I recently went into hospital with buring chest sensation that went into neck, face back and arms. My ECG was the same as 2019. My bloods was showing I'd had a heart attack. In the IC ward, Dr told me he thinks its angina so sent me to the cardiology ward. Over my 5 days there had countless BP checks all around the 180/112. An Echocardiogram with results showing my heart was EF50, was surprised as 10 years ago was EF70 but I was 60lbs lighter! and a CT Angiogram which came back normal.I was discharged with heigh BP and told to take Amlodipine 5mg and Ramipril 5mg. I have been taking these along with my exciting meds, Propranolol 80mg slow release, but have seen no change other than my BP down to 138/86 and the burning pain still remains when sitting but becomes less when doing few small job in garden.
I've found a few forums who talk about Microvascular Angina never come across this before and so have been thinking that it could be this. Has anyone else had a similar experience and what was the outcome. I'm now completely up in the air of what it could be. Please help.
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Fareham2024
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it’s not for us to diagnose here, but I see you’ve put on weight. I’d suggest you have a read of the BHF website and possibly phone them for advic e when you’ve absorbed their message.
Microvascular angina along with vasospastc angina are types of Ischaemia/ angina non obstructive coronary arteries INOCA/ANOCA.
I have lived with vasospastic angina for over 11 years. I had a specialised angiogram to confirm my coronary vasospasms.
I have transient constrictions of my coronary arteries, and vasospasms in my small blood vessels too.
I experience most of my chest pain at rest especially during night.
Beta blockers are well known to make coronary vasospasms worse.
Microvascular angina is thought to be mainly caused by the inability of the small blood vessels in the heart to work properly. The microvessels ether fail to dilate or stay delated in response to extra demands like exercise.
Microvascular angina tends to cause chest pain on exertion and breathlessness. It is more common in women.
The usual tests such as a CT angiogram are unable to diagnose microvascular or vasospastic angina, as it's designed to detect pernament blockages due to plaque lining the coronary arteries.
I suggest you keep a log of your symptoms discuss these with your GP or Cardiology team . Perhaps ask them whether microvascular or vasospastic angina are the possible cause of your symptoms.
The BHF has this information about microvascular and vasospastic angina.
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