had had a heart attack. After the test they were shakin there heads as his arteries were perfect. They wished they had tried the egovorine when they were in there.
5. Are there other symptoms associated with variant/prinzmetal angina or coronary artery spasms aside from chest pain occuring at rest?
My husband had a terribly weak feeling in his arms and found it very hard to breath or get a breath. He woke up out of his sleep with it both times he had it . This happened 2 mornings in a row at almost the exact same time. Thankfully the second morning he was still in ICU at the hospital.
6. What causes variant/prinzmetal angina or coronary artery angina (I'm not talking about risk factors, I mean physically, what is causing the pain)?
The pain is from the arteries they literally spasm and occlude(they sorta close up, sometimes up to 90% we were told) this causes the pain as it cuts off the blood and oxygen to the heart.
Now Seabreeze, this is only information that we were given by the Heart Institute when Murray was a patient there. You will want to double check this info with your specialist. If you learn anything more or somthing here is different than what you are told I would really appreciate learning more too. My husband is so young and we are also having trouble dealing with this...take care...Lesley


Just realized you had this post under "unstable angina". Were you told you had unstable angina?? Variant angina happens when one is sleeping not just at rest like unstable. Variant can happen to healthy hearts, while unstable I believe usually involves coronary artery disease.

Last edited by browneyedsusie; 04-17-2005 at 04:39 PM.

 
Sponsors Lightbulb
   
Old 04-17-2005, 11:49 PM   #3
Member
 
Join Date: Jan 2004
Location: Vancouver, BC, Canada
Posts: 64
leviathan85 HB User
Re: Variant/Prinzmetal Angina and Coronary Artery Spasms?

Quote:
Originally Posted by SeaBreezes
A few questions have evolved since my last post. I'm hoping someone here can help me with these, as I am trying to get all my information together before my cardiologist appointment.

1. Are variant angina, prinzmetal angina and coronary artery spasms the same thing? How are they different?

2. Can variant/ prinzmetal angina and coronary artery spasms be picked up on a stress test?

3. How dangerous is variant/ prinzmetal angina or coronary artery spasms, particularly if it is left untreated?

4. Is there any other way to diagnose this type of angina without doing a heart cath and egovorine?

5. Are there other symptoms associated with variant/prinzmetal angina or coronary artery spasms aside from chest pain occuring at rest?

6. What causes variant/prinzmetal angina or coronary artery angina (I'm not talking about risk factors, I mean physically, what is causing the pain)?

I know these are a lot of questions, but like I said earlier, I need to learn as much as possible before this appointment. The web search has been somewhat useful, but I prfer to talk with those who have experienced this, or have a great deal of knowledge related to this.

Thank you in advance for taking the time to read this.
Hey there,

Everything Susie said was very correct and true. Were you diagnosed with Prinzmental's angina? Now the pain you experience with this condition is the same as any anginal attack, that is when the muscle tissue of the heart receives insufficient oxygen. In a normal case of angina, this is usually due to narrowing of the arteries from plaque accumulation, but in the case of Prinzmental's, it is from the artery having a spasm and closing shut. If enough of this blood is deprived for a long enough period, your angina has then progressed into a heart attack, and this can happen, though is rare with Prinzmental's angina. Thankfully, since it is caused by a temporary spasm, it is usually not a dangerous condition although it is something you should always be aware of if diagnosed, and look out for a situation where the pain does not go away or where the pain feels exceptionally bad, you feel like you are dying, you are sweating and short of breath, etc etc.

 
Old 04-18-2005, 06:26 AM   #4
Junior Member
(female)
 
Join Date: Apr 2005
Posts: 30
SeaBreezes HB User
Re: Variant/Prinzmetal Angina and Coronary Artery Spasms?

Thank you very much for responding. Yes, I had this posted under unstable angina, but I thought I should start a new post (in case others who had information regarding variant/prinzmetal/coronary artery spasms didn't read the other post.

I have not been diagnosed with anything, yet. My first cardiologist appointment is on the 25th, and I'm trying to learn as much as possible before my appointment (because my general practitioner has blown me off so many times).

