another trip toA&E: so I was “urgently... - British Heart Fou...

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another trip toA&E

Jenzhearts profile image
11 Replies

so I was “urgently” referred to Cardiology over 2 weeks ago by A&E Consultant for unstable Angina.chatting with Cardiac rehab nurse today (can’t have rehab but can phone her when needed) and she said some of my other vessels had mild disease but couldn’t bestented as too narrow and this could be cause of my pain as I’m on a lot of meds.fast forward gets a call from GP to go to A&E have ecg etc.come away with Ranolazine upped to 375x2 daily and no indication of when il be seen.this meds gives me dizzyness and extreme tiredness. I noticed on my discharge notes it said stable angina so I queried it and was told it’s not unstable as it responded to Gtn spray?

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Jenzhearts
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11 Replies
Yumz199725 profile image
Yumz199725

Sorry you had to go to A&E, sounds like there bit confused what type of angina you have?? What did your ecg show? Hope the increase in medication works for you x

Jenzhearts profile image
Jenzhearts in reply to Yumz199725

Thanks for the reply yes it seems they are confused! The ecg was fine and so were my bloods just hope the meds work now xx

Yumz199725 profile image
Yumz199725 in reply to Jenzhearts

I hope so too, strange that your ecg and bloods were normal but the way you have been feeling really isn't! What did your gp do to tell you to go A&E or was it how you described you was feeling xx

Jenzhearts profile image
Jenzhearts in reply to Yumz199725

Cardiac nurse phoned my GP as she’s not happy with my pain and that I not been seen yet by cardiology.GP said she had phoned a medical consultant who wanted me to go up and he would try and get cardiology to look at me but I just ended up being seen by a medical registrar so unfortunately the plan didn’t work.I’ve been out shopping this morning.nothing strenuous but as soon as I came home and sat down the angina started it’s strange how it comes on when I’m resting xx

Yumz199725 profile image
Yumz199725 in reply to Jenzhearts

Ahh hun I'm so sorry you weren't seen by cardiology even when you had a gp and cardiac nurse pushing that to happen. Yeah you find that you experience the feelings more when your at rest ( well I do anyway). Hope your able to get seen by cardiologist given your recent trip to A&E. xx

Milkfairy profile image
MilkfairyHeart Star in reply to Jenzhearts

I live with vasospastic angina which is caused by the transient constrictions of my coronary arteries leading to a lack of blood supply to my heart.

I experience my chest pain at rest often in a delayed response to exertion or other stressors.

This is a common symptom amongst people living with coronary vasospasms.

Another classic symptom is experiencing chest pain during the night between midnight and 6am.

Beta blockers can also make coronary vasospasms worse.

Vasospastic angina is rare and often overlooked. Even experienced Cardiologists and cardiac nurses can not know much about vasospastic angina.

It can be difficult to catch a coronary vasospasm in action so it's not unusual to have normal ECGs.

My ECG changes are found when consecutive ECGs are done during an episode of my chest pain.

GTN spray is usually able to relax a coronary vasospasm and relieve chest pain.

The BHF has this information about vasospastic angina.

bhf.org.uk/informationsuppo...

I suggest you keep a log of your symptoms including how you respond to your medication and keep pushing to be seen by the Cardiology team.

Jenzhearts profile image
Jenzhearts in reply to Milkfairy

Thanks milkfairy il start keeping a diary xx

hi BHF has a helpful definition that might help with unstable being angina that does not relieve at rest or does not respond to medication.

bhf.org.uk/informationsuppo...

Stable angina is the lesser of two evils.

👍

Jenzhearts profile image
Jenzhearts in reply to

Thanks for the link it’s def unstable Angina as it happens when I’m resting and also sometimes in the night xx

World1inmotion profile image
World1inmotion

I'm on ranalozine and it did take a few weeks to get used to the effects particularly tiredness, although I am on 6 other medications as well . With regards the different things you have been told, maybe try the rehab nurse again explaining the different things you have been told and is there any chance of a basic explanation of what is happening.

Jenzhearts profile image
Jenzhearts in reply to World1inmotion

Thanks for your reply.I’m seeing the nurse on Monday so il ask her to explain things xx

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