One should be able to have a normal life span. The issue isn't angina, but the underlying cause for the cardiac/vascular disorder and that is almost always artery occulsion. Angina is the lack of adequate blood supply to the heart muscle.
Many people can take control and manage their health (cardio/vascular) with exercise, proper diet, medication, etc. You have been given a warning! Some ijncluding myself didn't exeperience angina, until there was heart muscle damage.
You don't have to live with angina. Medication can open (dilate) vessels and avoid any chest pain, etc. (angina). If medication can't control angina, the other options are stent implants or by-pass. Whether there is an interventional procedure or medication for occluded arteries, statistics show there is no difference in longivity.
If you experience chest pain with exertion and there is relief at rest (classified as stable angina), that could indicate there may be coronary blockage, and more advanced stage of coronary blockage there is angina that isn't relieved with rest. Other symptoms could be shortness of breath, etc. A diagnosis usually starts with an EKG (monitoring electrical wave forms) that is low tech for diagnosing enlarged chambers, blocked arteries, heart muscle damage. If the test is positive, there is usally a referal for an echocardiogram. The test monitors blood flow through heart for valve integrity, observes if any heart wall movement impairment, and can calculate heart wall and chamber dimensions as well as contractility (pumping ability).
Are you seeing a cardiologist? If not, you really need to see one to get the proper counseling and perhaps even a statin to help control your cholesterol. As Kenkeith says, you have been given a warning. You need to act on it. The cardiologist can give you the best advice about angina.
Were you actually diagnosed with angina? I'm wondering because you said your treadmill EKG was negative. I'm not saying that you DON'T have it, just that chest pain on and off "due to stress" could be a lot of things and doctors usually need more evidence to dx true angina caused by heart muscle ischemia. Just as an example, my cardio has NOT dx'd me with angina even though, clinically, my pain can't be distinguished from it. He just rx'd nitro for me to try the next time I have symptoms.
I also agree with MysteryChemist's advice to consult with a cardiologist if you haven't already.
The probaility is high there is no vessel blockage with a negative stress test! Anxiety, stress, etc. can cause chest pains and I assume he has been in consultation with a doctor otherwise there wouldn't have been a stress test.
During a stress test there is or should be doctor monitoring the procedure and a professional reading of the final results. My stress test was stopped after several minutes and a well documented and recording of the results.
The sensitivity reading from a stress test is very high, but there good be professional incompetence and equipment malfunction. I doubt very much there is anything to worry about under those conditions. There could be an occasional and an abnormal neurological impulse that causes a vessel spasm resulting in pain and that wouldn't show on an EKG unless an event occurred at the time of the test.
On 5 April, I had a chest pain. I visited a hospital. They did a EKG. At that time I did not have the pain again. So they said they said I should visit my Doctor to see if its Angina.
I visited a GP. He sent me for a cholesterol test. It came back high. 249. LDL was 181 and HDL was 40. He sent me to do a Exercise stress test.
It was done and monitored by a doctor. The results sent to my GP.
He looked at it and said that there is nothing wrong with my heart. I asked him about the pains I sometimes get with stress. He said stress can cause that. I was reading though that the exercise stress test will only show up something if the blockage is 50-70%.
The next day I decided to run 2 laps to see if anything would happen. I really did push myself the first lap. As I went along I started to feel a pain in the center of my chest. I had to stop. This is what has gotten me worried.
There is perfusion (dye like substance) and that will be seen as reduced if there is blockage or partial blockage, but there are many smaller vessels that can cause a problem, and I have read the majority of heart attacks (ischemic) are due to smaller vessels other than the coronary arteries. If the pain is related to heart ischemia, as the other poster states it can be/should be relieved with a nitro pill as it has an immediate effect by dilating vessels. Do you have a reference for 50 to 70% vessels are obscurred from a perfusion test?
Your lipid levels are high, and an indication you may be vulnerable to an occlusion(s) so a stress test was scheduled. Yes, stress can cause chest pains, and stress can cause a heart attack for a vulnerable individual as well.
Any further testing for heart ischemia would be angioplasy and that has some risk as an interventional procedure. You should try medication before an angioplasty.
Do you have a reference for 50 to 70% vessels are obscurred from a perfusion test?
Are you asking me where I go my reference. What I was saying that in one of the forum someone was saying that an exercise stress test will only show abnormalities if the blockage is more than 50 %. Or did I quote that incorrectly and it was for the other test you spoke about (the perfusion test).
