Second Cardiac MRI

[Heidiuk]

I was admitted to hospital with severe chest pain. ECG normal but Troponin level at 300, spent 5 days on acute cardiac unit. Angiogram clear, had a cardiac MRI, dr now wants that repeated. On meds for BP and beta blockers also prescribed statins which I haven’t taken taken. Meds making me feeling so rubbish and so disappointed that the MRI needs to be done again. Feeling very frustrated and lack of answers

[Gillyg]

A very similar thing happened to me, rushed in with severe chest pain, I had already had a negative angiogram but my triponin levels we’re raising. Eventually I was told it was microvascular angina and the reason the mri was also ok was it was small muscle damage and those you can’t see on a mri. Still not 100% sure if I am classed as a heart attack but I was put on the same medication as you apart from I had already been on statins for some time. Also have a gtn spray. Hope you get your answer. 👍

[MichaelJH Heart Star]

Hello and welcome to the forum! Sometimes it does take a while to fully diagnose what the problem is. The good thing is you are now on the cardiac radar.

May I ask why you are not taking the statins?

[Heidiuk in reply to MichaelJH]

I didn’t get to speak to the dr before discharged from hospital so couldn’t ask the questions why the statins, so I made an apt with my GP and he said that I wasn’t high risk so didn’t need to take the statins.

[MichaelJH Heart Star in reply to Heidiuk]

That's absolutely fine! You spoke with a medical professional. A few people do not want to take them because they get a generally bad press. However, since their introduction the average age of heart surgery has gone up ten years. If it was a low dose you were prescribed it may have been to prevent/reduce irritation within the arteries.

[Milkfairy Heart Star in reply to MichaelJH]

Statins are also prescribed to reduce inflammation for individuals living with Microvascular and vasospastic angina.

The underlying cause of a heart attack needs to be determined to ensure the correct treatment especially in cases of MINOCA Myocardial infarction non obstructive coronary arteries.

The causes of a MINOCA can be due to vasospastic and Microvascular angina, Takostubo syndrome or Spontaneous coronary artery dissection, SCAD.

Unfortunately few Cardiologists are aware of these conditions so are unable to make a diagnosis or treat them appropriately.

[Kristin1812 Heart Star]

Perhaps they are thinking of doing some specialised MRI. I have had stress MRIs when they try to mimic your angina and record the effects in your heart, as it’s happening.

[Hidden]

I can understand how you feel however (I hate that saying personally) if you can remain proactive you may begin to understand that your situation could well be because the doctors have not found the answer to give you. Some reasons can be so devious - almost as if they don't want to be discovered and there are some I am sure that only pop up once in a blue moon. But hang in there, you are in the best place - and TAKE the meds, until they actually find what the problem is and give everyone a cocktail of preventative medication until they can hone down the medication with a firm diagnosis. I am also sure that the medical profession know that "No information" is actually unbeneficial to good health and well being and can cause more problems than they cure. Don't worry too much all will be well in the long run.

[JS1001]

hi I realise this was 5 years ago and you likely don’t check this anymore, however I was wondering if you might have any updates

[Heidiuk]

So to update, I was finally discharged from Cardiology only last October, I think I’ve had every test they could do! I ended up having 3 cardiac MRI’s plus a stress echo last year to rule out Microvascular angina. They think the episode in 2018 was Myocarditis probably caused by something viral. My blood pressure was way to high but I had an excellent Cardiologist last year who actually listened and eventually we have found a BP med that I don’t react too so I’m happily taking those. Hope that helps 👍🏻