Everything you need to know about Coronary artery spasm
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- เผยแพร่เมื่อ 20 มี.ค. 2018
- In this video, Dr Sanjay Gupta, cardiologist at York (www.yorkcardiology.co.uk) talks about an unusual but not uncommon form of angina called Variant angina or Coronary artery spasm. Coronary artery spasm tends to affect people at rest more than on exercise, asians more than europeans and is prevalent at ages between 40-70 years. Various triggers include magnesium deficiency and Stress.Beta blockers can actually worsen spasm.
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I have found what you said to be true. It is so sad that a cardiologist on YT provides more information about one's heart health than their personal cardiologist. God bless you. Ohio, USA❤.
Interesting comment about Prinzmetal's being linked to inflammation. I began having angina about six weeks after having COVID. It escalated very quickly to severe and unstable and I was given an angiogram, with the anticipated outcome of a stent placement, but when they did the angiogram my heart was, to quote the surgeon, 'clean as a whistle'. Because I have an inherited channelopathy I can't take beta blockers or calcium channel blockers, and the statins my cardiologist wanted to put me on are myotoxic to those with my disorder. I take a small dose of nitrate when my angina kicks up. It gives me a heck of a migraine, but the chest pain is no picnic either. I love your videos! Thank you!
I had my first spasm like this at noon without strenuous activity. 37 year old European male. Great video BTW.
Yes first time in years someone actually explains exactly my condition . Thanks bro.
Thank you so much for making this video. I’ve been suffering over two years with an unknown illness and have been in the hospital ER several times with this type of chest discomfort waking me up in the middle of the night. So far the medical community has not served me well and have been written off as having panic attacks. I know down to my bones, this is NOT the case. I made an appt to see the cardiologist and I’ve saved your video describing exactly to the tee what is awakening me in the dead of night. With your terrific video, I am hopeful of getting the help I need! I so appreciate you❤!
SO GRATEFUL for this video, Dr. Gupta. Thank you for answering many questions that I've had about vasospasm! Your explanations in this video have helped me tremendously. God bless you, sir!
Thank you you have told me more than my cardiologist has ever told me
Thank you 🙏 for your video! It’s so informative! I live in the USA 🇺🇸! I have symptoms just like you explained for Printzmetal Angina. I am seeing a cardiologist. One time when I went to the hospital by ambulance because of the chest pain they gave me a nitroglycerin sublingual tablet and it helped tremendously. I am hoping my doctor will give me a medication to help the symptoms I am having.
Had to comeback and just say thank you for everything you do! I wholeheartedly believe beyond a shadow of a doubt that your videos have LITERALLY saved my life up to this point over the last 2 1/2 years I have been following you. I'm only 38 and having all kinds of issues with my bp and things going on with the electrical side of my heart that these doctors here cannot seem to figure out and fix (everything started when I was 36). Anyway...
THANK YOU!!!
Tim Deien sounds likewe have the same issues!
Same here, but I am 28. These issues started when I was around 23 though
So what happened? What did you get diagnosed with?
Thanks for the info
Same! & I'm 38 too
I was in & out of hospital in Oslo not understanding what was happening to me until I saw your videos & was finally able to describe my unusual symptoms to my Norwegian doctors. I can finally get the proper treatment. Thank you for your videos
how cure it?
The way you explain and Fluency of your English is impressive... Thank you Dr
12:16 and I'm here with the artery in my left arms having crazy spams.
Thank you so much! Now I know what I'm looking for
An excellent explanation. Thank you! I found this video extremely helpful. Thank you so much.
Handsome doctor and so well said! Thank you ! 🥰
Very nice explanation. Stress can cause coronary spasm also. Thank you!
Thankyou this is much more informative and reassuring than anything I could find on Google.
I'm a GP and I love the way you explain things , with such dedication and precision; I can tell that you're the dream doctor of any patient :) Wish you great luck
Yes and he offers real advice without judgement, or a rude un qualified receptionist telling you it's probably just heart burn...
Thank you for this video and your other videos. You are so helpful!
Came here at 3am when I had a heart spasm but stayed and followed because the doctor is so handsome ❤💗
Fantastic as usual 👏🏻👏🏻👏🏻
Thank you so much for sharing this video.....it all makes sense now....
I have the spasms in my Artery like you said on when resting.... but before I knew what it was I was taken to A&E in the UK a couple of times, but they told me i had unstable Angina!