I have been suffering with early morning chest pains for almost 2 years. However, the pain used to be very sporadic, occuring once a month. Within the last 4-5 months, though, the frequency has increased to about 4-5 times per week. I actually went to the ER on Saturday because I awoke with severe chest pains at 3:00 a.m. and it would not stop. My husband took me to the ER at about 5:00 a.m. They did the usual blood work, EKG and chest x-ray, and of course they were normal ~ they always are ~ even when I'm still having the pain. I have been to the ER about 4-5 times within the last year, and they do the same thing every time. Anyway, I really want them to rule out prinzmetal/variant/coronary artery spasms, but I'm really afraid that my cardiologist will blow me off, too. If I'm pumped with knowledge, I'm hoping he'll take me a little more seriously ~ even if I have to "press" the liability button with him. These pains are occuring for a reason, and I need to find out why ~ even if it is for peace of mind. I really think I'm going to have a hard time convincing him to do a heart cath with egovorine, since there is a risk involved with the procedure. I'm sure he'll run a stress test on me, but if I have prinzmetal...etc. the stress test will be pointless. I know it sounds like I've self-diagnosed and closed the book, but I have textbook symptoms of this diagnosis, and my general practitioner tried to treat me for inflammed muscles and digestive problems. There really isn't much left but the heart.

I have to mre questions:

Does anyone know what the prognosis is for this disgnosis?

Do varinat/prinzmetal/cornorary artery spasms only occur at night?


Thank you, again, for taking the time to read and post on this thread. I have tried to search this topic, but the information is so technical and hard to follow. This board has been extremely helpful to me.

Last edited by SeaBreezes; 04-18-2005 at 06:32 AM.

 
Old 04-18-2005, 06:35 AM   #5
Registered User
(female)
 
Join Date: Dec 2004
Posts: 259
browneyedsusie HB User
Re: Variant/Prinzmetal Angina and Coronary Artery Spasms?

Seabreeze....Glad the info helped. One thing you might want to know is..The morning my husband had his 1st experience we ended up in ER. He was hooked up to an EKG and did show ST elevations, then they did blood work and both Tronpinin(sp) and cpk enzymes were there. If you did not show this while still having the pain, it shows the heart was not deprived of blood or oxygen.He had pain under the breast bone, down his arms, and could not breath properly. They told him it was like he had the feeling of drowning out of water. Do you have shortness of breath? There is a real risk to angiograms especially when they use the engrovine. If you have a reputable Cardiologist and he feels this is not necessary you should really reconsider. When this happened to my husband I thought he was having a panic attack (although he had never had one before) so when we took him to ER and he had ST elevations and the enzymes in his blood work I was shocked. Anyway let me know how things are going for you.....Lesley

Yes Prinzmetal seems to happen between the hours of midnight and eight in the morning. Usually around the exact same time both times for my husband was 6:30am two mornings in a row.
I wish I knew the prognosis, there are risks as a spasm lasting a long time can result in a heart attack. When I asked that question I did not get a real answer, although we were sooo stressed at the time(it all happened soo fast) that I may not have heard it either. Like I said, when it happened to him, he could not breath well at all.

Last edited by browneyedsusie; 04-18-2005 at 06:40 AM.

 
Old 04-18-2005, 07:45 AM   #6
Junior Member
(female)
 
Join Date: Apr 2005
Posts: 30
SeaBreezes HB User
Re: Variant/Prinzmetal Angina and Coronary Artery Spasms?

Lesley,
Again, thank you for taking the time to post all of that information. I greatly appreciate it.

When I have these chest pain episodes, the pain is usually severe for about 30 minutes to one hour, and then it gradually ceases. It is a crushing-like feeling located directly under my left breast and the pain almost always radiates straight through to my back. I do not have shortness of breath, but sometimes I get nauseated.

On Saturday, my pain started at about 3:00 a.m. and the severe pain last for about one hour and then is lessened, but did not go away completely. By the time I was having my blood drawn at the ER is was approximately 6:15 a.m. I was having mild discomfort at this time, but it wasn't anything like the severe pain I was having earlier that morning. I'm pretty sure that these blood enzymes take approxiamtely 2-12 hours to return to normal.

Oh, here is the other thing I just thought of. I was put on a 30-day holter monitor, and during those 30 days I would press the record button when I was having the chest pains and everything was normal. So I guess I have had an EKG done during the time of chest pain. I forgot all about that. My monitor did show that I was having frequent PACs, though. I was put on beta blockers (I think to pacify me until I saw my cardiologist), and I noticed an increase in chest pains after I was put on the beta blocker. I thought that was pretty strange, especially since beta blockers are a common treatment for some types of angina.

