More recent Angina in the night.

[graemeparsons]

Have a history of ischeamic heart disease and AF since 2014 two heart attacks and seven stents. Everything has been okay since I had a scan in 2021 which showed some damage to my lower heart muscle but have been fine until a couple of weeks ago. I have to get up in the night due to bladder problems and when I get back into bed chest pain and arm pain comes on but last night it was my right arm which has never happened before. Had to have two separate gtn sprays before it eased off (getting ready to call ambulance). I am maxed out on medication so nothing gp can do now or cardiology. My question is has anyone else had pain in the right arm during angina attack when it has always been in the left previously.

[Tos92]

Hi Graemeparsons,

I do experience angina at rest and mine is commonly felt on my right side during rest. This is the right side of my chest and right arm. This also includes my upper back. These symptoms are consistent with my diagnosis of vasospastic angina which is a less known and under-diagnosed condition. This is when my arteries go into spontaneous constrictions, also known as coronary artery spasms. The lack of blood flow to my heart muscle from the narrowing of the artery/arteries is what causes the angina.

bhf.org.uk/informationsuppo...

It is probably time to see your cardiologist or GP again and ask for further investigations into the pain as you do have a significant heart history.

If you continue to have chest pain that does not subside with GTN after the 3 puff rule 5 minutes apart, please call 999.

All the best.

Tos

[graemeparsons in reply to Tos92]

Thank you for your advice much obliged.

[Milkfairy Heart Star]

Hello,

I suggest you give 111 or 999 a call for further advice sooner rather than later.

You have already had 2 heart attacks and numerous stents.

You may have unstable angina, the BHF decribes unstable angina this way.

"Unstable angina can feel different to your normal angina symptoms. It can happen even when you’re resting. Unstable angina feels more severe and lasts longer. Your symptoms might not improve when you rest or take medication.

If your symptoms don’t improve when you rest or take medication, you should call 999 immediately. "

bhf.org.uk/informationsuppo....

Good luck!

Do say how you get on.

[graemeparsons in reply to Milkfairy]

Thank you for your advice much obliged.