Chest pain and panic still persist despite being cleared

You should read up on Coronary Microvascular Disease. All the tests you did would not recognize CMVD. I have it along with CAD. I have been told it is anxiety, but it isn’t. Here is a link to the Heart Spasms Alliance. They are experts in the area…can’t hurt to do a little reading on it. https://www.internationalheartspasmsalliance.org/conditions/microvascular-angina/

I wish you the best and pray you find out the cause, Perseverance is the key.

All the best, VaniaG

@vaniag
Thanks for the above link. I'm searching for information about brain fog with microvascular angina. Also for information about cardiac rehab and MCV. I did a couple of months of cardiac rehab this summer and while my legs got stronger, my angina increased as did fatigue. During the hot humid months, angina was persistent and I felt like there was a weight on my brain. Better with cool weather. My provider has suggested a trial of dapagliflozin but reading the possible side effects, I'm not willing to take the risk at this point.

@saratree43 I don’t handle the hot weather very well either. I think we are like Goldilocks…neither too hot or too cold for us, it has to be just right. Are you on Ranolazine? I have been on a cocktail of Ranolazine, IMDUR and beta blockers for almost 7 years. It helps a lot. I was switched off metoprolol for nebivolol this year, this change has made a big difference for me. I seem to recover from exercise and outing a bit sooner. I tried amlodipine a couple years ago, definitely was a no go. Edema, brain fog, severe fatigue and depression. I agree with you on the dapagliflozin.

Big hugs, Vania G

@vaniag Tried ranolazine and it trashed my gut. I’m on isosorb, amlodipine and a statin. Scheduled tor MOHS surgery in my nose to remove yet another skin cancer plus plastic reconstruction the following day. When I’m healed from this I plan to do the work-up for the COSIRA study. I’m thinking of taking a break from the statin for 2 weeks just to see if that changes the fatigue. Thanks for responding—it’s good to hear what you’ve experienced.