It comes on mostly when I'm resting at home or asleep but I do have a GT spray which helps me so much....
I did have an Angiogram once but they said to continue with my GT spray....
It's good when someone explains a health issue as my GP never has the time....
Thank you once again......😊
Yes, Doctor, it was very useful for understanding. Thank you
I have this i am 42 now. Was diagnosed at age 30. Also has POTS well. Diabetic also. Gerd as well. Sleep apnea. My was only diagnosed by angiogram. Beta blockers is a no no for me. It was diagnosed in England. I am always happy with your advice. Thank you Dr for a great help to gave to us all.
Hi how r u now, if u are not using beta blockers... then what are you using? Please tell
I recently had this happen to me and hsf previously had all the tests ecg angiogram which showed no blockages so they were able to diagnose me and have changed my meds it took about 2-3 weeks to settle down and now feel much better zthank you for explaining so clearly and precisely the difference between the two types of angina it all makes sense now very helpful and I feel like i know what is going on now so helpful as I was so scared before many thanks fromDawn
Was your pain stabbing or was it a heavy discomfort?
Great video! I'm going to call my doctor in the morning. I had a seizure a couple years ago and after reviewing the medical notes I came across this video and this might be why I lay in bed at night with the sensation of heaviness on my chest. Thank you!
Thank you. Wonderful explanation! This was me. Waking up with chest pressure/jaw pain. I will up my magnesium and discuss why I am on beta blockers with my coronary rehab doctor.
True.... same here. I was given beta blocker as well.
Did upping the magnesium help you?
Believe I just had this. Described it all the way. I crossed four boxes to getting it; smoking, drinking, stress, and physical stress. Did leave out one thing. I had an energy drink along with too much coffee earlier in the day. Drank, smoked, and had stress in the evening. Mine kicked off about 4:30 am and I believe woke me up. Thought I was dying.
Good video.
Very good info. Most I already knew but good to have it all together. Listening to you from B.C. Canada.
Oh, your so good Dr. Sanjay.Remarkable how you explain so clearly . Showcases how very clever you are.Always being positive and giving clear and concise solutions to the issues concerned.We are fortunate to have this information and to improve.My gratitude is immense as this is valuable info.Thank you for video and blessings and greetings and hugs.xoxo
Regards from South Africa 🇿🇦 Thank you for assisting to better understand my problem
Very helpful video, thank you!
Thank you so much for the clear explanations ❤️
This is an informative video, thank you!
this is well researched!
Thanks for sharing Doctor.
I find you to be brilliant. Thank you. 😇
It had been shown that kidney function is related to heart health- specifically the likelihood of developing Afib. So we need to really take care of our kidneys. We should eat foods that are good for the kidneys, also exercise everyday, and get enough sleep. Then we give the kidneys a chance to detox.
Yes had kidney infection just before mine
I’ve had two confirmed heart attacks brought on by Prinzmetals angina. Aged 39yrs and 45yrs. I was fobbed off for years by my cardiologist who insisted I couldn’t possibly be having angina as my pain came on at rest. It wasn’t until after my second heart attack that I was finally tested and diagnosis was confirmed. I’m on some heavy duty medication and still get the angina at rest but no new heart attacks for the last 10yrs. I wish all cardiologists were as knowledgeable as this cardiologist.
Hello sir .....can you please tell me whether this pain gets better or worse with breathing.
Does exhaling make it worse.
Or its unaffected by breathing.
Also does lying on left side (putting pressure on that area) make it better??
Or it doesn't matter what position you are lying.
Also is the pain triggered by lack of sleep?
Good information hello Dr Gupta from Michigan USA
Great and informative thank you. ❤️
Thank you 🙏 just saw a cardiologist for the first time this week who thinks I might have this. He didn’t explain it as well as you. Now off to get those scary tests 😢
Hi Doctor Sanjay Gupta. I'm in the Philippines. I was 34yo when I started experiencing this condition. Whenever it happens, I'm in my sleep, I'd wake up, usually between 12 midnight to 2am, waking up to my chest and head in excruciating pain. The pain was like literally squeezing my heart, it was really painful especially when it's gonna pump out the blood from my heart, then I try to sit up, then my left arm would hurt a bit then later on it's gonna turn numb. With my searches, I read that normal heart tests would do no good so I always resist the urge to go to the ER. What I usually do is just drink lots of water, a bit of red wine and 1 whole apple. These episodes of chest pain would last from 3 to 6 hrs, leaving me sleepless and makes me groggy the next day. Yesterday, it was the same but the chest pain lasted the next whole day, slightly squeezing my chest, but I could go on with my usual tasks with no problem. Now, it still feels like its squeezing my chest, a bit of pain in my left arm, but I can still do my chores like usual. I'm gonna do fasting and change of diet since that's the only thing I can afford right now. But thank you doctor for this. Thank you so much!
