She also has episodes of racing palpitations and tiredness. She was given calcium channel blockers, aspirin, statins, PPI's and nitrate spray but refuses to take any of these due to side effects. She is normal weight, has normal BP and cholesterol under 5, but her mother had a heart attack followed with bypass when she was 60 years old. She had a CT angiogram but cardiologist lost interest when coronary arteries appeared normal.The diagnosis was cardiac syndrome X or microvascular angina. Her angina is worsening and I feel she is in denial. Should she be taking medication and should she be concerned?