Angina or not Angina
Posted , 4 users are following.
Is there not a definite way to no whether you have Angina or not. I have had a terrible 2017 in pain and after months of been told it was my RA my consultant sent me to see heart man who said it was Angina then nov 17 and using spray under tongue 11months he said I didnt have Angina. Now last week ended up in A+E chest pains now told it is mini heart attack or Angina. Then sent me for camera in stomach today and found nothing.now i have been given Angina spray for under tongue but dont feel to confident anyone knows what is wrong with me ???help
0 likes, 20 replies
marie04588 1313
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1313 marie04588
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1313 marie04588
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samuels 1313
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Sounds like that would be a heart specific blood test called Troponin, if it is raised you may of had some kind of heart event, can you clarify the figures ? here where I am we have the high sensitivity Troponin tests and have a new formula, they use to measure it in decimals but now it's in whole numbers like you have mentioned in your comment. Here where I am 5 is considered "normal" as is 8, I usually sit around those figures even on a good day, between 5-8. those whole numbers I can't remember what they equate to in the old decimal point formula, If my memory serves me correctly anything over the 0.03 troponins is considered abnormal, where as the new high sensitivity test the cut off point is 14, anything above that is considered abnormal and needs investigating.
samuels 1313
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Hi,
?There are tests available for cardiologists to make informed decisions or diagnosis to angina, however, in saying that there a 3-4 different types of angina that is very hard to diagnose. As a general rule of thumb if the spray or little pill under the tongue works for your pain they can say with almost certainty that it's angina, that is if you have been given the all clear, via endoscopy, for any reflux/heartburn issues as esophageal spasms can occur giving off angina like pain. If the spray does nothing for your pain it's most likely not angina, but it is always advisable to get it checked out at emergency as you don't have to have angina or even heart disease to be having a heart attack, as the old saying goes, anyone can have a heart attack anytime, even the fit and healthy.
?If the GTN helps use as instructed and I'm sure your doctor or cardiologist has informed you after a certain amount of sprays and the pain hasn't subsided to call for an ambulance.
1313 samuels
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rollsreus 1313
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Hi 1313,
Have you taken any stress test so far? ECG or Echo?
Also, is the pain on the left chest only or left, right & center?
Does the chest pain worsen when you're exercising/running?
1313 rollsreus
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rollsreus 1313
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I'm terribly sorry to hear this. It's very unfortunate that the doctors misdiagnosed you earlier. I'm also having intermittent pain and trouble sleeping at night.. I've slept for an average of 4 hours last week fearing a heart attack.
What treatment was done to you now? Anigoplasty?
1313 rollsreus
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rollsreus 1313
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I don't understand. Generally won't you have to go through angiography and angioplasty to ensure that the blockage/narrowing is gone? Especially after a heart attack.
So all they gave you is the spray?
samuels rollsreus
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Hi,
?As a general rule that is the procedure after a heart attack, a visit to the cath lab to find out where there is a blockage if any and then start the appropriate treatment. I have had what's called NSTEMI's, these kind of heart attacks don't show up on ECG'S only in the troponin blood test. NSTEMI = Non ST Elevation Myocardial Infarction, the lesser dangerous of the 2 but can be dangerous . You have a STEMI and NSTEMI. Cardiologists generally wait to arteries are 90 - 95 % blocked before stenting, some cardiologists will stent earlier, around the 80 - 85 %.
rollsreus 1313
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So what if the block is less than 40%? What is the treatment given? I'm a 24 year old male
1313 rollsreus
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samuels rollsreus
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Usual treatment is anti angina medication, including the spray under the tongue, GTN. depending on cardiologists and type of angina, calcium channel blocker or the other family of similar medication, sorry I've forgotten the name of it, eating healthy and exercise is also part of the treatment.
40% is nothing according to my cardiologist, I have 40-50% stenosis in the LAD
samuels
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opps, hit the wrong key, continuing on, 40-50% stenosis in LAD is of no real concern for my cardiologist at the moment. He also told me they don't make stents that big to open up small blockages such as yours and mine.
rollsreus samuels
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So will my block heal on its own using medications and good diet and exercise? I'm only 24.
samuels rollsreus
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Yes you can get it further reduced as long as you follow cardiologists instructions and you don't have any other heart issues. Good diet and exercise, stop smoking if you are a smoker, reduce alcohol intake if you're a drinker. Statins are also a good stabiliser, especially if you have high cholesterol and can tolerate the drug.
rollsreus samuels
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That's good to know. Have you heard any success stories where the block of a person has reduced or has gone completely?
samuels rollsreus
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Not personally I don't but my doctors know of their patients that has completely reversed small range artery blockages, usually in most people with heart disease with blockages over 60% it can be a bit late to reverse, I'd imagine not impossible but a bit harder.
?What can happen is where the blockage is, if it's significant, new vessels/blood supply route can grow around the blockage and join back up to main blood supply to the heart, the human body is a remarkable thing.