You will do everything but will not see a doctor, Stup*d
how cure it?
Hello Dr. Gupta from Washington State, USA. Another big "thank you" from someone that was very quickly diagnosed with CAV. Your video is very informative as I''m learning how to best manage this condition. I believe you mentioned that using a beta blocker was NOT helpful, is that correct? As I have chronic anxiety, I was put on a beta blocker several years ago and my cardiologist kept me on it after my vasospasm diagnosis. Could you please tell me the reasoning for NOT including this medication? Thank you again.
Very useful info, thank you!
Thank you, I think that may be my current problem with my Angina. My Dr. returns next week and we have an appointment and I'll bring it up. I've been keeping a short daily diary of when and how strong the pain is and when I take a Isorbic tablet.
Thank you for the information- much appreciated!
Hello.would you please give a lecture on dilations of orteries..
This was excellent, i was brainstorming my chest pain tightness, which was exercise educed and at rest sometimes and other times i could exercise without any issues or starts bad and as i go on after about 20 min the feeling gets better . my cardiologist thinks it is blocked arteries, i was thinking this sounds like the artery mussels spasm because it is inconsistent and searched for the words and your video was the first recommendation which explained everything .
Thank you for your very informative videos 👍👍👍
I recently had a quadruple bypass and was put on the Nitro patch to prevent spasms. I am also on beta blocker 50mg and Ace Inhibitor 2mg. As per Dr's instructions, I am to go off the patch in a week so I found this video very informative and comforting just knowing what to watch out for. Many thanks Dr Gupta
Can you sum up what he said about the spasm. I'm trying hard but my English is poor when it comes to accents.
Dr Sanjay , you have very well explained. I am 70 years old. I had an angina about 10 years back, doctors said you need bye pass surgery. I denied. I then followed DR Bimal Chhajer and so far so good. Again few months back I had severe pain after dinner. But now have reduced about 8 pounds. In lunch I take fruits & dinner rice & dal. I have stopped direct sugar. So far good. But doing some exertion I get little pain. I learn lot from your videos. GOD bless you. You are doing good job.
@Kulin Panchal did you get EECP treatment?
Great information Dr. My doctor has suggested I may have this as I have LBBB and I get chest discomfort quite often in rest or under stresses.
Thankyou Dr. Very well explained. Thanks
Thank you explain it so clearly I have had 2 diagnosis of coronary artery spasm and micro vascular angina this has helped me understand it all more
Are you okay
Dr gupta sir very important topic covered in this video thanks and good wishes, I m enjoying your knowledge through these gem vedika 13/11/2019
My Heart Dr needs to watch this, especially on beta-blockers.
He prescribed one to me and I had events till I quit taking it.
Very helpful. Thank you.
Thank you for this information
I believe I get these spasms, the last one a few weeks ago lingered for longer than usual and frightened me so I've changed what I eat I'm including all of the heart healthy foods, garlic, spinach, avocado, olive oil, dark chocolate.
It was the onset of spasms that woke me as well. You're headed in the right direction, but may still have some dietary tweaks to consider. Caldwell Esselstyn and Kim Williams (along with what turns out to be a host of other genuine professionals) saved my life.
Can you please tell me how it feels like
Ditto here..... I've had chronic emotional and mental stress since the past 20 years 😐. And, the last attack lasted an entire month... Radiating from the chest, shoulder to the entire left arm. Just got some releif 5-7 days ago... But, now I'm feeling constantly dizzy which could be due to the excessive vitamins I took to ease the heart.....
@@zonnebloem100 I'm currently on a homeopathy treatment for the same... The Dr. claims that this is curable... So, I can forward you the info once I see some results... In the meanwhile pls take care by avoiding the triggers... Mostly it's stress (emotional & mental).. Also, don't over exercise or exert yourself physically. I really took it easy... And, in feeling quite better now... I don't know if it's just me but a glass of 2 Red wine always helps me.... Hope you feel better soon. God bless 😇
@@zonnebloem100 So sorry to hear that... Same here in fact, my stress started with my father's death 15 years ago... It's been chronic eversince... But, after this severe last episode this January.. I've taken a firm resolve not to stress over anything... Coz, I felt like I almost died and realised that that's the worse that could happen... And that, that will happen of I continue to stress over my tragedies (which are many). So, I've firmly decided to start my life afresh. Pls think on these lines... It all depends on how you react to everything....Tc 😇
Thanks very helpful information!