There was a study a couple of years ago that showed that aggressive statin therapy could actually reverse atherosclerosis. From a quick online search I just found that it was called the ASTEROID study, followed 349 high-risk patients taking a high dose of rosuvastatin using intravascular ultrasound and concluded that nearly two thirds achieved a significant reduction in atheroma volume. I don't know what later studies have shown but it seems that you probably can reduce buildup with an aggressive program to lower LDL and raise HDL, which exercise helps with.
I don't know any figures of how blocked an artery needs to be for a perfusion scan to show reduced supply. The scan detects radioactivity from an injected tracer that is taken up by the heart muscle, so I think microvascular disease (in smaller arteries and capillaries) would probably show up in that test too, but I'm not sure of its sensitivity to microvascular disease. For CAD it's a more sensitive test than the stress EKG but also more prone to false positives because the radiation is coming from the heart and has to pass through bone and soft tissue which can absorb it and simulate areas of reduced uptake. That's one reason doctors don't usually order a perfusion study unless they already have a high index of suspicion.
You've had exercise-induced chest pain that raises YOUR index of suspicion, and it's a good thing to be suspicious! I think your best bet is to get together with a good cardiologist. (S)he can answer all your questions and order whatever tests are needed to figure out if your chest pain is really heart related, and if it is, whether it is angina, and what best to do about it.
Hi my boyfriend is in his 20's and was just diagnosed with angina. He is freaking out is there anything I can say or do to comfort him and reassure him that he can still lead a happy and full life? Like what helped u get through the beginning shock stage?
My goodness, he is young for Angina. The Cardiologist should really perform an Angiogram at his age, to determine the condition of his coronary arteries. Personally I found the more test, the better I felt. It was the NOT knowing answers which scared me. Once I understood the situation, I was able to deal with it and search for options. You don't state which type of angina your boyfriend has, whether it is the stable or unstable variety. Unstable is when there is no particular trigger to cause it, such as exertion. Stable is the classic angina where you do any form of exertion and angina is brought on, and it disappears when you sit still and relax. An angiogram would reveal the condition of his arteries and determine the type he has. It could be that there is just a single blockage forming, which requires stenting. This is a tiny metal mesh tube which is expanded across the blockage, holding the artery open. To be more specific about options, there needs to be more tests and more details. To reassure him, there are lots of options for dealing with this and he most certainly mustn't start wondering if he will wake up from his sleep tomorrow. I had a heart attack in Feb 2007, due to a blocked artery (total). I've had 10 stents in total and my arteries were a real mess at the age of 46.
Things he needs to do. Make sure his blood pressure is normal. Have a blood cholesterol test. Take appropriate medications. Organise further tests. Eat a healthy diet. Definitely don't smoke. Angina is a wake up call, not a death sentence.
I'm wondering if your BF might have coronary artery spasm, rather than a blockage caused by plaque build-up. He's so young, I hardly can see how he could have built up enough plaque in his arteries to have the kind if angina that's from a blockage. The chest pain would be the same for the two kinds of angina, but the treatment and prognosis would be different. If you can find out what kind of angina he has, then you will be able to get more specific feedback to address his understandable concerns. If he does have coronary blockages that are large enough to cause angina at his age, it would make me wonder if he has some kind of disorder of lipid metabolism -- but let's not go there yet. Maybe he's just having coronary artery spasms.
I am 43, female, and my stress test was positive, but doctors say that in some cases stress test in women looks positive even if they don't have blocked arteries. The point is that I do have recurrent symptoms, not just chest discomfort. It is a wide spread chest burning sensation that happens during effort or even at rest. It happens mostly at the evening hours or early in the morning. I have this condtition for 6 months now. If it was something serious I wouldn't have survived until now. I think it is psychosomatic, I have to forget about this and continue my life. If something wrong is going to happen, I can't prevent it by worrying about it. Someitimes I am worried, but most of the time I try to forget it.
I usually have discomfort with exertion, but recently I have noticed that it happens even at rest, without any noticable reason. It is like a burning sensation behind breastbone, it radiates to my back, shoulders and left jaw. It is not always at the same intensity. The level of intensity depends on the level of exertion. If I climb 2flats of stairs I suffer. I feel I want to screem. If it happens while I am walking on flat level it may be mild and tolerable. It is triggered usually by cold weather and effort.
Based on your first comment, I would say that I agree that itcould be psychosomatic. In your second comment you write that discomfort is triggered by cold weather or/and by effort. That might be an indication that it is heart related. Did you discuss these signs with your doctor yet and did he describe medication for it?
I'm confused here. How long ago did you have the stress test? Why would the cardiologist conclude that it's normal to have symptoms PLUS a positive test? Surely to God he is going to perform an angiogram?
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