I do have prinzmetal amd I also have 2 stents. 4 years ago (before I
was diagnosed) my chest pain was severe but no doctor believed me. I
fianlly had a heart attack because of the spasming. My LAD artery
constricted enough to rupture and then clot which caused a 95% blockage
which had to be stented. 2 years later the same artery continued to
spasm most likely because of the original stent irritating it, so I
received another stent. I now have 46mm of stent throughout most of
my LAD. I then went to the university of michigan hospital. There
they told me that I shouldn’t have gotten the first stent. It just
makes the spasming worse. I was never treated with medication or nitro
before my first stent, and I should have been.
Medcation does seem to work for me. But I would agree that I seem to
have flareups for 2-3 months and then may be relatively pain free for
months afterward. I do wear nitro in a necklace everywhere I go. And
I know it has saved my life. Mostly because my prinzmetal seems to
target the main coronary arteries not just the smaller ones.
One good piece of information is that beta blockers make the condition
worse, so make sure that you say you are allergic to beta blockers when
asked about medication. Hospitals and doctors often give beta blockers
as standard protocal for chest pain. This can kill someone with
I have had great results with a fairly new drug called Ranexa. It is n
antispasmotic and works in the nervous system. I have also found that
regular chiropractic visits have helped since it is believed that
prinzmetal is related to incorrect nerve impulses which over constrict
arteries at rest.
Good luck. I know it sucks, because everytime my heart screams I think
"Is this the one that is going to kill me?" I have beenliving with
this for 4 years now and I thank God for every day that I am alive.
From: MStack email@example.com
Sent: Fri, 26 Oct 2007 9:26 pm
Subject: Re: [prinzmetals] A bit confused…