I have beening experiencing episodes of chest pain/pressure, SOB and palpatations for several years. I also can't stand up quickly, everything goes black and I feel like I'm going to pass out, but I never do. I am a 44 year old female post menopausal (surgical), physically fit and at rest my BP is usually about 110/60 with a pulse rate of 52. When this first started I had seen a cardiologist and had a bunch of tests. I had an echo, EKG, Halter monitor and took a treadmill stress test. Although all of these were "fine" I continued to have these symptoms. Then my brother suddenly died at the age of 47 due to ASHD (diagnosed post mortem) and he was found to have many clots blocking 3 of his cardiac vessels. I went back to the cardiologist for more tests. My EKG and echo were WNL. I had a Thallium stress test this time which revealed an apparent blockage of my LAD. Followed up with an angiogram which showed a "sluggish emptying" of my LAD but not enough for any concern. The invasive cardiologist recommended (my general cardiologist disagreed) I take a baby aspirin daily, which I do, but still have these symptoms. I read somewhere that, for women, the nuclear stress test is more accurate than the angiogram. Should I get re-evaluated?