Ark: sorry to be so long in answering, but went out of town for Thanksgiving. PVL is periventricular leukomalacia (white matter on the brain around the ventricular area --- symptoms mimic MS, but will never go into remission --- brain area is dead). CAD is coronary artery disease (placque in the coronary artery). I have experienced angina before where it feels that someone is sitting on my chest & it's hard to breathe ... this is eased by nitro. This time was different. The pain was between the shoulder blades at first (Friday am), then by Saturday night started having sqeezing in chest area. I had a cervical spinal fusion the end of August & thought I had hurt the fusion site due to physical therapy & pushing myself w/exercises. By Monday night, I knew something was definitely off & went to ER. I'm a resp therapist & denial seems to be a trait of medical professionals. Placed straight in hospital, had chemical stress test & then heart cath. The placque is blocking 60% of coronary artery, but due to unexpected amount of arrythmias, MD could not do cath. Placed on meds to get arrythmias under control, placed also on chol med & will see MD again in 2 more wks. He said that an angioplasty is necessary for 75% blockage, but we may have to go back in anyway once arrythmias are controlled if angina doesn't stop. I'm considered unstable angina at this time. I had to lie down so my BP & HR would stay down some. My BP was still high, but my HR (usually 55-62) was 72 when I was absolutely still & went to 126 - 132 when just sat up in bed. Telemetry kept the nurses on their toes, poor things as they kept having to stick their heads in my room to make sure everything was OK. I feel better, but the more I move the worse the angina is. I'm hardheaded when it comes to my own health and just hate to sit still (I'm not much of a "me time" person). I never felt like this & this time, it REALLY scarred me! I told God that I'm not ready! I still have to get my son through college & don't want my hubby to be alone. I guess he heard, because after the cath & starting meds, my HR & BP aren't as bad. I see my internal med MD Monday. Thanks!