Thank you Sunny2day for your assistance. Goodness where to start ! Please all be patient with me as my 1st post will be long and maybe boring to some. I have lived with some form of arrhythmia since teen years and Atrial Fibrillation for nearly 40 years - at first paroxismal progressing through the 3 stages to permanent AFIB a few years ago with a HR of consistently 128 even though taking 200mg Amiodarone and 150mg Pradaxa daily. At my age, did not want to live with such a high (sometimes 138 HR) so opted for a Cardiac Ablation. My long term Cardiologist was a leading expert in AFIB/Ablations and all heart rhythm disorders at the Heart Centre in Singapore. The first ablation was thought to have been successful but after a month relapsed into a slower and more stronger and steady AFIB which left me very disappointed. After 6 months I had another Ablation and this worked so much better leaving me with only very occasional Paroxismal attacks. I have learned that it is very common to need more than 1 ablation. I am staying on Amiodarone and Pradaxa for the time being. For those of you that do have Afib it does show that one can eradicate it with the right treatment and I guess a big handful of luck. My mother is 100 in July and has Afib and does manage quite well but of course it is more prevalent in someone of that grand age. Does anyone reading this know of anyone with such problems for nearly 40 years. Now to my main reason for posting. I note that many of you exchange very interesting and helpful information and I am sure some of you have made good online friends with each other which is fabulous. Once I was clear of Afib, over the last 6 months I have found it hard to walk up inclines or long steps even though I have played sports and walked 3 times a day with my dog. Things got worse and worse until 1 day I suddenly had pulling sensations / some pain in my chest and sweated profusely whilst climbing a rather steep hill. It was extremely frightening and I became very disorientated until an ambulance took me to A&E. ECG, Trop test, BP and HR were normal which was rather confusing. I was admitted and had a bunch of tests including an Angiogram. Angiogram showed 48pct and 50 pct lesion / blockage in two main arteries to which the cardiologist decided was not flow restricting and the heart was performing well. At that time it was suggested I had Coronary Artery Vasospasms which I had never heard of but I was given medicine. Over the next month I had similar attacks usually on exertion which may indicate Angina hence I returned to the Cardiologist actually asking to be stented. Very reluctantly he did another Angiogram and again the lesions in the two arteries showed to be "minor" and not at stenting severity which is usually around 70 pct blockage and mine was less than 50pct. Also the flow through those arteries (F F R) was 87 and 93 which was in a very acceptable range. SO WHY was I getting Angina type symptoms unless it really was Cardiac Vasospasms which are almost impossible to diagnose with any definitive results. I then had a Nuclear Profusion Test, Various other Heart Scans and a type of MRI which all showed nothing to worry about except some very minor discussion points that were normal for someone of 76. I am a pretty intelligent and level headed person but now I find myself enormously worried if I am confronted by steps or a hill ( most of which I will manage with very tired legs ) but many with a pulling pain in the chest and of course natural fear which increases adrenaline flow and anxiety. I wonder if I am one of those patients whose ailment is so difficult to completely diagnose of which there must be some. I am now due to return to the Cardiologist once the Covid pandemic allows. The cardiologist that did the Angiogram and ordered all the other tests is The Head of Cardiac Intervention and an Ass. Professor - this makes it difficult to question him further as it appears he has gone well beyond his remit to examine me. He must know what he is talking about although he did say that if it is Coronary Vasospasms it is very hard to diagnose and if my symptoms only last less than a minute (which they do) I should not be overly concerned. He gave me some comfort reiterating his findings and that mortality rates of Coronary Vasospasms where apx 1 pct per year and could be adequately controlled. My dear friends - just to close let me advise my current medicines which need a calculator to prescribe... hahahaha.
Amiodarone 200 mg, Pradaxa 150 mg x 2, Bisoprolol Fumirate 2.5 mg half in morning, Clopidogrel 75 mg, Omeprazole 20 mg x2, Atorvastatin 10 mg, Glyceryl Nitrate spray 0.4, Mecobalamin 500 mg B12 supplement.
Would anyone have any comment on my health status incl Afib for 38 years and the medicine listed above.
May I thank you so very much and hope I have not bored the pants of everyone.
I would be interested to hear from anyone who has any form of Angina and if it is the case with me, is it manageable or extremely life threatening. My confusion is naturally with no extensive blockage to obviously cause the "angina" what on earth could be the cause.
Thank you all so very much and stay safe. SmileyIan
It may be you'll need to come to terms with giving up inclines, stairs, hills, and mountains. Honestly, there are worse things than never climbing another long flight of stairs.
Angina at rest
No pain 
Cardiologist report to gp
Vasospastic angina (Coronary artery spasms)
Mvd & cardiologists, 
