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BANGKOK 18 August 2019 06:30
tomgreen

Angina – Any one have or had my symptoms

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I’m in my 70’s and in general good health I am not taking any drugs , watch what I eat and exercise every day, but I have been experiencing lower back pain for a week.

 

A few days ago I was awoken from sleeping around 3 am with the feeling that I could not breathe properly and a sensation like some one was sitting on my chest . So I got up out of bed and stood upright , as I stood up I felt the sensation of light tingling down the left hand side of my arm and leg but no where else on my body . These symptoms lasted for about 2 minuets and then completely went away.

 

After another similar episode the next day ( again in the early hours of a morning while asleep ) I went to hospital and was admitted to the emergency ward where a blood sample was taken and two ECG tests were done and an ex ray of my back area. According to the attending emergency ward doctor both the ECG results were normal. The blood test result was also showing normal. The ex ray of my back showed a possible problem with wearing of several disc in my spine , due to my age.

 

The emergency ward doctor made two new appointments for me in two weeks time , one to see a heart specialists and one to look at my spinal problem ( orthopedist doctor ) . The appointment paper with a heart specialists says some thing about Angina Pectoris . I have done a google search and found information about Angina Pectoris , but it gets a bit interesting where it says that Angina Pectoris normally only happens after a workout or exercise , but my symptoms never appear during the day time or when exercising but - only when I go to bed at night time.

 

I know I should wait to see what happens on the coming Doctors appointment in two weeks time , but I’m trying to find out as much as I can and what to possibly expect . So I’m wondering if any one here has had a similar experience as described above , and could offer any advice or suggestions ,

 

 

 

 

 

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Ask to do a stress test where they hook you to a cardio load machine and get you to run on treadmill to see how is your heart under stress, if things doesn't look good, they should send you to do a thallium test where they inject a dye into your vain and do a scan to see how the dye is circulating in your veins and arteries, if they detect a blockage, they will recommend an Angioplasty procedure whereby they insert a catheter in your main femoral artery to remove the blockage,  in anycase, you have a problem that is in the making, and the sooner you will address it properly the longer you will live...

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Had angina for over 35 yrs had a bypass 30 odd yrs ago sometimes after eating when i lay down i get it you can get isorem 5 tablets at any chemist for it ,there is also a nitrolingual spray ,but not sold in Thailand. If you get angina when doing nothing it is called unstable angina ,it can be a warning sign .

Sent from my SM-A720F using Thailand Forum - Thaivisa mobile app

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2 hours ago, BritManToo said:

Sounds like a heart attack.

I'd seek a second doctors opinion ASAP.

Thai doctors aren't that good and often miss things.

 

The words heart attack did go through my mind

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1 hour ago, ezzra said:

Ask to do a stress test where they hook you to a cardio load machine and get you to run on treadmill to see how is your heart under stress, if things doesn't look good, they should send you to do a thallium test where they inject a dye into your vain and do a scan to see how the dye is circulating in your veins and arteries, if they detect a blockage, they will recommend an Angioplasty procedure whereby they insert a catheter in your main femoral artery to remove the blockage,  in anycase, you have a problem that is in the making, and the sooner you will address it properly the longer you will live...

Thanks for the advice , I’m trying to prepare a list of questions to ask the heart doctor . I think I remember seeing a medical documentary some years ago about a dye being injected into your veins and arteries to see if their was a blockage some where and then a MRI scan was done.

 

So Ive now added to my ask the doctor list

 

 

Have a cardio load test to see how the heart performs under stress.

 

Have a thallium test ( MRI scan )

 

 

 

 

 

 

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1 hour ago, ivor bigun said:

Had angina for over 35 yrs had a bypass 30 odd yrs ago sometimes after eating when i lay down i get it you can get isorem 5 tablets at any chemist for it ,there is also a nitrolingual spray ,but not sold in Thailand. If you get angina when doing nothing it is called unstable angina ,it can be a warning sign .

Sent from my SM-A720F using Thailand Forum - Thaivisa mobile app
 

Thank you for your comment , I have just googled ….. Unstable angina

 

Unstable angina causes random or unpredictable chest pain, as a result of partial blockage of an artery that supplies the heart. In contrast to stable angina, the pain or discomfort of unstable angina often occurs while resting, lasts longer, is not eased with medication, and is unrelated to any obvious trigger, such as physical exertion or emotional stress.

 

Diagnosis of unstable angina, a form of acute coronary syndrome (ACS), is often done in the emergency room and requires a combination of patient symptoms, an electrocardiogram (ECG), and cardiac enzymes (a blood test).

