Microvascular angina

[balletfan]

Balletfan I'm new here. Does anyone know how likely I am to have a heart attack in the future? Thank you.

[Milkfairy Heart Star]

Hello Ballet

I suggest you talk to a Cardiologist who has expertise in Microvascular angina.

It is a poorly understood and recognised condition and this is not helpful to those with the condition.

I live with Microvascular angina and Coronary artery spasms. I tend not to worry about something that may not happen. Just because you have an increased risk of something happening it doesn't mean it's going to happen.

I am on medication to help prevent a heart attack, I eat a Mediterranean diet, exercise and have stratergies to manage my stress. I have the support of my family and friends.

You may find this information useful.

bhf.org.uk/informationsuppo...

bhf.org.uk/informationsuppo...

[MichaelJH Heart Star]

I agree with Milkfairy talk to your cardiologist. There are so many other factors such as other cardiac and medical conditions, age, lifestyle, etc. In isolation the question had little meaning as you could be 9 or 90!

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I also think that the thread says so little about the background, present symptoms and management.

[bobaxford]

I would have thought it highly unlikely that you would have a heart attack. I am no expert but did have blockage in my main left anterior descending artery which the heart surgeon called ‘the widowmaker’ before he did my bypass surgery. I understand microvascular angina can be very delibitating and I sympathise but if blood flow is good in all your main arteries I would have thought that is comforting to know.

[balletfan in reply to bobaxford]

Thank you for your kind and thoughtful reply. I wanted statistics, but have not been able to find any. I know there is a risk of some sort from reading about microvascular angina in various places. There is a lot of research going on to find effective treatments. I have just been prescribed additional medication as the current four are no longer working on their own. My glyceryl trinitrin spray does not always help during an angina attack.

[bobaxford]

I would have thought it highly unlikely that you would have a heart attack. I am no expert but did have blockage in my main left anterior descending artery which the heart surgeon called ‘the widowmaker’ before he did my bypass surgery. I understand microvascular angina can be very delibitating and I sympathise but if blood flow is good in all your main arteries I would have thought that is comforting to know.

[Milkfairy Heart Star in reply to bobaxford]

The 4th Universal definition of a Myocardial infarction published by ESC lists Coronary Microvascular dysfunction aka Microvascular angina and Coronary artery spasms as a cause of a heart attack.

escardio.org/Guidelines/Cli...

[balletfan in reply to Milkfairy]

Thank you for the information. I will look it up online.