I agree with you, I don't want to put myself at risk if there is no need. I really don't, but at the same time, I know that something is causing this pain. I guess my greatest fear is that I'll have a heart attack and die because the source of my pain was never investigated.

I'm so sorry that your husband had to endure that terrible experience. I hope he is doing much better, now. I'm sure that was very scary to see his enzymes were abnormal and that he had ST elevations.

I may appear irrational in my thinking, but these thoughts stem from a horrible experience I had with doctors. I was newly pregnant (it was my first pregnancy), and I was having some very mild discomfort. I went to the ER and they told me everything was fine and that I was suffering from "First-time Mother's Syndrome". I believed them. About five weeks later, (I was nine weeks pregnant) my fallopian tube ruptured (with the baby inside) and I began to bleed internally. By the time I got the hospital I was unconscious and had to have emergency surgery and I also needed blood. Five weeks after the surgery, my Ob/Gyn said, "You know, ectopic pregnancies (tubal) are very rare. They occur in 3% of the population and you did not have a lot of ectopic symptoms. There was no way to predict this". I later learned that ectopic pregnancies can be predicted very early on by simply monitoring your pregnancy hormones by having a blood test done every 2 days. They can also be treated by having an injection of Methotrexate, to avoid having surgery and compromising one's fertility. I guess what I am saying is, I feel that I have to do a lot of research on my own, because some doctors are dismissive, even when the root of the problem can be fatal (like my ectopic).

Anyway, sorry to ramble, but I just wanted to let you know where my fear comes from.

Thanks again and take care.

 
Old 04-18-2005, 08:03 AM   #7
Registered User
(female)
 
Join Date: Dec 2004
Posts: 259
browneyedsusie HB User
Re: Variant/Prinzmetal Angina and Coronary Artery Spasms?

Oh I totally agree that you really have to take your health into your own hands as we all know are bodies the best. I too have experienced two different physcian nightmares.
About the beta blockers. I too was put on them for PVC"S and they caused me to experience chest pains...I hated the side effects and weaned myself off and started using a more natural approach for the palps. I used co enzyme Q10, hawthorne berry(natures beta blocker) and magnesium. They totally disappeared!!.
I do think you should bring up your concerns at your app't. Do these episodes happen more than 1 day in a row at the same time? I know this was something that really pointed towards Murray being diagnosed. As well as the blood work and ekg results. His echo also showed a right hand side quivering and they thought for sure he had muscle damage. He just had a follow up echo last Wednesday and still waiting to hear about that. I would also request a sleep lab. This will moniter what is going on in certain realms of sleep. Did you say you did have the pain when using the holter monitor? It would certainly point out if the heart is under any distress when the pain is happening. And I know it would pick up an episode of PM angina. May I ask your age?? I myself am experiencing chest pains and different changes due to Peri. I am soon to be 42. Yep I married a younger man!!! hehe. Well take care and hope to hear from you soon. Lesley

 
Old 04-18-2005, 10:59 AM   #8
Junior Member
(female)
 
Join Date: Apr 2005
Posts: 30
SeaBreezes HB User
Re: Variant/Prinzmetal Angina and Coronary Artery Spasms?

These episodes have occured consecutively (e.g. two days in a row). I usually have 4-5 episodes per week, now. Some are more severe than others. They always happen in the morning, and I have noticed that they occur more frequently when the temperature in the room is colder than usual, or if I have a fan blowing on me throughout the night. I'm not sure if they occur at the same time in the mornings. I don't think that they do, but they always occur before 7:00 a.m. I can no longer tolerate fans blowing on me throughout the night. I am only 27 years old (I know, very young for such problems). Quite honestly, I started noticing these pains about 1-2 years ago, but the frequency was very sporadic, occuring once every 2-3 months. They have since increased dramatically, and this is what's alarming to me. The pain is very severe. I cannot move at all, but I do not have shortness of breath. What I am most afraid of is that my cardiologist will not be progressive with my diagnosis or treatment. I imagine that it will take another 2 weeks to get a stress test after my first appointment (which isn't for another week). If I do, infact, have coronary artery spasms, my stess will probably not show this, as these pains do not occur with exertion. Meanwhile, these pains are occuring left and right, and every doctor I have seen about these (e.g. general practitioner and ER doctors) is so dissmissive.

