Stable Angina or Microvascular? Should I ask for further tests?

[MuffinTop99]

Hello

Was diagnosed with stable angina on Monday after a couple of episodes running (chest pain, clammy, shaky).

I've had an ECG today (all clear) and bloods taken.

The doctor on Monday basically signed me off (that's what it felt like) and told me not to worry too much (easier said than done) and to just get on with life.

I have the GTN spray and some aspirin to take daily.

Since this has come completely out the blue, I'm a bit confused. I'm 49, don't smoke or drink and exercise 4-5 times a week. I did however have to have a hysterectomy a few years ago and have gone through the menopause (or could still be going through it, who knows - I'm on HRT).

From what I've read it could be Microvascular Angina - of course I'm no medical expert, but I do feel perhaps I should be pushing for further tests.

I'm petrified of running again (was running 4 miles every other day up to this point).

I just feel like I've been left to get on with things, when I've had quite a serious diagnosis and I feel a bit 'lost' to be honest.

Any advice please?

[Hidden]

hello I can totally understand your concern, feeling lost and search for answers. I couldn’t see from your post what the doctor has said is the cause of your stable angina as angina is a symptom and is caused by an underlying issue?

Did they tell you why you’re getting stable angina?

That has to be the starting point to get further answers and also pursue the issue of Microvascular issues especially if you have confirmed non obstructive arteries.

Be prepared though if it is non obstructive that less is known and people have struggled for several years to get help. I am not trying to scare you but what I have learnt is you have to really push and self advocate when more common causes do not apply but frankly whatever the cause might be. They will always go with the minimum option they can so you could take reassurance from what they have prescribed and said but know you will want more answers and you should have them.

So I’d get back in touch with that doctor and get answers as to what they think the cause is and if they can’t give you clear answers push for testing.

Keep a diary of symptoms and what might be triggers in meantime. Try and live your normal life (not easy) and listen to your body. And any sudden changes / increases call for help / go A&E.

Above all keep in mind stable angina is the “better” one to have and you may have a mild underlying condition.

Sometimes It is not knowing that feel so much more worse than the underlying health issue.

I hope I haven’t added to your concerns, but experience has taught me clarity and answers help a great deal whatever the outcome and I truly hope there are no major issues, if there were or you had high risk factors then doctor would have Referred already for tests.

You can take some reassurance that they didn’t see the need to make a referral but greater information will help greatly.

Good luck

[MuffinTop99 in reply to Hidden]

That's really helpful thank you - no he didn't discuss the cause at all. I just thought it was 'one of those things'. It's the way that it's come completely out the blue that's surprised me, as I've had no previous issues.

I'm waiting for blood results but like I said ECG was clear.

[Hidden in reply to MuffinTop99]

there’s got to be a cause, angina doesn’t exist on its own, something makes it happen so he really needs to explain himself 😊 You’ll not be easy in your mind until they explain.

without sounding cynical as you’re a women he may try to say you’re just anxious. Happens to a lot of us, a lot of women (and men) get misdiagnosed like this.

It’s a bit of a chicken and egg situation - did anxiety cause the angina (it can do) or did the heart issue which caused angina then create anxiety / worry about having a health issues. However it arises, looking after your mental health is very important and will help you deal with all of this.

Know your body, know what you feel and you can’t go wrong❤️

[Hidden]

Why not go with the diagnosis and treatment that your doctor has provided for the time being, and be positive and try to stop worrying. Looking for a condition that may not exist will certainly not help your anxiety. However if your current angina treatment regime is found to be wanting medium to long term you will need to go back to your GP to discuss your issues and decide what steps need to be taken. Finally if you are looking for a professional independent view on your situation you could always talk to the BHF Heart Helpline nurse.

[MuffinTop99 in reply to Hidden]

Oh I know, I am such a worrier. I also liked to be armed with as much information as possible - which can be a curse at times. I did think about calling the helpline but then thought maybe I was being over anxious.

[Hidden in reply to MuffinTop99]

If a discussion with the BHF nurse helps with understanding your condition and so lowering your anxiety then go for it, you have nothing to lose!

[Ls1958]

I emailed and got a phone call the next day from BHF specialist heart nurse really helpful