Hello, I am a 46 year old female. Since about 12 years i have been suffering from PVC, sometimes wery frequent, and PAC:s. Two years ago I was diagnosed vid EAT. I have approximately 3-4 attacks of EAT dayly, but they dont bother my so much. Handeling PVC:s are more difficult and this autumn i started to have quite a lot oft them and now they comes when I move around, take walks, try to excersise och get emotionally upset. My cardiologist have taken a couple of resting ECG, which shows ST/T-changes, ST was lower than it supposed to be. In a stresstest a couple of weeks ago the same pattern appered, I Came back with ST-figures like - 0,7, - 1,4 at different points during the test and finally - 1,8 shortly before I stopped the test due to fatigue and dizziness. ST continued beeing low minutes after the test. I did not felt any chest pain during the test. The excersicetest as a hole showed poor condition, the blood pressure did not rise like it should (Diastolic from 110 at rest to 140 at max. The doctor said it could depend on that I take betablockers for my arrythmia). The test also showed some PVC:s during excersise and a couple of couplets PVC. My cardiologiskt now wants me to do a nuclear stress test.
The thing is that i get this anxiety spells every other day recently, I have interpreted them as panic attacks (since I have a history of panic) , but now I am afraid that they really signs of angina. They anxiety spells feels like I get no air, I am going to faint, I get a strange feeling in my chest, I feel nausious, I want to flee from the situation and I think I am going to die.
My qustions is:
1. What is the likelyhood of me having angina? I am not overweight, I have good colesterol, but i dont excersise, dont eat much vegetables and I use nikotinsnuff. My mother had her first heart attack when she was 65.
2. Are the couplets of PVC during stress/excersies dangerous?
3. Could my "panic attacks" actually ble angina? The pulse feels normal.