Tag: coronary microvascular disease

How a woman’s heart is different from a man’s

~ Carolyn Thomas ~ 16 Comments

by Carolyn Thomas    ♥  @HeartSisters

In many ways, the fact that my cardiac treadmill stress test results appeared “normal” was not a surprise, despite my textbook heart attack symptoms of crushing chest pain, nausea, sweating and pain radiating down my left arm. What we now know is that single-vessel heart disease, which is more common in women than in men, may be less likely to be picked up at all on a treadmill test.

Even though my left anterior descending coronary artery was 95% blocked, this didn’t show up. Similarly, for other women non-obstructive heart disease (again, more common in women) is harder to identify given our existing diagnostics. Women are more likely to suffer from coronary microvascular disease affecting the smallest blood vessels of the heart. And spasm conditions like Prinzmetal’s variant angina are difficult to catch at the best of times, but women can be just as dead after a heart attack caused by undiagnosed Prinzmetal’s as they would be due to fully-occluded coronary arteries.   Continue reading “How a woman’s heart is different from a man’s” →

Welcome to your new country

~ Carolyn Thomas ~ 39 Comments

by Carolyn Thomas    ♥   Heart Sisters on Blue Sky

My family doctor once compared my uneasy adjustment since surviving a misdiagnosed heart attack to being like a stressful move to a foreign country.

I used to be pretty comfortable in my old country, pre-heart attack.

In my old country, I was a healthy, active, outgoing former distance runner. I had a wonderful family and a whack of close friends, a meaningful career I really loved, a crazy-cute cat, longtime community volunteer roles, a condo renovated top to bottom in a charming leafy neighbourhood of the most beautiful city in Canada – and a busy, happy, regular life.

Then on May 6, 2008, after being misdiagnosed and sent home from the Emergency Department despite textbook cardiac symptoms, I was finally admitted to the same hospital with a diagnosis of myocardial infarction – what doctors still call the “widowmaker” heart attack.

And that was the day I moved far, far away to a different country.  Continue reading “Welcome to your new country” →

What is causing my chest pain?

~ Carolyn Thomas ~ 6 Comments

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by Carolyn Thomas  ♥   @HeartSisters

First of all, I think even using the word “pain” to describe a common heart attack symptom may be misleading for many women.

It’s important to remember that some women experience NO chest symptoms at all during a heart attack.(1)  And since my own heart attack, I have met countless heart attack survivors who don’t use the word “pain” to describe their chest symptoms. Cardiac researcher Dr. Catherine Kreatsoulas reminds us that words matter when women describe their chest symptoms without using the word “pain” – and can actually influence how they will be treated in the Emergency Department – or not.  Continue reading “What is causing my chest pain?” →

My love-hate relationship with my little black box

~ Carolyn Thomas ~ 35 Comments

by Carolyn Thomas   ♥  @HeartSisters

Every morning, I clip it onto my belt, or tuck it into a hip pocket.  I very carefully attach its sticky little electrode pads onto the skin just over my heart, tucking their long black wires under my clothing. Lately, I also have to hold the electrodes in place on my skin with surgical tape because they’re starting to lose their stickiness after so much daily wear. I turn on the black box at my waist, and adjust its two knobs to the correct power levels. I feel a prickly little buzz pulsating across my chest.

It’s called Transcutaneous Electrical Nerve Stimulation (TENS), and it involves electrical impulses called neuromodulation to treat the chest pain (angina) of Inoperable Coronary Microvascular Disease (MVD) – a disorder of the smallest of the coronary arteries (too small to stent, too small to bypass).

My portable TENS unit is about the size of an average cell phone. You may know the much larger version of this machine if you’ve ever had physiotherapy treatments following a muscle injury.  The only wounded muscle it’s working on for me now, however, are those in my heart. Emerging cardiac research is showing that, just as the TENS machine works on improving blood flow, reducing inflammation and speeding up healing for an injured shoulder or knee, it may bring the same benefits to heart patients with MVD like mine.

But I do have a love-hate relationship with my little black box.  Continue reading “My love-hate relationship with my little black box” →