heart attack but heart healthy

[Poppycurry]

Firstly I wish you all a happy and new year.

I was admitted to hospital in April when I had an unconventional heart attack. I’ve had lots of checks including a CT scan, angiogram and a stress MRI. My heart is absolutely fine apparently. My blood was thick when it happened too many red blood cells which returned to normal before I was discharged from hospital. I’ve been told this was just a blip but I’m concerned this blip could happen again. They have kept me on blood thinners and BP meditation. Has anyone else experienced this please.

[Happyrosie]

there is a rare disease who’s name I cannot remember where this is a feature, and it’s fairly easily treated. As it’s rare that might be no one on this site who has experienced this.

Next time you speak to a medical professional ask them what it means and whether you might need treatment for it, or whether you are to be monitored, or whether it’s a blip.

My personal (non-medical) view is that whatever the answer, it’s in no way urgent. Other posters may have different views.

And make sure you drink plenty of water!

[fishonabike in reply to Happyrosie]

Erythrocytosis, sometimes called polycythaemia

[Happyrosie in reply to fishonabike]

That’s the one!

[Poppycurry in reply to fishonabike]

hi yes they told me I had that when my heart attack happened but my blood is fine now apparently

[fishonabike in reply to Poppycurry]

you might find it helpful to read the NHS info on this condition: nhs.uk/conditions/erythrocy... and, if this was a temporary (relative erythocytisis/polythaemia) it might help to ensure that you are well hydrated

[Milkfairy Heart Star]

Hello,

Did your Cardiology team say you had a Myocardial Infarction non obstructive coronary arteries MINOCA?

These types of heart attacks without a permanent blockage of the coronary arteries are thought to be responsible for about 10% of heart attacks.

MINOCAs effect women more than men probably because the common causes of microvascular dysfunction, coronary vasospasms, spontaneous coronary artery dissection SCAD are more common in women.

The other possible causes of a MINOCA are a small piece of plaque or a blood clot blocking the artery.

Have you been referred to a Haematologist?

They will be able to offer you further blood tests to determine if you have a clotting disorder that requires further treatment.

There are several causes of blood clotting disorders, one of which is antiphospholipid syndrome which can lead to microvascular angina, a possible cause of a MINOCA.

aps-support.org.uk/about-ap....

I was tested for Antiphospholipid syndrome many years ago as I had some of symptoms.

I was later found to have Vasospastic angina, another possible cause of a heart attack without blocked coronary arteries.

[Poppycurry in reply to Milkfairy]

Hi yes Minoca was mentioned at the time but since my mri nothing more about it. I was referred to haematology also but that is also showing normal now. However I do have a follow up appointment in February so hopefully I will know more then. Thank you

[Coffeelover2]

You could have Thrombolpholia - they would need to do a blood test screening. They may have to temporarily stop the blood thinners for a day or two to do that. Some people have genetic conditions where there blood is more likely to clot. The blood thinners will help with that though so I wouldn’t worry.

[Poppycurry in reply to Coffeelover2]

Ah thank you