Have been in and out of Hospital for over a year and was just diagnosed with coronary heart disease but not at a point of stent being installed. The Staff nurse took a ECG and noted after the procedure that I may have spasm. Dull pain that lasts normally a few secs to min and I may get a few of these from 3-5 in a row even when resting but over the day. not just morning and also when driving. i will try some magnesium supplements as i have not tried this. Great video very easy to understand as i did not understand the docs as they were talking and said the pain was muscular.
I actually had a spasm on the table when the cath touched my left coronary artery it locked down on the tip and my chest starting hurting bad. The Dr told the assistant my st's were rising and they started giving me Fentanyl for pain. Dr got to sweating and said you scare me bud. And when the pain subsided he said I'm going to pull out now and shoot dye as I do to make sure you have no tears. They have got me on 1000 mg ranexa and deltiazim. I still have coronary vasospasm and chest pain. Just wish there was more They could do. Enjoyed your video and thank you for your time putting it out
Brilliant 👏 👏
I had my first MI aged 39 and was told it was coronary spasm but was discharged on beta blockers and felt awful. I’m female and had my MI at 11 am sat at my desk. My chest pain at rest continues for the next five years and did not respond to the GTN I was given. I asked to see my cardiologist team again as I was convinced I was going to have another MI as my symptoms were just like before my first. I know it sounds very odd but one of the symptoms was having a very cold nose in fact my face felt cold as well as the fluttering in my neck and chest pain. My consultant just told me to see a psychologist. I then had my second MI that I had predicted. It was only then I was sent for a barrage of tests and was given the diagnosis of Prinzmetal variant angina. Only now I am on the correct medication ie Diltiazem 300mg in the mornings and 120mgs at night. Losartan , aspirin, statin and Ranexa. I now know to avoid local anaesthetic that contains adrenaline ( I collapsed in the dentist chair having a filling) Pseudoephedrine in Sudafed and avoid cold water swimming oh and don’t go up in cable cars in the mountains! Angina at the top of an Austrian mountain was not a fun day out. Your video was great to actually explain what and why I have my chest pain at rest . It’s a shame my cardiologist hadn’t watched it during those five years between my heart attacks.
thanks Holly...I am glad you found the video useful...
I would be so grateful if you would consider subscribing to my youtube channel (YORKCARDIOLOGY). It would also mean a tonne if you’d consider sharing the video.
I am on Instagram as YORKCARDIOLOGY and my facebook page is “@yorkcardiologist”
I will also be sharing transcripts of the videos on my website www.drsanjayguptacardiologist.com
You can speak with me via www.yorkcardiology.co.uk
My WhatsApp number is +447951310008 and I will be posting more videos on WhatsApp via WhatsApp broadcasts
If you add me to your contacts and send me a message with your name we will be all good to go:-)
best wishes
Sanjay
Can you please tell me do you have any side effects from Diltiazem.
Many thanks
thanks a lot! God bless you!
I understand everything well thank you so much
I had the classic symptoms as you've described it. My cardiologist ordered a cardiac stress test and a nuclear cardiac stress test. However, both tests provided not enough evidence to diagnose my coronary problem. The test that was conclusive was the coronary angiogram that showed both coronary arteries to spasm and tortuosity of my arteries. My cardiologist prescribed amlodipine besylate 5mg to relax my arteries. So, yesterday, July 16, 2022, I took the first dose along Lisinopril for high blood pressure and I'm hoping that it works. It is a very scary and painful event that comes and goes unexpected without warning. It is a desperate feeling as nothing will stop it. Thank you for the video as your explanation is excellent and makes sense from beginning to end. I truly appreciate it.
Greetings from El Paso, Texas.
Pls add a magnesium pill and eat bannanas for potassium this will help you
how cure it?
@@paulbirkbeck1790 what for magnesium?
@@ahaikepo7984 best magnesium is powder you put in a drink any magnesium but not oxide as it is very poorly absorbed.
@@paulbirkbeck1790 what benefit of magnesium?
Thank you so much dr. I appreciate you so much.
