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Prinzmetal's/Variant Angina

Heart & Blood Health | Last Active: Jul 11, 2021 | Replies (16)

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@crazyheart

Hi Annie, My cardiologist "suspects" that I suffer from coronary artery spasm. Had a severe heart attack 34 years ago while playing basketball. Subsequent catherization found no blockage. Over the years stress tests have led to the belief that I have blockage and subsequent cath have always found no blockage. Dr. feels the most likely cause is arterial spasm, but evidently there is no way to prove it. Rarely do AI have angina. May use a nitro pill once or twice yearly. It was more frequent in the years after the heart attack. Recently have experienced arrithmia and a-fib. Just had a CRT-Defib device implanted.

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Replies to "Hi Annie, My cardiologist "suspects" that I suffer from coronary artery spasm. Had a severe heart..."

There IS a test for it tho it is not always accurate. It is a form of cardiac cath that involves an attempt to incite spasms with medication. Mayo does it. Get one done.

If I ever need another cath for some reason, I'll discuss this with my Doctor. Don't see the need to have a catherization only to prove something I believe is probably true. Right now I'm more concerned about my newly implanted CRT-D which probably needs some reprogramming.

My post was for Annie. Did not see your comment. There is also an MRI now for determining Coronary Microvascular Disease