Really struggling with chest pain & breathless I’m sure it’s to do with the amount of medication I’m on
Statins 20 mg
Nitrate 40mg
Bisoprolol 3.75
Thyroxine 75mg
Hrt
Perindopril 4mg
Asprin 75mg
Folic acid 5mg
Heart attack may last year with 2 stents fitted have had pain on & off ever since which is why they stopped rehab, do have 45% blockage in my LAD which consultant said they could stent but would need to be a split stent so going down medication route, but since the nitrate & using bisoprol the pain seems daily, I try not to worry my family but I’m struggling, sorry if I’ve rambled but just needed to vent. Mandy
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If you are breathless & have chest pain then you should really be contacting 999 for help. At the very least you should be talking to 111. None of us here have any medical training so really cannot offer any advice other than that based on our own experiences. Pleasse keep us up to date with progress.
Totally agree with Shopman. There is a condition known as restenosis where a stent can become blocked or restricted in a relatively short timeframe. A 45% blockage in the LAD would not normally cause angina in itself. Make that phone call!
Thanks for reply I’m seeing consultant Tuesday I’ve had mri and they say heart working ok till they stress it, so thought it was angina but this pain is daily since the nitrate, also the left side off chest seemed swollen
I’m not an HCP but the majority of your meds prevent what you’re feeling so I would definitely agree, get checked. I’m on almost the same, except my HRT was stopped following my HA as they are contraindicated.
The consultant said I could go back on hrt due to me having hysterectomy, also the consultant said he doesn’t think the pain is my heart, think because this is a daily that’s why I think it’s got to be my meds just wondered if anyone experienced anything like this
This link is about Jennifer Waller who had bypass surgery but still had chest pain and breathlessness afterwards her eventual diagnosis was Microvascular angina.
Where someone feels their angina is very individual to them.
I don't feel ' classic ' angina chest pain. Though I do feel most of my pain in my left side.
Perhaps take a printout of the BHF information about MVA to your Cardiologist to look at.
The information is researched based and they use medical and patient expert advisors.
Just a thought beta blockers can make vasospasms worse. Ask you Cardiologist about perhaps gradually reducing your beta blocker or switching to a newer more heart specific beta blocker such as nebivolol.
I hope your appointment helps you get the answers you need.
U too was on 80mg statins but over the year have got my cholesterol down to 3.4 from 7.9 so have slowly reduced them but have been put on more other meds for possible angina but since then have experienced more constant pain
I greatly agree with Milkfairy. As I understand it, your symptoms were made worse by the nitrate and bisoprolol, and - reading between the lines - you are suffering from pretty much continuous pain.
I have microvascular angina and belong to a group of MVA sufferers for whom GTN (nitrate) makes the angina worse. I just wonder if this could be happening to you, though indeed it might equally be that one of your other drugs is disagreeing with you for some reason (I see that Milkfairy has offered the suggestion that, if you are experiencing vasospasms, the bisoprolol could be making them worse). In any event, my experience of MVA is continuous pain. Unlike you, though, I haven't had a heart attack and my arteries are not obstructed, so your position is more complicated.
If you do have microvascular angina, a calcium channel blocker should help (in particular diltiazem), though different people respond differently to different drugs. It might be worth asking your cardiologist to try prescribing diltiazem. My understanding is that, similarly to beta-blockers, diltiazem slows the heart: there might therefore be a rationale for reducing or stopping the bisoprolol at the same time.
If nitrate is making you worse, the pain should be relieved fairly promptly after any discontinuation.
I am sorry that life is a struggle for you. If it is any consolation, many others on here have shared that experience. More positively, some tweaking of your drugs may make a real improvement, but it may take more than one tweak.
Hi Jonathan yes my pain is more continuous since nitrate & bisoprolol was increased but I felt I had to give it a chance but it’s now been 3 months, the problem I have is my Gp is reluctant to change meds and not being intouch with a cardiac nurse anymore I have to wait to see cardiologist
Hi all thank for all the reply just a update see cardiologist yesterday finally got someone to examine my chest & he convinced that my pain is muscular and not connected to my heart or medication although he has agreed to reduce two off my meds, also told me to take ibuprofen 3 times a day for a week to see if this eases the problem, didn’t think was allowed to take but says it alright to do, so fingers crossed thing start to easy. Mandy
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