about nine weeks ago, I was diagnosed with angina and put on beta blockers. Five weeks later I went into heart block and have been fitted with Pacemaker, 10 days ago.
last Saturday, I spent seven hours in A&E being checked out as I am getting the symptoms of angina. My blood pressure and pulse readings are all excellent. They check to make sure I haven’t had a heart attack that day. I hadn’t.
A&e are going to recommend that I have treatment sooner rather than later.
Due to Waiting lists I haven’t had an angiogram yet.
1. How can your vital statistics be okay if you have angina?
2. If I need a stent, can this be done if you have a pacemaker?
3. Could I have AF than angina?
so confused, so fed up, so grateful for this site.
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BlueTosca
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The only question I can provide some input is on the first one regarding normal observations in a diagnosis of angina. There are different types of angina, I have something called coronary artery spasms or vasospastic angina. I have daily chest pain however, this does not always trigger a change in my heart rate. As a result, there are many times where my heart rate and BP remain the same despite being in pain. The only time it ever seems to rise is if I’m having the odd occasion of experiencing an arrhythmia, or if my spasm is very intense in which case my heart rate shoots up. Also, when I’m having a spasm or an episode of bad angina, the event is isolated and passes by very quickly. As a result, my ECGs also appear to be fine. If an ECG is taken during the time of an angina attack, ischemic changes can be seen in some cases. Therefore, normal observations with chest pain should not be the only testing relied upon to get a solid diagnosis of angina and other methods should be considered.
NICE have the below information on the type of tests that can be conducted to safely rule out stable angina. The testing may vary depending on the type of angina you have.
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