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I had a mild heart attack in 2005 and was told when they did a heart cath that there are no blockagesPeripheral artery disease and that my MI was probably due to coronary spasmCoronary artery spasm Croup Eyelid twitch Facial tics Hand or foot spasms Urge incontinence Vascular spasm. I have been hospitalized repeatedly since the heart attack and have tried all the usual medications such as verapamilVerapamil Verapamil hydrochloride Verapamil hydrochloride sr Verapamil-trandolapril, cardizemCardizem Cardizem cd Cardizem la, imdur, metoprololMetoprolol Metoprolol succinate er Metoprolol tartrate Metoprolol-hydrochlorothiazide, lisinopril, norvasc and magnesium. I do not tolerate cardizem or imdur well. The angina was not controlled until they started me on Ranexa last year because the pain was constant and severe. I couldn't even walk across the room without severe pain. I had another heart cath in 07 where again they found no blockages and said my arteries could not look any cleaner. When I started on Ranexa it was a miracle but recently the angina has returned and I have made one visit to er and one admission to hospital last week. They have increased the Ranexa 500 mg to 2 x a day and I am still having angina attacks mainly left shoulder pain. I have read several articles about L-arginine being used to increase nitric oxide and that seemed to help control spasms. I am currently on Norvasc 5mg 1xdaily, Lisinopril 5mg 1x daily, metoprolol 100 mg 2 x daily Ranexa 500 mg 2x daily, magnesium 500 mg 2 x daily, garlic 1000 mg daily, evening primrose oil 1000 mg daily, simvastatin. I also have sleep apnea and use a cpap machine. I have fibromyalgia and a hiatnal hernia which I take Nexium for. Do you have any information on L-arginine helping coronary spasms.