Diltiazem retard

[Caradomben]

I have just come home from hospital with a diagnosis of microvascular angina having suffered chest pain and high blood pressure I am already on Flecainide 100mgs for PAF and have now been prescribed Tildiazem 90mg retard . A bit worried about the interaction of these medications does anyone have any experience of these drugs together .

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You might find Milkfairy may be able to help on things concerning microvascular angina.

[WardijaWardija]

Hi there.Sorry to hear of your situation.

May I ask, how did the hospital come up with the diagnosis of Microvascular Angina? What tests did they do?

[Caradomben in reply to WardijaWardija]

I had back an episode of back pain spasms and slight discomfort in chest . Blood tests showed slightly raised troponin with the 2nd and 3rd test increasing . Am breathless Nothing significant on ECG and previous angiogram shows no blockages in arteries. very hypertensive although on medication also breathless on exertion. I have PAF too and on Flecainide .

[Milkfairy Heart Star]

Hello,

Microvascular angina is increasingly being recognised, though sometimes it can be a diagnosis of exclusion.

There is still unfortunately a lack of knowledge within the Cardiology world about how to diagnose and treat microvascular angina.

How has your microvascular angina diagnosed?

An accurate diagnosis is important as another type of angina without blocked coronary arteries (ANOCA), vasospastic angina can be mistaken for microvascular angina.

The treatment options are different.

The BHF has this information about microvascular angina.

bhf.org.uk/informationsuppo...

Perhaps discuss with your Pharmacist about the possible interactions of Diltiazem and Flecainide?

I also suggest you keep a log of your symptoms and note how you respond to the Diltiazem. If you have any concerns contact your Cardiologist or GP.

I live with coronary vasospasms, I have transient constrictions of my coronary arteries and microvessels, coronary vasospastic angina.

Microvascular angina tends to be more commonly caused by the inability of the small blood vessels of the heart, to dilate or stay dilated in response to exercise, known as microvascular dysfunction.

Another option is to give the BHF helpline a call and speak to one of the cardiac nurses.

bhf.org.uk/informationsuppo...