husband heart tests

[look4thelord]

My husband lost his mom at age 42 from heart attack. brother two years older had stents put in last fall younger brother had heart attack 2 weeks ago now has pacemaker. My husband  is 51 has been having chest pain and left arm pain off and on for over 4 months. went to dr. seen specialists he was concerned something is wrong by his ezplination of whats been going on.His cholseteral is high for good and bad want it half of what it is. went in got catherization friday, said he had tiny amount but no blockages,when they was done his chest hurt like his regular pain only worse then ever. they didnt even notice then they had to give him 2 nitro pills. he didnt stop bleeding for over 9 hours. he still has the pain/ pressure the dr said he was stumped because the cath looked pretty good. guessed he may have spasms. we are home but he is still worried should he be. the pressure/ pain is in his chest sometimes to his left arm to his neck to his ribs. it hurts so bad at times the pain makes it difficult to breath.  all the stuff we hear it seems as though it is his heart. Need suggestions. he also has the sweats could it be serious but they couldnt see?

[joanincarolina]

Kenkeith is correct. I live with what he is referring to; microvascular angina or variant angina occurring in the tiny tiny vessels of the heart that can't be seen. It hurts.Regardless of the cause the symptoms have to be treated. Read my journal here at 'joanincarolina'. or just google  'joanincarolina' and read my journal.Have your doctor read about this. Not all doctors are real knowledgeable about this as it is hard to attach a real diagnosis to it based on current tests, even a cardiac cath. And it hurts. Be sure you have good pain control with nitroglycerine near by and watch your exertion. Be quiet until you get back to your doctor and get help. Best Wishes. Joan.

[kenkeith]

There is non-obstructed angina (chest pain) referred to as microvessel (small vessels not seen with a cath) disease.  The doctor mentioned spasm suggests that coronary microvascular disease may also contribute to angina in patients with "vasospastic" angina.

Physicians should be aware of the possibility that coronary MVS may also contribute to chest symptoms in those given a diagnosis of vasospastic angina and carefully assess the presence or absence of coronary microvessel disease for the appropriate management of these patients.

Have there been any discussion on MVS and treatment.?