Aa
A
A
Close
Avatar universal
Mild Coronorary Spasm Heart Attack - consequences of
Hello,

If I had a minor heart attack ( untreated at the time) caused by a coronorary spasm ( rather than by a blocked artery), what could be the consequences or possible complications of this?

( 2 years on, my echo reveals slighly impaired funtion LVEF 50 % to 53%).

Does a minor heart attack always lead to cardiomyopathy or to a progressive deterioration over time?

Thanks ! ! !
Cancel
3 Answers
Page 1 of 1
1425157 tn?1311655279
would suggest a ref to cardiologist to asess you!!
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Submit Comment
976897 tn?1379171202
"Does a minor heart attack always lead to cardiomyopathy or to a progressive deterioration over time?"

No. Have they given you a Nitro spray to use should another attack occur? The problem you face is a situation with no warning. The spasms must contrict the artery a considerable amount for a heart attack to result and so I assume they have warned you of this? In some people there is a trigger for the spasm, but it is very rare to find that trigger. Medication is important to try and keep them at bay and the first line of defence is usually a NItro patch. However, these don't help everyone and the second line of defence is usually Calcium channel blockers. Tiny tubes (channels) in artery linings allow calcium to be absorbed into the artery muscle which is used in a chemical reaction to create energy, allowing the muscle to tighen the artery, making the area for blood flow less. However, calcium channel blockers prevent the absorption of calcium from the blood. The more the dosage the higher the restriction. The lack of calcium availability to the artery muscle makes it harder work for it to function, but at the same time stops it having the energy to have a spasm.
The other side of this is that calcium channel blockers work on smooth muscle function, and the heart itself is smooth muscle. The calcium channel blockers will work in a similar way to beta blockers, keeping the heart more relaxed. This again depends on the dosage as to how much effect it has. There are a few theories as to why spasm occurs, one being that the build up of fats inside the lining can cause it.

Comment
Cancel
Comment
Avatar universal
Comment
Comment
Submit Comment
237039 tn?1264261657
Are you taking any meds?  I have coronary spasms also, and I have Nitro and take a ccb to keep these under control.  You can improve your heart function with diet exercise and meds.  And making some lifestyle changes.
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Submit Comment
Your Answer
Avatar universal
Answer
Know how to answer? Tap here to leave your answer...
Answer
Submit Answer
A
A
Top Heart Disease Answerers
159619 tn?1318997813
Blank
Salt Lake City, UT
11548417 tn?1440481484
Blank
Netherlands
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
Avatar universal
Blank
Paxiled commented on Gun Disarm Technique...
2 hrs ago
4522800 tn?1459192030
Blank
VICourageous MH Family..sure can use som... Comment
16 hrs ago
4522800 tn?1459192030
Blank
VICourageous commented on 10356's status
17 hrs ago
Heart Disease Community Resources
RSS Expert Activity
233488 tn?1310696703
Blank
Marathon Running Done Over Many Yea...
05/15 by John C Hagan III, MD, FACS, FAAOBlank
233488 tn?1310696703
Blank
New Article on Multifocal IOL vs &q...
05/15 by John C Hagan III, MD, FACS, FAAOBlank
748543 tn?1463449675
Blank
TMJ/TMJ The Connection Between Teet...
01/15 by Hamidreza Nassery , DMD, FICOI, FAGD, FICCMOBlank
Top Heart Disease Answerers
159619 tn?1318997813
Blank
Salt Lake City, UT
11548417 tn?1440481484
Blank
Netherlands
Avatar universal
Blank
Avatar universal
Blank
Avatar universal
Blank
Ireland