Coronary Artery Spasm

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BBP
New Member


Date Joined Sep 2006
Total Posts : 2
   Posted 9/10/2006 8:08 PM (GMT -7)   
Hi All,

I've only just discovered this site and am hoping this is the correct forum to be asking this.

Brief history.
I was first diagnosed with Coronary Artery Spasm about 4 years ago at age 25. This was a huge shock as I was and still am a very healthy active young man. I was initially treated with Verapamil, Amlodopine and Norvasc in rather large dosages. All was good for a year, then the episodes returned - hospital again. After a period of 2 years with no symptoms, I had another major attack a couple of months ago. Treponin levels steadily increased over the next 3 days and lifted to around 54 (normal <.05) This was the biggest and longest episode I have had lasting a couple of days in extreme pain. My meds are now Adalat Oros 60mg, Verapamil 240mg and Imdur 60mg(reduced from 120mg due to massive headaches). Angiogram shows normal, Cardiogram shows absolutely no damage, cholesterol is normal.

The pain I feel when these spasms occur, even with the nitro spray, is a extreme weight almost like a crushing sensation in the centre of my chest that cannot be relieved by morphine. To treat this, the doctors have now confirmed that the only way to relieve the pain and stop the spasm is to have IV Verapamil administered by the Registrar or my Cardiologist.

My question is that in the past few days I have been experiencing a type of sensation that I can only describe as a 'Warm Rush', much like when you have the dye injected while having a angiogram. This is coupled with a shortness, more like a skiped breath and a rise in heart rate -lasting for only a couple of seconds at a time. This happens irregularly from 5 minutes to 1hr between sensations and has now almost ceased.
My cardiologist is currently o/seas and I am waiting on a call from another specialist to discuss.
In no way is this anything like I have felt prior to having spasms confirmed and there is no pain invlovled.

If anyone can share their experince of similar description, I would very much appreciate it - even if only to cure my curiosity.

Many kind regards

Hopes
Regular Member


Date Joined Feb 2006
Total Posts : 297
   Posted 9/11/2006 5:57 AM (GMT -7)   

Hi BBP,

My cardiologist believes that I have coronary artery spasms also. I am on a low dose norvasc. I can't really say that it controls them if that is what I have. They simple come and go as they please. However I do not have attacks as bad as you.. When I have them, they are more sharp than dull and crushing. They do not last long but come back for a few hours. Mine are definately triggered by very stressful events such as my daughter being ill and hospital. Then they will just take off and I will have them daily for months.

The 'warm rush' you describe does not sound coronary artery spasm related to me but what do I know. I am not a doctor. I have had that sensation before though. I always attribute it to adrenaline rushes. They pass quickly for me and since I tell myself that it is an adrenaline rush I never let it bother me or escalate into a full-blown panic attack. However I do not really know if it is that. ??

However I am female and it took a couple of years for me to get a diagnosis. In that time, I ran into doctors who did not know what was wrong with me, would get frustrated and simple tell me I was either depressed take this antidepressant med or having panic attacks take this anti-anxiety med. I felt that they were wrong but I sought out a counselor who taught bio-feedback to work with him if I was having those types of probelms. That way I could deal with the issues without being on the meds which I was opposed to. I learned alot about the parasympathetic nervous system by working with him and that is where I got the idea that those sensations were adrenaline dumps into the body.

I hope that you get hold of your doctor soon and he can provide better insight. If you find out what they are, I'd love to know since it sounds similar to what I sometimes experience.

Ellie2
Regular Member


Date Joined Jul 2006
Total Posts : 34
   Posted 9/12/2006 9:12 AM (GMT -7)   
I am sure Cardiac Spasms can be felt differently in every person.  I know of several females with them and one male. 
 
I always know when one is about to hit me.  I will feel a twinge in either the right or the left jaw area. This weird feeling will then go into either the right or left throat and quickly work its way downward. I start to panic then as I know this spasm will cresdeno and build up and then it becomes the most God awful spasm (discomfort).  It is not a sharp pain. It is not a jabbing type pain. I cannot describe this spasm except to call it a spasm.  Sometimes, I will sweat with it.  Before I got Nitro, these pains could last up to an hour.  One time the spasm was so intense, I wrote out what happened to me if I should not wake up as my husband was out of town. The upper abdomen would also get into the act and 99% of the time, the spsams would end up in the upper RIGHT abdominal area before disappearing. (do not have a gallbladder)   But, with Nitro under the tongue, when I feel an attack coming on, the Nitro would stop the attack within one mintue...two minutes at the most.  Doctors did not have a clue (figures) and one of these attacks did cause a heart attack and they did not recognize this, either.
One doctor recently told me I had female small vessel disease.  I bet men could have small vessel disease also if there really is such a thing. 

Post Edited (Ellie2) : 9/12/2006 11:18:09 AM (GMT-6)


BBP
New Member


Date Joined Sep 2006
Total Posts : 2
   Posted 9/12/2006 8:32 PM (GMT -7)   

After consulting with the Cardiologist, we have come to the conclusion that I have been experiencing Ectopic Heart Beats. I could have explained the 'rise in heart beat' a little better in the fact it 'feels' like an extremely strong beat quickly followed by another smaller one.  I am going to follow up with my own cardiologist when she returns from o/seas and have already discussed the opportunity of booking a Holter Monitor with the cardiac clinic to determine if this is a correct diagnosis.  Again, I do not find these this feels anything like when I am experiencing a spasm (huge difference) and have read quite a bit in the past few days regarding Ectopic beats. This has somewhat eased my mind about these new sensations. It was proposed that maybe these extra/heavy beats have been occuring prior to this, and my awareness of what I am feeling since having such severe spasms is now letting me recognise what is going on a little clearer.

I must admit that I have felt these ectopic beats before, not as prominent though, but just put it down to high heart rate due to prolonged physical activity.

Will update this forum when results from Monitor testing come in.

Thanks for your responses,

Rgds

 


els
Veteran Member


Date Joined Oct 2005
Total Posts : 4031
   Posted 9/13/2006 4:34 AM (GMT -7)   
Hi BBP, I just wanted to take a moment to welcome you to Healing Well forum.  We are happy to have you join us.  This is a wonderful site to come to for information and support so I do hope you continue to visit us often.  Please do let us know how your doing and how your testing comes out.  Take care

Elisha

Co~Mod: Depression

Moderator: Heart & Cardiovascular Disease

http://www.healingwell.com/donate

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