Can angina just go away?

[Goots56]

For 21 years I've been told that I have angina. I have had test and many episodes taken meds for the condition but after having been taken into hospital and having a 2nd angiogram Ive now been hold I do not have angina. Please help very confused.

[Milkfairy Heart Star]

Did they say you had clear coronary arteries?

[Goots56 in reply to Milkfairy]

They said that there was no narrowing no blockage and no sign of damage.

[Kristin1812 Heart Star]

That’s confusing isn’t it? Strangely, I’ve just had a slightly similar experience,

2 months ago I had an angiogram when Consultant saw very little new narrowing but just small vessels (too small to stent) were a bit worse. She wondered if I’d been overmedicated, so reduced my meds, and my angina has reduced too! To almost nothing. It’s brilliant!

[Sprit in reply to Kristin1812]

Hi what medications are you on. Glad you are well again

[Goots56 in reply to Sprit]

I'm still having the chest pains. They've taken me off Isotard and Nicorandil. Halved my dose of Diltiazem (Angitil SR) added (Adizem SR) still advised to use GT spray for ease of chest pain. Losartan and Atorvastatin.

Dapagliflozin and Linagliptin for diabetes and Omeprazole.

[Goots56]

I dont take insulin

[Milkfairy Heart Star]

Hi Goots 56

It is still possible to have angina with clear coronary arteries without narrowing or blockages of the large blood vessels of the heart.

This is known as Non obstructive coronary artery disease.

The most common types of NOCAD are Microvascular and vasospastic angina.

A routine angiogram is unable usually to test for these conditions.

I suggest if you have ongoing symptoms to discuss Microvascular angina with your GP or Cardiologist.

Unfortunately many Cardiologists often over look or fail to recognise these causes of angina.

The BHF has this information about Microvascular and vasospastic angina on their website.

bhf.org.uk/informationsuppo...

bhf.org.uk/informationsuppo...

[Goots56 in reply to Milkfairy]

Thank you I will look into it.

[Goots56 in reply to Goots56]

Today I had a phone consultation with a very pleasant consultant who advised me about Micorvascular angina. I am now going to be treated for this. Thank you again for your advice.

[Milkfairy Heart Star in reply to Goots56]

Thanks for the update.

It is good to hear you had a positive outcome to your consultation.

I hope you are able to work with your Cardiologist to get the best possible combination of medication to treat your microvascular angina.

[Esselstyn]

Yes it can go away, Dr Esselstyn, Dr Dean Ornish and Nathan Pritikin ( an engineer who had heart disease in the 70's ) have all proven the fact, is old news and I find it frustrating that this information is not shared with people with heart disease. Did you do anything special to help your condition??

[Milkfairy Heart Star in reply to Esselstyn]

Can you please help me understand your view ?

One person's experience is not necessarily the best approach to evidence based medicine.

Some types of angina are caused by a disorder of the function of the blood vessels non obstructive coronary artery disease. No blockages or narrowing due to fatty plaque.

The BHF admin posted this information regarding diet and nutrition.

healthunlocked.com/bhf/post...

[Goots56 in reply to Esselstyn]

No my medication has changed over the years and a few minor changes to my diet due to having IBS syndrome.

[Goots56]

Sorry my insulin levels are low I'm diabetic type 2