Will try to be more consistent in taking my magnesium after watching your video👧👍. Thank you!
Charni W What kind of magnesium do you take if you don't mind me asking - and does it cause upset stomach?
Von Nichts it's a calcium magnesium zinc with full range of amino acid chelates vegetarian capsules by solaray
@@Sand24 200 mg magnesium citrate worked for me . I was having them 4-6 x per yr x 3 yr . Havent had any in two years since
Thank you for your video
Thank you Dr.
I literally just got diagnosed with this Friday. It has been a very painful four months but thanks to my amazing doctor and an emergency heart cath I now know it's treatable.
what was your treatment?
What were your symptoms? Some info will help a lot of us.
Can you please tell us about ur symptoms.i am suffering
From last one year
Any updates plsss??
my episodes always happen in the middle of the night and if I'm exposed to severe cold temperatures but is gotten much better with the daily nitrates
How’s your condition? What kind of nitrates do you take?
@@redneckgoatfarmer I take Ranexa and Imdur, my symptoms have been completely under control. I rarely require nitrostat now, but of course I avoid triggers like severe cold weather
I have this condition but it started after I took the sinopharm vaccine. I had never gotten this discomfort.
Thank you for you clear information
Amen 🙏 angels 😇 I had a stroke June 1st 22 N have spasms every day since fasting helps water 💧 a sting small meals don’t have any fear of anything life is forever thankful for the information
That's what I get I had a heart attack 1 year ago had a stent fitted all my arteries are clear now I have had 2 angiogram 2 stress tests I keep getting the chest pain at rest I have had 12 hospital admissions why would 12 cardiologist not now about that kind of angina thank you for your video it has helped me a lot .
I had a stent fitted about a year ago too. Sometimes I feel a little sharp pain on my far left rib cage. It usually happens with I am just resting. When I exercise, I don't feel anything at all! Really weird, but my cardiologist said it was spasms.
@@deenugent473 what are you doing about it?
@@itbelikethat9031 Nothing, since my cardiologist said there's nothing wrong with my heart. He cautioned that when you feel like you're having chest pain, and that you have "difficulty with your breathing", that's when you need to go to the ER ASAP! Sharp pain here and there could be caused by spasm or muscle strain.
Thank you for this information I have spasm and take mother earth magnesiums and it helps a lot with an aspirin
You are a wonderful man
thank you Andrew!!
I have had the million dollar workup with mostly just ??? As the results but now with History as the diagnostic tool you have answered the questions thank you, thankyou, thank you.
Thank You very much u are an inspiration.
Hi Dr Sanjay, Thank you for sharing your knowledge with us. Appreciate it! My heart spasm is kind of strange, it comes and goes any time and without warning. It can last from 1 minute to more than 10 mins. At times, I will use GTN spray and it does relieve the discomfort. My doctor told me that I cannot rely on GTN for long term. Please advise what treatment or test should I go for? Thank you very much.
I got woken up by a very painful spasm the other night. The spasms were constant for about 40 minutes. It was like my heart was being electrocuted. I also have serve copd so.. But I've had angina symptoms since I was 20 but nothing serious enough I thought I needed medical attention. I will now seek medical advice after watching this. Thanks
Thank you so much. I have these spasms 1 day before my period amd 1st day of my period. Mine are definatky hormone related. I find this interesting as I have lupus. Both my kids have pots and have bad pots symptoms pms. Makes me wonder if there is something genetic/autoimmune with inflammation causing this!
Check as well for a hiatal hernia which can cause similar symptoms ie chest spasms, tightness and pain in chest and trouble breathing and trouble exercising.
Thanks for the videos, I have a question unrelated, I think I am having side effects from taking exforge, is it possible that the side effects can happen later on (2 months in) and not at the beginning of taking it ? I have worked hard at my diet and lifestyle and I want to get off them sooner rather than later.
I am going through menopause and stress being single parent. I have getting this discomfort recently and happens on the morning. It is so scary I feel like passing out and fainting. Have to speak to Dr about these episodes..sooner
i had aparrently an art spasm for 3 years (4-6 events per year). It occured during the day while at rest, no eve. and never in early am. I never got it from exercising,running etc,only when sitting around at home. I finally went & had a treadmill and echo. No problems,Im told. No advice what to do (medicare,no suprise) . On my own,I started Mg at 200mg per day and I havent had angina since. 2 years now.
Thank You.
