Chest pain during AF after stent

[Singingforever]

I am 75 year old female. I have had PAF for 10 years and it is now segueing into something more continuous - 3-4 times a week for 12 hours or so.

Here's my problem. 2 weeks ago I had a N-STEMI, and an angiogram revealed a severe blockage in my right coronary artery. .... up to 94% at one point. A stent was fitted.

I am home now under instruction that if I get chest pain I should use GTN twice at 10 minute intervals and if it persists dial 999.

Every time I go into AF I get chest pain which stays till the AF stops. And GTN makes no difference. I cannot ring 999 every time! And I have done more than my fair share of A&E overnight stints in a plastic chair for 15 hours!

Anyone else have this dilemma?

[scentedgardener]

Similar, but not the same. Chest pain was very mild, but all the other red flags for HA, and very high BP.I understand your feeling about 999, I feel the same. I have had a trolley in A&E, but have spinal problems, on balance I think a chair could be better.

I wish there was an area where you could attend, have the troponin tests, and ECG, then be let go if OK.

[Singingforever in reply to scentedgardener]

That would be great.

But it is 15 hours + in A&E or nothing.

I have tried to get out of hours appointment with doctor via 111, but of course their algorithm says 999.

[scentedgardener in reply to Singingforever]

I agree. No medical professional will advise you differently, I asked my consultant if he, as a cardiologist, could give me any further insight about when I actually needed to call 999. I got the standard response, probably because it's correct, there is no other way to determine what is happening.