Prinzmetal and cold weather advice
For the past couple of months my Prinzmetal angina has done really well. With 480 diltiazem the nightly spasms gradually disappeared completely and the daytime angina can be controlled as long as I stay away from my triggers. Lately I’ve even been able to push my luck a little and get away with it. Taking my time in the grocery store, sticking around for an argument with my son … living large indeed. Where I live it can get very cold but until this week it’s been uncharacteristically warm. For the first time since this all started I went outside today in minus 30 C weather. I took all precautions: gloves, hat, scarf around my mouth, straight from house to warm car then to building. In total I couldn’t have been outside for more than three minutes. My chest got tight right away, and my heart was a bit sore but I thought I got away with it, pretty much, until tonight. The angina is kicking in, in spite of the nitro patch. I don’t understand how something I did six hours ago can cause me angina now. It’s crazy. No really bad spasms yet though, thank goodness.
Anyway, we are in for at least a week of this weather. Is there anything else I can do to mitigate the reaction to the cold? Would taking NGL before I go out help? I have a chance to see my grandchildren tomorrow but I don’t want to start another bout of six months of angina or start the bad spasms up again. It took months before this settled down to where we could actually sort it out. I don’t want to go back to that again.
I have to admit that I’d begun to think I could control this, maybe even start to live my life again.