help is it micro vascular angina or myocarditis

[Cabg_nave]

Hi all,

My story

I had chest pain and with elevated tripping 173 and then diagnosed with elevated Troponin with non obstructive disease. And advised for MRI waiting for cardiologist appointment

Now I get chest pain when I walk feel like chest tightness and while have pain can’t take deep breaths and goes away with rest.

This is mentally draining me , cardiologists second opinion says could be micro vascular angina and put me on GTn and still can’t walk fast but yes slow and said no need of MRI.

waiting for second review and ask for MRI is it worth

Any one had same symptoms?

thanks

Naveen

[Milkfairy Heart Star]

Hello,I am sorry to hear you are in such a frustrating and stressful situation.

I live with vasospastic angina which is with microvascular angina a type of angina/ ischaemia non obstructive coronary arteries ANOCA/INOCA.

Microvascular and vasospastic angina can lead to raised troponin blood levels even a heart attack.

Myocarditis can also mean your troponin blood levels are raised due to the inflammation of the heart muscle.

It's important to get an accurate diagnosis so you can be offered the appropriate treatment.

Microvascular angina has several treatment options not just GTN which sometimes doesn't seem to be effective for people with microvascular angina.

A cardiac perfusion MRI can be useful to diagnose microvascular dysfunction which causes microvascular angina and myocarditis.

It may well be worth asking for a cardiac perfusion MRI for this reason.

The BHF has this information about microvascular angina.

bhf.org.uk/informationsuppo...

Keeping a log of your symptoms and seeing what triggers your chest pain can be helpful.

The cold, physical exertion and stress are common triggers of microvascular angina.

Sometimes you can have other ways of feeling angina, not just chest pain.

These can be breathlessness, stomach pain, pain between the shoulder blades, extreme tiredness, chest tightness or a sense of unease.

I hope you are able to access the care you need and some clarity about what's causing your symptoms.

[Cabg_nave in reply to Milkfairy]

thank you  Milkfairy , I have my cardiologist appointment on 5th Feb will request mentioned diagnostic test 🙏🏻

For me daily activity is triggering pain and angina kinda symptoms too on 4kmph speed walk, incline walk at time using vacuuming and even lying flat in tummy weird and I am tired of worrying and living in fear.

Are symptoms for Microvascular and myocarditis same ?

😧

[Milkfairy Heart Star in reply to Cabg_nave]

Hello,

The symptoms of myocarditis and microvascular angina can overlap.

I was admitted many years ago with a suspected heart attack.

I had a perfusion cardiac MRI and that showed I had myocarditis but not obstructed coronary arteries.

Then as I kept having chest pain I was presumed to have microvascular angina.

Following an angiogram with acetylcholine my diagnosis of vasospastic angina was confirmed.

Cardiomyopathy UK has some useful information about myocarditis.

cardiomyopathy.org/about-ca...

Perhaps write down a list of questions you would like to ask the Cardiologist at your appointment.

Take a diary of your symptoms which can include chest pain, breathlessness, extreme tiredness and a sense of unease.

Any triggers such as the weather or stress.

[Cabg_nave in reply to Milkfairy]

thank you very much, noted will keep a diary and thanks for being kind and helpful on the forum 🙏🏻

Last one 😊 what medications are you on to help with daily angina pain so can walk and exercise

[Milkfairy Heart Star in reply to Cabg_nave]

I am not really able to give an answer for you about which medication will help you.

Having a confirmed diagnosis is the best starting point, then working with a Cardiologist to find the best combination of medication that will work best for you as an individual.

You may find this website helpful.

internationalheartspasmsall...

I hope your appointment goes well.