Worsening symptoms

[Neil7587]

Have been diagnosed with coronary heart disease where two of the 3 arteries have blockages and one of them being blocked by 69%

Have been losing weight rapidly for the last 3-4 months and pains in the chest are getting worse and feel like my symptoms are getting worse by the day

My legs have felt weak for the last week

Have had bad weakness and generally feel unwell

I do feel i will have a heart attack soon as my symptoms are worse by the day

Awaiting a angiogram

Also want to add that i get a tightening sensation on the left side of my throat every time I’m experiencing chest pain

Is this related to the heart as i feel it is as my boy gary died 6 months ago aged 27 with a aneurism of the aorta and he complained of throat tightening days before he died

Any advice is gladly appreciated

[MichaelJH Heart Star]

Hello and welcome to the forum!

Could you expand a bit please. When did you first see a doctor? What tests have you had so far? What medication are you on?

Can you afford to go privately for an angiogram? When I was referred to the Urgent Chest Pain Clinic (years before the pandemic) they said there was a four month wait for an angiogram. As I was quite symptomatic I decided to have it done privately in the hospital's private patients' wing. I had it done ten days later and prior to that the consultant gave me a private prescription for Isosorbide Mononitrate and Diltiazem which helped enormously with the symptoms. I then dropped back into the NHS but with a proper diagnosis as a private quadruple bypass was out of the question.

[Neil7587 in reply to MichaelJH]

Hi michaelI wish i could afford to go private buddy as i know it would save alot of headache

I was diagnosed feb 2022 with having 2 of the 3 arteries having calcified blockages up to 50-69% and other blockages ranging slightly less than 50-69%

Incidental finding of mildly dilated aortic root on echocardiogram (aortic sinus

measuring 41 mm, 22 mm/metre square and ascending aorta of 38 mm).

2. Mild left ventricular hypertrophy on echocardiography.

3. Hiatus hernia.

4. Atypical chest pain.

Current medications: Nil

Recent cardiac investigations:

1. CT Aorta angiogram, 12 November 2021: Sinus of Valsalva measuring 44 mm,

sinotubular junction 42 mm, mid ascending aorta 44 mm, ascending aorta 35 mm,

mid aortic arch 28 mm and mid descending thoracic aorta 25 mm.

2. CT coronary angiography in November 2021. The study reported right coronary

dominance with normal coronary origins. Normal left main stem. Mixed, mainly

non-calcified plaque with mild positive remodeling in the very proximal left anterior

descending artery (LAD) causing mild stenosis (25-49%). Further down in the

proximal LAD there are multiple, mainly calcified plaques causing up to moderate

stenosis (50-69%). After this there are minor calcified plaques and (<25%) in the

Guy's and St Thomas' NHS

NHS Foundation Trust

mid segment. Small but normal LAD after this. Patent D1, arising slightly distally.

The circumflex artery is normal with two small M branches appearing normal.

Right coronary artery (RCA); two focal mixed plaques in the proximal RCA, causing

minimal, (<25%) luminal narrowing. Mild stenosis of the mid RCA due to non-

calcified plaque (25-49%). Further mixed plaques in the distal RCA causing mild

stenosis, (25-49%). Normal PDA and PLV branch.

In conclusion, the CT coronary angiography reported a slightly high calcium score,

Agatston score of 76.3 (which means that he is currently 75th to 90th centile for age

Recently had a stress test which i completed and actually done an extra 3 minutes

Just not confident my blockages are going to warrant stents being fitted as i feel i need stents fitted as i feel my symptoms are worsening every day

Advice will be greatly appreciated

[Hidden]

My only advice to you, if you believe your symptoms are worsening 'by the day', is that you should be first talking to your GP who is best placed to provide you with a professional opinion based on your circumstances and your medical record. People on here are invariably not medically qualified and can only give you an opinion based on their own experiences or something they have read somewhere, and although well intentioned those opinions may not be applicable to you.