I'm sorry to hear that you are also battling chest pains. It's funny that you mention that, because my doctor suggested that a hormonal imbalance may also be the cause of my chest pains, but after he ran a blood panel on me, he found out that this was not the case.

Thank you, again and again for sharing your knowledge. I will keep you posted on the results of my consult next week, although I'm sure I'll have more questions before then.

 
Old 04-18-2005, 01:08 PM   #9
Senior Veteran
(male)
 
started04's Avatar
 
Join Date: Jul 2004
Posts: 1,566
started04 HB Userstarted04 HB Userstarted04 HB Userstarted04 HB Userstarted04 HB User
Re: Variant/Prinzmetal Angina and Coronary Artery Spasms?

"One thing you might want to know is..The morning my husband had his 1st experience we ended up in ER. He was hooked up to an EKG and did show ST elevations, then they did blood work and both Tronpinin(sp) and cpk enzymes were there. If you did not show this while still having the pain, it shows the heart was not deprived of blood or oxygen.He had pain under the breast bone, down his arms, and could not breath properly. They told him it was like he had the feeling of drowning out of water. Do you have shortness of breath? There is a real risk to angiograms especially when they use the engrovine. If you have a reputable Cardiologist and he feels this is not necessary you should really reconsider. When this happened to my husband I thought he was having a panic attack (although he had never had one before) so when we took him to ER and he had ST elevations and the enzymes in his blood work I was shocked". by Leslie

For some perspective. I enterd ER a year ago with pulmonary edema and was told I was a heart attack victim?? TroponinI was 0.4 (levels in the range 0.04-0.49 ng/mL are consistent with myocardia injury. Levels >=.5 are positive for acute MI. I can identify with the smothering sensation (happened only at night while lying down). I would hyperventilate and sit up and it would go away, then sleep with 2 pillows. Never at any time had I every had chest pains??

From what I read troponin is a protein in the blood given off from "dead" muscle. However, there can be a false positive as one can have a high reading by lifting weights or other muscle exertion exercises.

From the medical report after stress test: "Patient had a 1mm ST segment depression." My research on EKG readings is a depressed ST...deprived of oxygen rich blood. This would be consistent with the observation of a totally occluded LAD and hence muscle damage at the apex of my heart.

Last edited by started04; 04-18-2005 at 01:09 PM.

 
Old 04-18-2005, 02:14 PM   #10
Registered User
(female)
 
Join Date: Dec 2004
Posts: 259
browneyedsusie HB User
Re: Variant/Prinzmetal Angina and Coronary Artery Spasms?

Thanks for the info Ken.....What caused your pulmonary edema? Have you had any problems since?? When this first happened to Murray they treated him with a blood buster drug in ER. Then he was moved to ICU. Like I mentioned it happened again the next morning so he was rushed by ambulance to the Heart Institute. They did an echo that showed quivering on the right side. Told him he did have some damage and needed an angio. Did the angio, and found healthy arteries and things working fine. When he came back they thought maybe he had pericarditis???? But the other two doctors that had treated him at the beginning really felt it was prinzmetal angina because of the timing of both attacks and other similarities. The cardiologist had wished he had done the engrovine test while having the angio. Said if it happens again he will do it. It is unnerving waiting for something to happen again, and hope and pray it never does. thanks for any info....Lesley


Oh, we were explained the cpk enzyme can be elevated from somthing like shoveling snow, weight lifting etc. But we thought we understood that the trops were related to the heart muscle itself?? Not so??

Last edited by browneyedsusie; 04-18-2005 at 02:17 PM.

 
Old 04-18-2005, 03:55 PM   #11
Member
 
Join Date: Jan 2004
Location: Vancouver, BC, Canada
Posts: 64
leviathan85 HB User
Re: Variant/Prinzmetal Angina and Coronary Artery Spasms?

Quote:
Originally Posted by kenkeith
[B]
For some perspective. I enterd ER a year ago with pulmonary edema and was told I was a heart attack victim?? TroponinI was 0.4 (levels in the range 0.04-0.49 ng/mL are consistent with myocardia injury. Levels >=.5 are positive for acute MI. I can identify with the smothering sensation (happened only at night while lying down). I would hyperventilate and sit up and it would go away, then sleep with 2 pillows. Never at any time had I every had chest pains??

