Confused MVA

[Smileyian]

Hi everyone, love this forum and all the kind ppl. I have "presumed MVA" due to elimination of normal angina. Main arteries less than 25 and 50 pct stenosis, FFR 93 and 87, LVEF 61, BP 135/76 RP RATE 52. Chest pain mostly up or downhill but slight. 35 year history of various arrhythmia including AFIB. AFIB rare after 2 ablations. Ok to the point - attend Cardiac rehab and do well. Take home "heart homework exercises" and do every day. Today 60 mins various exercises incl 30 walking fast on the spot, trunk ex and dumbbells. Felt good - brain endorphins happy and on a high. No adverse reaction. Ahaha. .. walked down hill to local store and loh and behold progressive chest pain but had to continue as nearly at shop and had my dog. Sat on shop step and took GTN which worked until uphill journey home. Pain again and worse, so stopped and GTN again and managed home. Very confused why pain did not present with my hours "homework exercise" nor the more strenuous Heart Gym weekly program. I must admit that walking uphill home that I was praying but totally confused at my symptoms. May I conclude that diagnosis of MVA / Variant Angina should not be by "default" but by the procedure that Milkfairy has often described using Ace????? Injected into the micro vessels that feed the main 4 coronary arteries. I have decided to pursue this procedure before I am happy with my MVA diagnosis which I understand is more prevalent in women than men. I feel pretty fed up that all my "effort" exercise was trumped by a casual walk to the shop. Please deluge me with replies and your views.

[Milkfairy Heart Star]

Hi Ian,

I am not up for talking much.

See below

The diagnostic pathway for microvascular and vasospastic angina

[Smileyian in reply to Milkfairy]

Oh my goodness, have I upset you in some way. Oh dear I sincerely hope not and am worried that I inadvertently have.

[Milkfairy Heart Star in reply to Smileyian]

No,

Ian I am just in alot of pain as my angina is playing up.

[Smileyian in reply to Milkfairy]

Oh so sorry. Talk when appropriate. Tks for the slide.

[Healthyheart1 in reply to Milkfairy]

Hope your feeling better soon x

[Smileyian in reply to Healthyheart1]

Thank you so much. Sat down and did my breathing program. Glad to be alive 😀

[lettingoffsteam in reply to Milkfairy]

Sorry to hear you're in pain Milkfairy, hope it eases off soon.

[Sunnie2day]

At Milkfairy - I hope you're feeling better sooner rather than later!

At Ian - I've had similar experiences (fine when exercising at home or outdoors walking on completely level pavements, not at all fine if I try to do any sort of incline including stairs). Quite annoying really as I usually do a very good warm-up before going out to walk.

My cardiologist is sure I have MVA but calls it 'presumed' until he can get me in for the definitive diagnostic owing to how well I am responding to being treated for MVA (Bisoprolol 1.25mg+300mg aspirin once daily with GTN).

Everything I'm reading/hearing/getting from the cardiologist tells me first and foremost, microvascular dysfunction is an exceptionally difficult group of conditions difficult to diagnosis, difficult to treat, and difficult for the person with the condition(s) to find 'sure-fire always works' ways to consistently manage the condition(s).

[Smileyian in reply to Sunnie2day]

Thank you as always Sunnie2day. You are a treasure. Please get better soon Milkfairy. Talk in a day or so. I am very down today, not only due to MVA chest pain but I have just learned my 100 year old mother has Covid.

[080311 in reply to Smileyian]

Oh I am so sorry to read your post, my thoughts are with you and your mother. This terrible virus is so difficult to bare. Hoping she comes through this, and sending you a virtual hug.

Pauline

[Smileyian in reply to 080311]

Thank you Pauline. I see your posts very often and you are so very kind and comforting to everyone. It is indeed awful especially as I live in Singapore and Mum in Frinton UK. She is fighting and I believe she will pull through xxx

[080311 in reply to Smileyian]

That’s kind of you to say, my mother used to say you only pass this way once so be as helpful and kind as you can be. It must be so hard for you being so far away at this time, but I am sure she will be fighting as hard as possible and will get through this.She also used to say when I was nervous, starting a new school or job straighten your shoulders head up put a smile on your face and face the world. Served me well over my 73 years!

So Smileyian straighten your shoulders head up and believe your beloved Mother will beat this. As Sunnie said let us know how she is you are both in my thoughts and prayers.

Pauline

[Smileyian in reply to 080311]

How kind of you all. Your mother was right Pauline but sadly most of the human race are not so kind these days but some are. In my phone call to my mother 3 weeks ago, she was reminiscing what a very different world it was when she was born in Ayr in 1920. Stay safe and well.

[080311 in reply to Smileyian]

So your a Scot, we live in South Lanarkshire, 40 minutes outside Glasgow. Take care

[Sunnie2day in reply to Smileyian]

Adding my thoughts and hug to Pauline's, this must be a terribly worrying time for you now. Please update on her progress when and as you can.

[Smileyian in reply to Sunnie2day]

I will do that. Thank you.