printzmetal's angina, how risky?
I had angina a few years ago despite healthy lifestyle...found to have very high cholesterol and after tests was found to have bad blockages in coronary arteries and had 3 stents put in, 2005 aged 54 female. Done well afterwards, no angina with exercise.
For last 18 months have had about 15 episodes of angina at rest i.e. I wake up to severe chest pain typically or have had other episodes at rest, have had to stop 2 phone calls due to this, just sitting down. Only one episode was after exercise - running up the stairs. I didn't tell anyone for about 9 months but my lipid consultant was one of those who asks probing questions and I let it slip about these episodes. She said she would send me to a cardiologist but she obviously forgot to do it. Then when I saw her next in March she said she would send me to cardiologist but I have heard nothing. My husband knows nothing about all this - he is a worrier so I don't intend to tell him.
I saw the gp about something else and they asked re heart stuff so I said about it and they said it was Prinzmetal's angina probably and seemed happy that I would see cardiologist. But nothing happens, she's probably forgotten again....
On one level I don't really care. If I had a heart attack proper it would cure my allodynia/nerve pain once and for all. If you don't know what allodynia is you are blessed. In a lot of ways I would wish for a heart attack just to end the allodynia. But on another level I think of my family. I haven't told my husband about these episodes at all as
1. he would worry. and
2. I'm not sure if I want to call for help if it turns out to be the "real thing". When I get the episodes I lie there and am not sure what I will do.
I realise I am somewhat different from the people who panic at any chest pain. I have to balance my horrific allodynia with survival. But just out of interest, what are the risks of having episodes of Prinzmetal's? In a way I want to be told it is very risky. I could never take an overdose because of duty/love/respect for my family but I would be actually reassured to know that I had a good chance of a shorter life by natural means. I would stop the aspirin if I knew it would secretly promote a heart attack but I am so scared of having a stroke that I daren't. If I had a stroke I would be so vulnerable with the allodynia that I could not even contemplate what survival would be like. Being in hospital after my angioplasty was hell. The nerve pain was out of this world as I was susceptible to fans, windows open, draughts with no-one understanding what it was like for me. If I had a heart attack I would hold out until the bitter end as regards pain - just to not go into that environment again.
So what is with Prinzmetal's? I know it is spasm of the coronary arteries. I know I have further blockages which were not as bad as the stented arteries. Am I likely to have a heart attack or similar?