angina

[pedros]

I have heart disease.Had a triple bypass in 1999 and 7 stents between 2005 and 2007. I am very fit and do 1hour cardio 5 times a week.Also have a class c 36mm hiatus hernia.My issue is that I sporadicaly get a feeling of angina when I exersize...? Could this be the hernia? If it is my heart should I not get angina each time I exercise?

[ed34]

There are different types of hiatal hernia. The most common being called the 'sliding' hiatal hernia where swallowing causes the top of the stomach to pop through, but it falls back down. If laying down it may not slide back into position, not until you are upright. There are more severe types of hiatal hernia which give some nasty chest pains, like those felt during heart attack. Especially if the stomach bloats after certain foods. Surgery is complex and long, but it can be rectified. It is clear that IF hiatal hernia is a cause and requires surgery, you need a specialist surgeon. Many times after a surgeon fixes the problem who isn't experienced much in that field, it fails.

[kenkeith]

Usually there may be some distinqushing differences between hiatal hernia pain and angina pectoris.  HH is not likely to occur while sitting or standing, and often only appears when either lying down or leaning foward after a heavy meal. My in-law had both HH and angina and that was his experience. And stable angina occurs when there is a reduction of oxygenated blood to heart cells...usually with physical or mental stress.  

Before I exercise 3 times a week  I take a nitrate (isosorbide...longer acting) and no angina.  As stated a  nitro med (short duration and take when there is angina) should relieve any angina and not have any affect with HH.

Thanks for sharing, and if you have any further questions or comments you are welcome to respond.  Take cae,

Ken

[jrbon]

I guess that you feel is pain the center of the chest. Other symptoms of angina I do not think can be related to the hernia.

The angina will appear when your heart gets less blood of what he requires, and this can be dependent on many factors: effort, time from medication, time and size of last meal, heat, humidity ...

So probably the requirements of your heart are not always the same.

Anyway, if when you feel the pain, you take a nitro pill and the pain goes away ... chances are that it is angina.

Jesus