Skip to content
My WebMD Sign In, Sign Up
Post-angiogram comments from performing Doctor
avatar
An_249716 posted:
After stress testing, CT scan, and a year of adding drugs to my growing list of necessary pharmaceuticals, I finally said okay to an angiogram. The Doctor that did the procedure informed me that there was insufficient blockage to cause the symptoms I've been experiencing. I've not had a follow-up yet. From the time my symptoms began I've been advised the issue is artery blockage. Now I don't know if I should put much stock in my Doc.........
What are the other possibilities concerning my symptoms of Angina?
Reply
 
avatar
cardiostarusa1 responded:
Hi:

"The Doctor that did the procedure informed me that there was insufficient blockage to cause the symptoms I've been experiencing."

"What are the other possibilities concerning my symptoms of Angina?"

Worth mentioning here, there is a specific condition called coronary artery spasm (CAS). A transient constriction or transient total closure of a coronary artery, that may/can occur at the site of a significant blockage, or may/can occur at the site (or right near it) of a mild blockage, or where there is no visible blockage at all, coronary arteries are supposedly squeaky clean. CAS, typically, but not 100% always, occurs at rest, often causing chest pain.

Another specific condition, Cardiac Syndrome X (CSX) involves a problem going on (microvascular disease) in the heart's bed of capillaries.

Also, but non-cardiac, as applicable in some individuals, esophageal spasm (ES) can mimic angina-like chest pain, even radiating to the arms, neck, jaw, and back, and can respond to common cardiovascular drugs nitroglycerin and calcium channel blockers. The definitve test for ES is esophageal manometry.

Coronary artery disease (CAD) is a lifelong unpredictable (may/can exhibit periods of stabilization, acceleration and even some regression) condition requiring a continuum of care.

Take care,

CardioStar*

WebMD member (since 8/99)

-

-

Be well-informed

MedlinePlus - Trusted Health Information for You

Chest pain

http://www.nlm.nih.gov/medlineplus/ency/article/003079.htm

Mayo Clinic

Chest pain

http://www.mayoclinic.com/health/chest-pain/DS00016

eMedicine Health

Chest pain

http://www.emedicinehealth.com/chest_pain/article_em.htm

-

WebMD

Living with Heart Disease

Coronary artery disease (CAD)

CAD is a chronic disease with no cure. When you have CAD, it is important to take care of your heart.....
This is especially true if you have had an interventional procedure or surgery to improve blood flow to the heart../It is up to you to take steps.....

Recognize the symptoms......

Reduce your risk factors......

Take your medications......

See your doctor for regular check-ups......

http://www.webmd.com/heart-disease/guide/living-with-heart-disease

-

Good to know, for the primary and secondary prevention of heart attack and brain attack

Epidemiologic studies have revealed risk factors (encompasses new, novel or emerging) for atherosclerosis, typically affecting carotid, coronary, peripheral arteries, which includes age, gender, genetics, diabetes (considered as being the highest risk factor), smoking (includes second and thirdhand), inactivity, obesity (a global epidemic, "globesity"), high blood pressure (hypertension), Low HDL (now questionable, according to recent studies) high LDL, small, dense LDL, RLP (remnant lipoprotein), high Lp(a), high ApoB, high Lp-PLA2, high triglycerides, HDL2b, high homocysteine (now questionable), and high C-reactive protein (CRP/hs-CRP).

-

WebMD

Heart Disease TYPES

Men and Women

Acquired in life or congenital (born with it)

http://www.webmd.com/heart-disease/heart-disease-men

Heart Disease SYMPTOMS

http://www.webmd.com/heart-disease/guide/heart-disease-symptoms

Mayo Clinic

Heart Disease

Heart disease is a broad term used to describe a range of diseases that affects your heart and sometimes the blood vessels......

http://www.mayoclinic.com/health/heart-disease/DS01120

-

LEARN ABOUT the Heart

WebMD

The Heart: (Human Anatomy) Pictures, Definition, Location in the Body and Heart Problems

http://www.webmd.com/heart/picture-of-the-heart

-

HeartSite

Coronary artery anatomy

Starting with the left anterior descending (LAD), the most critical, next to the ultra-critical left main (LM).

http://www.heartsite.com/html/lad.html

-

Quote!

Be a questioning patient. TALK to your DOCTOR and ASK QUESTIONS. Studies show that patients who ask the most questions, and are most assertive, get the best results. Be vigilant and speak up!"

- Charles Inlander, People's Medical Society

.

It's your future......be there.

. .

WebMD/WebMD forums DOES NOT provide medical advice, diagnosis or treatment.


Featuring Experts

James Beckerman, MD, FACC, is a cardiologist at the Providence St. Vincent Heart Clinic in Portland, OR. He graduated summa cum laude from Harvard Col...More

Helpful Tips

Coffee Can Lower Depression Risk in WomenGuest Expert
http://online.wsj.com/article/SB10001424052970204010604576594853506227020.html More
Was this Helpful?
1 of 1 found this helpful

Expert Blog

The Heart Beat - James Beckerman, MD, FACC

Dr. James Beckerman shares how small, livable lifestyle changes can have a real impact on your risk of heart attack and stroke...Read More

Related Drug Reviews

  • Drug Name User Reviews

Report Problems to the
Food and Drug Administration

FDAYou are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.

For more information, visit the Duke Health General and Consultative Heart Care Center