Can't believe I may have had a cardiac episode

Posted , 6 users are following.

I'm a 56 year old slim and very fit female. I work out for around 40 minutes every day. Until the 'attack' I had a week ago. I do suffer intermittently from SVT but it doesn't bother me as doesn't tend to happen with exercise. However, last week I was on a long haul flight and as the plane left the ground I had the most excruciating pain behind my breast bone like a burning ball and crushing. It lasted several minutes before gradually wearing off. It was like nothing I'd ever felt before and I really thought that was it! I was nauseous and light headed for around 45 minutes afterwards. I had an empty seat next to me and so just put the arm rest up and lay down. The following day on my return home, I went to the GP who was most concernwd. ecg showed ST depression and suggested ischemia. Troponin test negative. I have been referred to the rapid access chest pain clinic. I can't really believe I could have anything wrong though. Any similar experiences? It just seems unreal.

0 likes, 12 replies

Report / Delete

12 Replies

  • Posted

    Firstly, I am, or rather was, a mechanic, not a cardiologist, so please excuse my few words of possible reassurance for until you get a cardiologist to see you.

    When I read what you wrote I right away thought, Angina and indeed, looking up causes of ST depression, partially blocked arteries can cause this, and so your pain.

    The thing I understand with Angina though, is that it tends to be worst when you are pushing your heart, then the restricted arteries cannot get enough blood to your heart, hence the pain, I presume though that as you are "very fit", you push your heart at times yet never felt this before?

    In which case there is something known as Prinz Metals Angina or Variant Angina, what this is, is your Autonomic Nervous System over reacting to anxiety or stress, such as being on an aeroplane maybe?, so unlike Angina caused by a blockage that hurts when you push your heart, Prinzmetal angina tends to be more when you are at rest and stressed, I get it sometimes.

    It is caused by vasospasm, a narrowing of the coronary arteries due to contraction of the smooth muscle tissue in the vessel walls. Just as your Autonomic Nervous System constricts the arteries in your legs when you stand up to stop gravity pulling all the blood away from your head, it can also constrict the arteries in your heart, therefore causing the same symptoms as a physical blockage from Coronary Artery Disease, but without there being anything at all wrong with your heart.

    Report / Delete Reply
  • Posted

    Heartburn or acid reflux can give you a pain like that or even mimic a heart attack.

    Or after lugging luggage around the airport:

    Costochondritis is an inflammation of the cartilage in the rib cage. The condition usually affects the cartilage where the upper ribs attach to the breastbone, or sternum, an area known as the costosternal joint or costosternal junction.

    Chest pain caused by costochondritis can range from mild to severe. Mild cases may only cause your chest to feel tender to touch or some pain when you push on the area of your chest cartilage.

    Report / Delete Reply
  • Posted

    Were you given a d-dimer blood test? I was thinking maybe you could have a pulmonary embolism or emboli, particularly as you were on a long haul flight. Are you taking any hormonal medication?

    Report / Delete Reply

Join this discussion or start a new one?

New discussion Reply

Report or request deletion

Thanks for your help!

We want the forums to be a useful resource for our users but it is important to remember that the forums are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the forums is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.

newnav-down newnav-up