ANGINA

[ko776]

hI. I'm 30 years old. female. Had several episodes of Chest pains for the past 2 years. all began when I clim a hill and was breathless when arriving on top. My ECG was on SR C. I'm havin palpitations. I am on Betaloc 50 mg for the last 2 years. My symptoms are Chest pains which radiates to the left arm, feel dizziness and is always tired after small exertion.I am always on Low BP. My echo measureents are ; LVEDD 43 mm, LVESD 28 mm, LVEF 68%, IVS= 8m, PWT = 7mm, AOV 20 mm, LA = 26 mm. Summary was Good LV Systolic function, Normal valves and flow and LV WALL THICKNESS LOWER LIMIT NORMAL. I have ''Angised'' tablets under the tongue and the chest pains disapear as the tablet dissolve under my tongue. I was on ''Monicor tablets'' for 3 weeks. After the monicor, I had rarely chest pains. But I'm still on Betaloc.I went also for a Stress test which results for ST Depression and also for a CT Coronary Angiogram . Results was Normal Coronary Arteries. My question is what are the precautions I need to take to avoid any other chest pains and do I have a problem in my heart. Can ypu please clear my mind.

[ed34]

Is your Doctor aware that you have pains in your arms at rest? and that nitrates remove the pains?

[malik003]

hi i am 52 year male i feel pain in my both arm at night due to this i cant sleep but when i take angised tablets the pain dissapear ..i wan to knw that is angised have side effects...

[kenkeith]

I take isosorbide, a nitrate, before engaging in my exercise routine at the gym.  It is a slow acting nitrate (last hours) as opposed sublinqual nitro (lasts about 20 minutes).

Your echo indicates a strong heart functionality evidenced with an EF 68% (normal is 55 to 75%).  Your heart is structually normal valves and heart chamber and wall size is acceptable.

You didn't include stress test and ct angiogram results.  One can have chest pains relieved by a nitrate without ischemia (occluded vessels) or a heart problem.

[MamaBush]

I'm assuming by "angised tablets" you mean nitroglycerin tablets.

One thing you may want to try before you engage in any strenuous activity is to place a tablet under you tongue BEFORE you engage in the activity.  When I started on an exercise routine, years ago, I complained to my cardiologist that the angina I was having was horrible during and after the exercising.  He suggested I use my nitroclycerin spray (I've never used tablets, have always used the spray) just prior to engaging in the activity.

Surprisingly, it worked.  I continue to use my nitroclycerin spray just prior to engaging in any strenuous activities, and I have never had any further angina problems since.

Nitroglycerin dilates your blood vessels and therefore lowers your  blood pressure and strain on the heart. But most importantly, it dilates the coronary arteries, when your coronary arteries are having problems dilating, it causes the angina. When your coronary arteries are dilated, that means they are openning up and allowing better blood flow.