Sex:- Female, Age:- 45, Smoker. No family history of heart disease. Allergies:- NSAIDs & Alcohol (reactions vary but mostly rash, wheezing, tightening of chest, swelling, generally feeling unwell). Known medical conditions:- Asthma, Chronic Pain Syndrome, Chronic Fatigue Syndrome, Delayed Pressure Urticaria.
4th September 2010
I was laying in bed watching TV when suddenly my throat felt severely restricted and pain around my jaw. I felt faint and sick. I went into the bathroom and pain ran through my body that I can only describe as electrified barbed wire being pulled through my chest and down my left arm. I was sweating and felt like I was going to die. I was helped back into bed and 15 minutes later I felt absolutely fine as if nothing had happened.
11th September 2010
I was sitting down doing a jigsaw when again my throat and jaw felt constricted, I felt faint, had no pain in my chest but pain in my left arm and tingling in my fingers. I was sweating and felt nauseous. This time an ambulance was called and when paramedics arrived I again felt fine. While sitting in the ambulance I again started to feel bad and was given GTN spray.
Hospital discharge notes:- ECG was normal, Trop normal, CxR normal, Bruce protocol achieving METS 10.30, target heart rate of 164 bpm 93% of target heart rate. Cholesterol 5.2, HDL 0.8, LDL 3.5. Triglycerides 2. HB 13.3, normal U/E and LFTs. IP ETT normal. Prescribed daily aspirin and nitro spray. Diagnosis:- Possible angina.
(December 2009 – November 2010 I got a chest infection treated with Ventolin inhaler, Clenil inhaler and steroid tablets, which was followed by 13 further chest infections. During this time I suffered with heartburn and a constant rash on my chest. Up to this point I had never had heartburn. As I had not been given a true diagnosis by the hospital I “googled” all of my medications and saw the Clenil contained alcohol and the ventolin spray could cause heartburn. I went to the doctor who switched both of my inhalers to dry powder and prescribed proton inhibitors for 2 months. As soon as the inhalers were switched the rash went and the heartburn stopped.)
It was 2 weeks before another episode when sat quietly in a chair, as before starting with the constricting feeling in my neck and jaw. Took 1 spray of Nitro and felt normal within minutes.
Further episodes happened maybe once weekly, always when I was doing nothing, occasionally when I was asleep and all starting with the neck constriction pain and all over within 5-10 minutes.
This week they have become more frequent with some more sever than others. They happen 4 or more times a day, every day and some are lasting longer and not relieved with just one Nitro spray. I again have a rash but put that down to the spray containing alcohol. (I stopped taking the daily aspirin after 1 week because of the allergy and it making life unbearable). I contacted the doctor who dismisses it being anything to do with my heart because all of the tests I had were negative.
I am at my wits end, if it is not heartburn and not angina what is it?
Recognize the risks associated with Crohn’s disease.
Did you know that one in six US adults has high cholesterol?