From what I read troponin is a protein in the blood given off from "dead" muscle. However, there can be a false positive as one can have a high reading by lifting weights or other muscle exertion exercises.
First off, to the original poster:
The fact that you are not experiencing EKG changes during the attacks suggests that you might not be having cardiac-related problems, although there is still the possibility. During angina, or a heart attack, your EKG tracing will undergo characteristic pathological changes that are unique to myocardial ischemia, or conditions when the heart muscle is not receiving enough oxygen.

To the kenkeith:

The troponin is in fact an enzyme in muscle tissue which helps to direct muscle contraction with calcium. The troponin they measure in your blood to check for an MI is specific to heart tissue, as far as I know. If they were not sure about the specificity of troponin, they can also check for other enzymes such as lactate dehydrogenase, or creatine kinase-MB (which is a cardiospecific enzyme).

 
Old 04-18-2005, 05:41 PM   #12
Member
(female)
 
Join Date: Aug 2004
Posts: 92
MacyMaid HB User
Re: Variant/Prinzmetal Angina and Coronary Artery Spasms?

Quote:
Originally Posted by browneyedsusie
Thanks for the info Ken.....What caused your pulmonary edema? Have you had any problems since?? When this first happened to Murray they treated him with a blood buster drug in ER. Then he was moved to ICU. Like I mentioned it happened again the next morning so

Oh, we were explained the cpk enzyme can be elevated from somthing like shoveling snow, weight lifting etc. But we thought we understood that the trops were related to the heart muscle itself?? Not so??
After my last Cath at the Heart Institute, I felt like a mack truck was on my chest. (first cath I did great) They failed to take Enzymes at the Hospital, failed to pay attention to me when I could not lift my body out of bed and the *&%^$%^ 's sent me home. And I had great insurance. The first cath, they took cardiac enzymes pre-post Cath and next day. They were on the ball.

I felt so bad at home that I went to the ER room connected with the Heart Institute and the Troponin level was 0.54 and the potassium was in the cellar. The ER doctor wanted to admit me but the &^%$^$^ doctor that was on call for my doctor told the ER doc to send me home as I just had stents and this must be causing the problems. What a &*%^%*^!~!

The ER doctor said the CK-MB was normal but, the CK-MB is the first to be elevated after an event and then 12-18 hours later the Troponim will elevate while the CK is coming down. There was nothing to compare the Trop level to in the ER as the idiot doctor in the hospital never ordered it but he claimed he did (Lied thru his teeth)
Medical Records could not find where any blood work was taken on me while I was hospitalized overnight, even with chest pains, except a CBC and PTT.

My regular doctor was upset that I was not admitted and redid the Trops, 2 days after the ER room and it was back to normal. I know that I was injured having that heart cath/stents by a Cardio Fellow earning his wings and I asked prior to the cath that no cardio fellow touch me. They violated A Patient's Right.

Anyone having a heart cath, please be sure they take Cardiac Enzymes before the Cath and or Stents and after, to make sure you are OK. Even Big Brand Name places SCREW up!~!

Good Luck.

 
Old 04-18-2005, 05:51 PM   #13
Registered User
(female)
 
Join Date: Dec 2004
Posts: 259
browneyedsusie HB User
Re: Variant/Prinzmetal Angina and Coronary Artery Spasms?

leviathan & Laci
You know its interesting about the Tropinin....After they had my husband up in ICU about 2 hours after recieving the blood buster and stablizing him....They asked me "Did he complain of pain last night or yesterday in the afternoon?" I said no, he was actually feeling good as he had been sick the Wed, Thur, Fri but was feeling much better Sat (this happened at 6:30am Sunday) They said that was funny because his trops were quite high for just having the attack a couple of hours earlier. Anybody make anything of this?? Like you said Macy , normally they begin to rise a little later and peaking within 12-18 hrs. He showed them as they were treating him for an MI. I think he also showed the CK-p as well????? Any ideas? Thanks


Sorry Lacy.....got so wrapped up in my stuff.....I am soooo sorry you went through such a terrible time. We were at one of the best Heart Institutes in North America...however we too had to deal with the guy trying to earn his wings and his bedside manners were awful. He talked in circles. I am really sorry you had to go through somthing like that when you are already going through sooo much. Hope everything is well now...Lesley

Last edited by browneyedsusie; 04-18-2005 at 05:55 PM.

