Heart Disease Community
Variant Angina Triggered by Exercise?
About This Community:

A community of people with Heart Disease to guide and support your heart-health journey. Ask a question, join a conversation, share experiences: symptoms, nutrition, and management.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Variant Angina Triggered by Exercise?

I recently suffered chest pains, received a cardo cath, and was told I had cardiac spasm, or variant angina, aka prinzmetal's angina.
I'm told this condition occurs at rest usually, which has been true for me. However an hour walk yesterday also brought on chest pains that nitro wouldn't relieve and thus sent me to the ER. To be told after 9 hours I was fine.
Does it make sense that exercise can bring on chest pain when one has variant angina or am I being misdiagnosed and  in fact have unstable angina?
Related Discussions
7 Comments Post a Comment
Blank
976897_tn?1379171202
By Cardio Cath do you mean an Angiogram? where a catheter is passed into the coronary arteries and dye is injected? If so, did they witness an artery in a spasm state?

Variant angina is usually associated with the heart being at rest and as you say, it could
be possible that you have unstable angina which can occur at any time.
Blank
Avatar_m_tn
Yes is was an angiogram. They witnessed the artery in spasm, injected nitroglycerin, and the artery calmed down. The heart itself was clean, and no major blockages where found requiring stents or further work.
But I do know the the spasms occur not just at rest but after exercise, thus the conundrum as far as definitions go. Is there something like unstable variant angina and if so is that different from unstable angina? I.e. does unstable angina always refer to the heart rather than the arteries contracting?
Blank
976897_tn?1379171202
Apparently a spasm can occur
when the heart is not at rest but MOST spasms occur when the heart is relaxed. The
most common time is the early hours of the morning. Performing catheter
treatments on patients with this condition is risky because when the catheter
touches the artery wall, it often seems to trigger it to close up. It's almost like it's ticklish.
Blank
976897_tn?1379171202
Oh I nearly forgot, Nitro doesnt normally have any effect, i.e. relieve, unstable angina.
As it did relieve yours, this tends to point towards it being variant. I suppose in reality
it must be difficult for cardiologists to determine which one it is until several tests have
been run.
Blank
Post a Comment
To
Top Heart Disease Answerers
976897_tn?1379171202
Blank
ed34
watford, United Kingdom
63984_tn?1385441539
Blank
Flycaster305
97303, OR
159619_tn?1318997813
Blank
erijon
Salt Lake City, UT
11548417_tn?1431627317
Blank
Ger57
Netherlands
Avatar_m_tn
Blank
Occupant
IL
Avatar_n_tn
Blank
markmsn10
Blank
BloodPressure Tracker
Monitor Your Blood Pressure
Start Tracking Now
Blank
HeartRhythm Tracker
Track your Heart Condition
Start Tracking Now
Recent Activity
1236893_tn?1408490528
Blank
Why Hand Washing Dishes Is Good for...
11 hrs ago by gymdandee
1236893_tn?1408490528
Blank
Dissenting Lawmakers Punished as Co...
12 hrs ago by gymdandee
1236893_tn?1408490528
Blank
Health Insurance Companies Seek Big...
Jul 06 by gymdandee
Heart Disease Community Resources
RSS Expert Activity
233488_tn?1310696703
Blank
Marathon Running Done Over Many Yea...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
233488_tn?1310696703
Blank
New Article on Multifocal IOL vs &q...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
748543_tn?1371753642
Blank
TMJ/TMJ The Connection Between Teet...
Jan 27 by Hamidreza Nassery , DMD, FICOI, FAGDBlank
Top Heart Disease Answerers
976897_tn?1379171202
Blank
ed34
watford, United Kingdom
63984_tn?1385441539
Blank
Flycaster305
97303, OR
159619_tn?1318997813
Blank
erijon
Salt Lake City, UT
11548417_tn?1431627317
Blank
Ger57
Netherlands
Avatar_m_tn
Blank
Occupant
IL
Avatar_n_tn
Blank
markmsn10