I get home an hour later they call me saying they say a shadow on/around the heart..probably blockage. They immediately phone in Nitrostat, and 25 mg of Metorpolol. This has me on high alert. I went 9 minutes on the stress test with no pain what so ever. I am 40lbs overweight, fairly active, and female, I eat pretty healthy, but my family history has a lot of heart failure. I see the doctor next week. Before I go I am to fitted with a heart monitor halter for 24 hours.
I guess that since you do not report any medication for the artery spams, your chances to have another one are the same that you had before.
Are you diabetic? I ask because this is a common cause of Gastroparesis and spams in small vessels. In case that you are not, you can try to low the glucose levels in your blood.
Have you been tested for POTS? This could explain almost all your symptoms.
Have your adrenal glands been tested? This will explain the big peeks in blood pressure.
I was diagnosed with MVP about 30 years ago. I have angina from time to time, usually when I'm at rest and I carry nitrostat with me in case the angina becomes unbearable. - MVP is very common and I only had a bad episode once when I thought a heart attack was imminent. Turned out to be an anxiety attack. However, people who have anxiety attacks frequently should be monitored by a cardiologist. At present, I see my cardiologist once a year for a check up or nuclear test.
Mostly when I lay down at night or do anything (walking, stairs,etc) right after a meal. Some shortness of breath also. I have started using the Nitrostat again but I am really depressed to think that the old symptoms can come again with all the work I've done to keep them away. I will use the NG until I get up to the "3 limit" before going back to Dr. I had 2 surgeries in 07 and that only makes this more depressing.
The cardio had also given me an rx for 25 mg metroprolol 2x daily and nitrostat. (this on top of my 30mg benazepril). But my resting pulse rate is typically 47-55, so how low would the metro send it? The cardio said try it as an "experiment." He seems to be continuing to interpret my throat tightening as angina. The throat tightening is a sensation of not being able to physically get enough air across my throat.
They did send me home with a daily dose of aspirin and some nitrostat which makes me think they know something else is going on other than or along with anxiety. I was well hydrated, fed and my blood pressure meds have never caused my BP to get too low. I agree with you on the test results, but I have had a couple people I know tell me that hey didn't find any blockage with similar tests until they had an angiogram.
I am on 75 mg clopidogrel, 2.5 mg Norvasc daily and 50mg metoprolol twice a day. (and 0.4 mg nitrostat as needed) but they have had no impact at all on the frequency of chest pains or exercise intolerance (except for the nitro which will offer relief for a time).
We will have insurance soon (I hope) but there will be a 9 month wait on pre-existing conditions that were treated within 6 months of getting insurance (darn heart attack just could not hold off a few months).
Ask your doctor before taking ANY medication.
Is there any medication to help chiari?
It depends on which medication, there are some that are safe. Ive been having issues with it, because ive already taken all the ones that are safe at one point and there are very few that are safe.
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