Coronary spasm showing on alive cor?

[Goldenheart]

Hi, does anyone know if coronary artery spasm can show on an alive cor reading, please?

[Milkfairy Heart Star]

You need a 12 lead ECG to pick up coronary vasospasms.

Even then picking up a vasospasm on an ECG can be like chasing a wil 'n the wisp.

When I am in hospital the nurses go chasing my spasms.

They do consecutive 12 lead ECGs and then to their delight show the doctors the shift in my ECGs.

Usually T wave inversions and ST depressions as my chest pain increases during a spasm.

In 8 years they have only caught a few episodes of ST elevations.

The definitive way of diagnosing Vasospastic angina is a specialised angiogram when they provoke vasospasms with acetylcholine.

Alive cor is designed to pick heart arrhythmias such as Atrial fibrillation .

[Goldenheart in reply to Milkfairy]

Hi milkfairy, thanks for replying. My previous cardiologist refused to let me have the test you mention, i do have another cardio now, hed scheduling me for a stress test with echo,and hes acknowledged my a fib too, which i did capture on alive cor. Im very happy at this. Just meanwhile ,today i had an episode of what was either prinzmetal ,or esophagus. I took a recording and just wondered if the recording would show anything.

[Milkfairy Heart Star in reply to Goldenheart]

There are only a few centres in the UK that offer the angiogram with acetylcholine.

Many Cardiologists don't have the expertise to perform the test though more are learning.

Perhaps ask your new Cardiologist to order a 7 day ECG monitoring for you?

Also keep a diary to see if there are any common themes. Vasospastic angina is commonly triggered by the cold, mental and physical stress.

Have you had any investigations of your oesophageal spasms?

It can be very difficult to tell the difference between a coronary vasospasm or a oesophageal spasm.

Though interestingly the treatment is same.

I hope you are able to move forward with your new Cardiologist.

[Goldenheart in reply to Milkfairy]

Thanks again for your time. Does it occur at rest too.as i was just sat reading mid afternoon? I have had a diagnosis of oesophageal spasms yes, the worry is its hard to tell them apart. The pain feels like a pressure against the chest,like a muscular pain. It usually lasts all day before subsiding. Thankyou again.

[Milkfairy Heart Star in reply to Goldenheart]

I don't know much about oesophageal spasms.

It would make sense for your Cardiologist and Gastroenterologist to work together with you and come up with a plan of care for you.