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Sudden "Gross" Fatigue and Chest Heaviness
I am a 52 year old woman who is suspected to have Prinzmetal Variant Angina (suspected, not proven).  5 years ago I experienced a major 30-minute heart "event" but it did not damage my heart.  Lasted about 30 minutes and then stopped.  Angiogram was negative other than a few spasms.  Nighttime angina attacks are treated with nitroglycerin tabs.  4 years ago I had a nighttime event that we called 911 and I had pericarditis.  Last 3 years I have had occasional angina episodes that are stopped by one or two nitro quick tabs.  I am being maintained by Lotrel 10/40 (working super) and 81 mg aspirin tablet daily with nitro tabs as needed.

About a month ago, just about the time I was actually forgetting my "heart"...I began to have episodes of very sudden, gross fatigue.  I almost felt I would pass out, so would have to steady myself holding a table or the wall for the moment.  These episodes last from 45 seconds to several minutes and then slowly pass.  They come upon me so quickly it startles me, and during the episode I feel I weight a thousand pounds, and sometimes feel a bit of chest pressure, but no pain.

I have just had my carotid arteries and abdomen checked for stenosis and am wearing a loop monitor for the month.    So far all appears to be in good order but my fear is increasing as the "events" get closer together and stronger.

Any thoughts?  Oh these happen when I am not exercising but do happen when I am standing still,  or am just sitting in front of a computer or driving the car.  What do you think could be happening?
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187666 tn?1331176945
Have you checked your pulse during these events? A very fast heart rate or a very slow heart rate could make you feel light-headed, tired and weak. It might be nice for you to have a feel for what's happening if you can. Or just wait for the results from the monitor. That can take weeks however. How's your blood pressure normally? That's another thought.
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