vasospastic angina

[Mutley20]

Hi,

I had a radical hysterectomy one month ago. Since then vasospastic angina has got worse. Can this kind of surgery and drop in hormones cause issues. I am told it will settle but to date it hasn’t and resulted in two trips to A&E.

Grateful for advice.

Many thanks

[Tos92]

Hi Mutley20

I’m sorry to hear your angina has gotten worse after your surgery.

This is the first I’ve heard that a radical hysterectomy can make vasospasms worse.

What medications are you on at the moment for your angina?

When you say your angina has gotten worse, what symptoms are you experiencing?

I also have vasospastic angina caused by myocardial bridging which is a congenital heart defect.

Is your cardiologist knowledgeable on vasospastic angina? If so, you can discuss these concerns with them to see if you need an adjustment to your medications or further investigations.

All the best.

Tos

[Mutley20 in reply to Tos92]

Hi Tos,

Thanks so much for your reply I take Nicorandil, isosorbide, rousavastatin, verapamil

I am lucky i see a really good cardiologist. I suppose what I would like to know is that the symptoms won’t lead to something more serious.

I hope you keep well .

With thanks again for your reply

[Hidden]

hello just thinking the hormones that no longer are produced after hysterectomy may have some impact on the heart. I’ve read when estrogen falls (?) which usually relaxes the blood vessels, may aggravate heart issues?.

I feel there is a connection between my monthly circle and severity of my angina symptoms but I don’t have any links or info to back it up. Will look.

Worth definite conversation with your cardiologist as you’ve experienced such a major change to your body it has got to have impacted how heart is reacting? Which look like you are experiencing. Would any kind of hormone replacement therapy be of help!

I haven’t looked up what a radical hysterectomy so apologies if way off with my response.

Good luck.❤️

[Mutley20 in reply to Hidden]

Hi,

Thanks so much for your reply. I stopped HRT before operation. So your suggestion of estrogen is very helpful. I am seeing a consultant about this in a few weeks.

Hope all good with you and thanks again for your helpful comments.

[Hidden in reply to Mutley20]

all the best for your appointment, hope you get help and answers 👍

[Mutley20 in reply to Hidden]

Thanks very much.

[Milkfairy Heart Star]

Hello Mutley,

Any major events such as surgery can be stressful.

Vasospastic angina is often made worse by emotional, mental and physical stress, so it's not surprising that your coronary vasospasms have increased.

There is some evidence showing that women can have increased coronary vasospasms around the time of their periods. Something my Cardiologist has mentioned to me.

ncbi.nlm.nih.gov/pmc/articl...

ncbi.nlm.nih.gov/pmc/articl....

An early or surgically induced menopause does seem to be associated with the increase the symptoms of microvascular and vasospastic angina for some women.

The sudden drop in oestrogen during the menstrual cycle can increase vasospasms.

This happens after a radical hysterectomy if your ovaries have been removed too.

Have you been offered hormone replacement therapy?

If not I suggest you discuss this with your Cardiologist and ask to be referred to a Menopause specialist to assess, if HRT would be appropriate for you.

Also ask for a review of your present medication too.

I hope you recover from your surgery well and are able to get some more support to manage the possible sudden arrival of your menopause.