Aa
A
A
Close
Avatar_universal
Coronary artery spasm that caused a heart attack
I am a 43 yo female who had a heart attack. My only risk factor is high bp due to kidney surgery as a child that has been controlled by meds. My EKG indicated damage and I had troponin levels of 6 and then 5. The cath showed totally clear arteries and no damage. The diagnosis was coronary artery spasms. I'm within reasonable weight, cholesterol is good, don't smoke, no drugs. What causes this and what can I do to avoid this happening again?
Cancel
2 Answers
Page 1 of 1
159619_tn?1318997813
Sorry to hear of your problem. Coronary artery spasms are not very common and have several triggers. Some of the most common causes are smoking and high cholesterol which you do not have. Other triggers include high blood pressure, stress, exposure to cold, medications that cause narrowing of the blood vessels (vasoconstriction) and certain stimulant drugs like amphetamines and cocaine.

I guess the first thing to do is try to eliminate these triggers. You also need to keep you BP under control as that is a know cause as well.

Check this website out for more information;

http://www.nlm.nih.gov/medlineplus/ency/article/000159.htm

Hope this helps,

Jon
Comment
Cancel
159619_tn?1318997813
Comment
Comment
Submit Comment
Avatar_universal
What symptoms did you have?
Did you suffer any chest pain? Particularly at rest?

Those at typical of artery spams. I found strange that without any previous pain you directly get a heart attack.

If I were you I will try to get a second opinion. In women, some of typical  EKG warnings of HA, like the size of the R wave, are not relevant and the Troponine elevation can be due to other reasons, like a kidney failure that you indicate have problems with. If there is real damage, it will show in a cardiac echo.

Just a thought.

Jesus
Comment
Cancel
Avatar_universal
Comment
Comment
Submit Comment
Your Answer
Avatar_universal
Answer
Know how to answer? Tap here to leave your answer...
Answer
Coronary artery spasm that caused a heart attack
Submit Answer
A
A
Top Heart Disease Answerers
976897_tn?1379171202
Blank
watford, United Kingdom
11548417_tn?1440481484
Blank
Netherlands
159619_tn?1318997813
Blank
Salt Lake City, UT
Avatar_universal
Blank
Avatar_universal
Blank
Avatar_universal
Blank
Ireland
Blank
BloodPressure Tracker
Monitor Your Blood Pressure
Start Tracking Now
Blank
HeartRhythm Tracker
Track your Heart Condition
Start Tracking Now
Recent Activity
675718_tn?1449992146
Blank
drifter0213 commented on 0213
9 hrs ago
Avatar_universal
Blank
Paxiled commented on Men How to Keep It UP...
10 hrs ago
Avatar_universal
Blank
Paxiled commented on Some Foods From The O...
10 hrs ago
Heart Disease Community Resources