Thank you 🙏 for the video! What you talked about sounds exactly like what I am experiencing! I’ve had a stress test, an angiogram, and a holter monitor. All the tests came back fairly normal. I do have a 20% to 30% blockage in a coronary artery. I have paroxysmal arterial tachycardia.
how r u I too have pat?
Hello Dr than you for the wonderful information. How about a nuclear stress test? Will it identify problem within the coronary artery?
I'd like to ask you one thing. Is it possible that a patient can be diagnosed by using an ECG holter to check if there is ST elevations during rest while the patient recording the pains by pushing the record button of the device ? Besides, is there any way to have this kind of angina hundreds of times a day such as 5 to 10 seconds attacks? Your precious reply will be highly appreciated.
Thanks for video 📹 so helpful ! Just a question , do this only occur in centre if chest ? I've been wakening up with pain in ribs like restriction pain amd squeezing and across chest pec and shoulder lots of muscle pulses ? Can this be related? Thanks ❤️
I had an appointment (first follow up) from heart attack due to scad in November. I had a second event on New Years Day, which is now believed to have been spasm. Lots of info to take in today, so very pleased I found your post about the topic.
Helps to go over what was said to me today. Appreciate your channel. I am a fit 63 yr old women. Heart attack was the last thing I was expecting.
Hope you are doing well.
I might of had one of these spasms, i ended up in the ER for localised mild chest pressure. Ekg showed ischemia from the front part of the heart, cardiac enxymes score was a .02 & a ct angiogram with contrast that showed no significanticant signs of plaque buildup. It's weird what our bodies can do
Same to me angiogram show nothing , echo show nothing everything works well. Weird
@@kimberlytippen4436are you ok
Just great n thank you so much. Dr
I just had an incident of Chest pain (angina). Notice I say "Pain" and not Discomfort. This clearly was Pain over the heart. Warranting that I take Nitroglycerin to relieve the pain. I just saw my Cardiologist yesterday and he indicated that I most likely had a coronary spasm. But I was at rest, not under emotional stress, yet had horrible chest pain. I'm still trying to get a complete explanation for what happened to me.
First it started with spasm usually at rest I have passed out on three occasion and many times somedays an almost pass out. Now I have some different episodes which make me feel like im passing out ans then extreme head trauna fog pain and I cannot do anything
When I have my epiodes of Prinzmetals, I have pain along with discomfort in my chest, left arm, neck, and jaw. Sometimes my upperback and right arm are involved. I sweat, my blood pressure is sky high and I throw up over and over. Needless to say I am veryvery sick. Not all episodes are like this thank God but this probably happens twice a year. No rhyme or reason. I have had this disease for over 10 years. My cardiologist has told me that if my discomfort cannot be taken care of by nitroglycerin ( I can only take 3, 5 min.s apart) then it's off to the hospital to make sure I am not having a real heart attack. You just never know..
The pressure one feels with angina,you describe as an elephant...or unusual pressure to chest and or jaw or teeth area. Variables among people. I feel the pressure mainly in my jaw and sometimes upper palate too as the pain transitions to different areas. I like to think of it as more of a "Burn" much like when weight lifting to "failure "reps
I had a heart attack with no blockage. I still get pain at rest. I will talk to my NP. Also. the beta blocker dropped my heart rate and couldn't be used. Thank you for the knowledge.
I'm 62, retired former law enforcement, female, non-smoker since age 42 and was just diagnosed with vasospastic angina after 3 admissions to the hospital. Two of the episodes awakened me, and the third occurred at rest. Twice, blood work showed magnesium level was low enough to require IV replacement. At first, before the cardiologists finally properly diagnosed it, I was given simple nitro 0.04 mg to use, which only put a band aid on the problem. Now, taking diltiazem ER and isosorbide monitor ER first thing in the morning, and voila....problem pretty much solved. However, upon cardiac cath, there's a 40% blockage of left anterior descending coronary artery. Plus, I've had one silent MI 2 yrs ago at age 60 and 2 TIAs that same year. This is nothing to play with and must be treated for life. Very scary and pain is like getting hit with a cattle prod in the chest.
So when it occured for you, was it sharp pain or just discomfort and sth heavy on your chest?
I had a heart attack and stent 3 years ago all my other arteries are clear I have had princemetal angina for years mostly coming on at rest the calcium channel blockers help also gtn but I still get them amazing video very well explained thanks for sharing.
Thanks for your support. It would mean a tonne if you'd consider subscribing to the channel:-)