 
Old 04-19-2005, 06:31 AM   #14
Junior Member
(female)
 
Join Date: Apr 2005
Posts: 30
SeaBreezes HB User
Re: Variant/Prinzmetal Angina and Coronary Artery Spasms?

Quote:
Originally Posted by leviathan85
First off, to the original poster:
The fact that you are not experiencing EKG changes during the attacks suggests that you might not be having cardiac-related problems, although there is still the possibility. During angina, or a heart attack, your EKG tracing will undergo characteristic pathological changes that are unique to myocardial ischemia, or conditions when the heart muscle is not receiving enough oxygen.
Is this true for all types of angina. I'm sorry if this question is redundant. I'm guessing it is, because the angina results in a decreased level of oxygen, whether the source is blockage or spasm, right?

Are there any circumstances where an EKG will not pick up a cardiac-related problem? I guess the stress test would be useless on me, since I do not have these episodes upon exertion. In fact, I use my treadmill at home at least 4 times per week. I should probably go back on a 30-day holter monitor and record these episodes. The last time I was on the monitor, I focused more on recording my PACs episodes. I think I only recorded one or two chest pain episodes.

I had another episode this morning, and now that I am learning more and more about coronary artery spasms, I'm really trying to take note as to when these attacks occur, how long they last, what the pain feels like and where it is located. This morning the pain started at 6:00 a.m. and lasted for about 15 minutes. The pain was located directly under my left breast and radiated straight through to my back. It does have a rhythmic pattern to it. It is not a steady, constant pain, rather it is a pain that mimics the rhythm of a flashing light.

Thanks, again for all the responses and sharing your stories. I am so very sorry that so many people have to endure so much trauma.

 
Old 04-19-2005, 06:49 AM   #15
Registered User
(female)
 
Join Date: Dec 2004
Posts: 259
browneyedsusie HB User
Re: Variant/Prinzmetal Angina and Coronary Artery Spasms?

Hi Seabreeze.
Sorry you had another episode this morning. From what I understand PM angina happens in a pattern. It happens 2 or 3 mornings in a row and then subsides for a period of time, sometimes months. It is interesting about the pain coming in a rythm though, Do you feel it could possibly your stomach as it is tucked up there too? I ask because many ppl have Gerd and complain of the same thing. The fact that you are young , healthy and active make it less and less this is heart related. And the odds of PM are even less as it only affects 2 out of 100,000 people so it is not one of your more common heart issues. I would do the holter monitor again before I did the angio as it would pick up a spasm if oxygen is being deprived. Does this happen many times a week? If so this also is not characteristic of PM. I really hope you get some answers because I know how very frustrating it can be reading, worrying and wondering. I think your odds though are very very low that it is heart related. But for peace of mind get the holter monitor....I have read that rapid heart rate is not great for PM patients so you would think the treadmill would give some signs.....Good luck with your app't...Next week or this?? Lesley

 
Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
Chest pain + need to burp + not be able to = angina/heart problem Roscoe36 Angina 40 09-04-2008 10:46 PM
prinzmetal's angina? texredbird Angina 7 05-24-2008 08:26 PM
angina and vicodin jcmsvd Angina 4 03-02-2008 05:40 PM
variant angina georgi3 Angina 14 09-18-2006 06:26 PM
Prinzmetal's Angina Thelma-Louise Angina 7 05-24-2006 05:41 PM




Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Join Our Newsletter

Stay healthy through tips curated by our health experts.

Whoops,

There was a problem adding your email Try again

Thank You

Your email has been added








TOP THANKED CONTRIBUTORS



Vyking (4), JJ (2), CobaltBlue (1), Lenin (1), Beefsteak (1), Jome (1), Ljc186 (1), Chagousa (1), zuzu8 (1), willowthewisp (1)

Site Wide Totals

teteri66 (1180), MSJayhawk (1013), Apollo123 (909), Titchou (857), janewhite1 (823), Gabriel (763), ladybud (755), midwest1 (671), sammy64 (668), BlueSkies14 (607)



All times are GMT -7. The time now is 06:58 PM.



Site owned and operated by HealthBoards.comô
Terms of Use © 1998-2014 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!