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    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)

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    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

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    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

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    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).

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    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

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    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

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    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

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    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

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

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