 

While in the emergency ward of the hospital I did have the above recommended tests

 

1. ECG

2. Blood test

 

The results for both of those tests showed as being normal ( the emergency ward doctors words )

 

 

While searching for … Unstable angina , I came across this other form of angina called

 

Prinzmetal's variant angina

 

and the symptoms are described like this …

 

The main symptom of Prinzmetal's variant angina is recurring episodes of chest pain (angina) that usually occur when a person is at rest, during bedtime hours (around midnight to 8am). Some people report feeling "discomfort" rather than "pain." In some people, pain may spread to the neck, jaw, shoulder, or arm. Other sensations during episodes may include tightness or pressure in the chest, "heart burn," nausea, sweating, dizziness, and palpitations. Episodes tend to last around 5 to 15 minutes (longer in some cases), and tend to be similar to each other.

 

 

 

 

It seems that Prinzmetal's variant angina is very similar to Unstable angina .

 

My symptoms were ...

 

I was asleep at the time

I felt a discomfort rather than any pain

I felt pressure in my chest . ( not a pain )

I felt light tingling down the left hand side of my arm and leg

 

I forgot to say that apart from the drugs I was given to relieve my back pain I was given a drug called ISOREM , and told that if I experienced any further chest pain I was to put one tablet under my tongue.

 

 

I hope now Ive been given this warning sign I will be able to eventually get things sorted out in time , but its very frightening and scary for me.

 

 

 

 

 

 

 

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2 hours ago, BritManToo said:

Sounds like a heart attack.

I'd seek a second doctors opinion ASAP.

Thai doctors aren't that good and often miss things.

 

"Twelve million patients misdiagnosed yearly in America, says VA ."

 

guess a few in the States as well 

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Angina is a blood flow problem.

ECGs deal more with mechanics of the heart. They can be "normal" and you can still have obstructions.

With your symptoms, having to wait 2 weeks sounds like you went to a government facility. 

As mentioned earlier, go get a stress test. Head to a private hospital

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15 minutes ago, Curt1591 said:

Angina is a blood flow problem.

ECGs deal more with mechanics of the heart. They can be "normal" and you can still have obstructions.

With your symptoms, having to wait 2 weeks sounds like you went to a government facility. 

As mentioned earlier, go get a stress test. Head to a private hospital

My wife had the hospital appointment paperwork so I just asked her to recheck the appointment dates . Well I was wrong ( blame the wife ) the heart doctor appointment is next week and the doctor to check my back pain is on the 19th of August . The hospital is a University teaching hospital.

 

The '' ECGs deal more with mechanics of the heart. They can be "normal" and you can still have obstructions'' is interesting and some thing to be aware of.

 

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You only live once...don't screw it up by procrastinating...🤔

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If your attacks have stopped it means your angina is stable,as for your not getting an appointment straight away,its because your ecg and blood tests were normal ,it shows that it was not a heart attack ,believe me i sometimes think i know as much as heart doctors ,having a heart attack at 36,a by pass and being under heart specialists half of my life ,twice in 20 years have had bouts of unstable angina which only lasted a few hrs each time ,luckily.

Sent from my SM-A720F using Thailand Forum - Thaivisa mobile app

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4 hours ago, Puchaiyank said:

You only live once...don't screw it up by procrastinating...🤔

I can assure you that I would love to go and see the heart doctor at the hospital ASAP , but as that appointment is only a few days away I’m looking forward to hearing the doctors diagnosis and treatment recommendations .

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1 hour ago, ivor bigun said:

If your attacks have stopped it means your angina is stable,as for your not getting an appointment straight away,its because your ecg and blood tests were normal ,it shows that it was not a heart attack ,believe me i sometimes think i know as much as heart doctors ,having a heart attack at 36,a by pass and being under heart specialists half of my life ,twice in 20 years have had bouts of unstable angina which only lasted a few hrs each time ,luckily.

Sent from my SM-A720F using Thailand Forum - Thaivisa mobile app
 

It sounds like you have gone through a lot of traumatic medical events even more so with having a heart attack aged 36 . How did you manage to cope with the stress relating to your future medical prospects and not knowing how things would turn out . For me personally this is the first time in my life that I have ever had a medical problem that could lead to a serious outcome ( heart attack ) and I have never been a hospital inpatient . One thing that now scares me to death is the possibility of going to sleep at night time and again having another attack but with a more serious outcome . Its making me feel that I don’t want to go to bed , just in case .

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