> > > > > > dont kid yourself, you may have other treatable
> > > > > > conditions. unless you list other symptoms it would be difficult
[quoted text clipped - 77 lines]
> good chance I would die of a heart attack due to my sleep apnea problem but
> he couldn't understand I would get angina-alike pains. How stupid is that?
When I mentioned my symptoms and that I had an angiogram that was clear ( I
was told by the cardiologist that my two treadmill tests evidently had been
false positives) this was the reply I got on a cardiac NG:
Derek.
You have what I call Hypertensive angina. How can an elevated blood
> pressure restrict the flow of blood in the coronary arteries? When
> the pressure rises within the left ventricle as it contracts, and the
> aortic valves open, that pressure is transmitted throughout the
> circulatory system. If the arteries are constricted as a result of
> the hypertension, the flow of blood out of the vessels into the
> tissues will be restricted. Thus, there is much more blood entering
> the aorta, the main artery exiting from the heart, than is leaving
> it. There will be a rapid increase in blood pressure that is
> transmitted back to the heart’s chambers. In much the same way
> as you would inflate a balloon by blowing into it, the heart would
> inflate from the increase in pressure were it not for two things. The
> first is the thickness of the muscle wall itself, which may be a
> centimeter or more in diameter. Muscle that thick is not easy to
> distend. The second factor that prevents the heart from being
> distended is the thick, tough membrane that surrounds the heart known
> as the pericardium. Since the heart cannot be distended by a rise in
> blood pressure, that pressure is transmitted to the muscular tissue
> itself in the same way as the pressure within an inflated blood
> pressure cuff is transferred to the tissues of the arm causing the
> brachial artery to collapse. In the case of the heart, however, the
> vessels that collapse are the thin walled distant branches of the
> coronary arteries. These
> vessels are known as the microcirculation of the heart and are the
> major source of blood supply to the heart muscle and its tissues.
> Like a vein that can be occluded by even gentle pressure on its
> surface, so can the tiny vessels of the microcirculation be collapsed
> by relatively small increases in blood pressure.
> Many individuals, as they age, develop mild narrowing, or stenosis as
> we call it, of one or more coronary arteries, and it may exist for
> years without causing a problem until the blood pressure begins to
> rise. If that happens rapidly, as might occur with carrying a heavy
> object, or if an individual is under stress, an acute rise in blood
> pressure within the left ventricle will be accompanied by a dramatic
> reduction in blood flow to the heart muscle, and this will be followed
> by chest pain. If the cardiologist the patient is seeing shoots from
> the hip and asks questions later, he will recommend immediate
> angiograms. When coronary artery disease is found, he will have a
> knee jerk response and recommend immediate angioplasty. If it is not
> found, he will call the treadmill test a false positive. You should
> feel fortunate that no coronary artery disease was found for bypass
> surgery or angioplasty would have been recommended immediately. This
> would not have solved your problem. The treatment is to keep your
> blood pressure normal. For further information please see my website
> at http://www.heartprotect.com
> Howard H. Wayne, M.D. F.A.C.C., F.A.C.P.
> Cardiologist
The person you think - 23 Dec 2003 12:22 GMT
> When I mentioned my symptoms and that I had an angiogram that was clear ( I
> was told by the cardiologist that my two treadmill tests evidently had been
> false positives) this was the reply I got on a cardiac NG:
Derek,
If you want to BELIEVE that, then there is no-one who will argue the point
with you in here who is worth listening to. I started to notice my sleep
apnea symptoms though didn't know what was going on, early in 1993. The
reason I noticed was that I was running up a staircase at a train platform,
got to the top and had to grab a rail as I thought I was going to pass out,
something I have never done in my life at all. When that feeling went, I put
it down to anything that may have accounted for it and soon forgot it. The
one event that made me start to worry was that I was playing air hockey and
really wanted to win so put my all into it, ignoring the chest pains and
all. After I won, my vision narrowed to pinpoints and I sat on a seat for
what seemed like 2 minutes and turned out to be 15 minutes. Still, I didn't
listen. Eventually I couldn't walk a few hundred metres and that was when I
decided to find out what was going on. I had an angiogram, too. Nothing
wrong except an enlarged heart.
The ending to all this is that the problem is still there - lack of oxygen
to the heart because of my sleep apnea (my body oxygen saturation drops to
lower than 60% when asleep and rarely ever gets above 90% when awake). Lack
of oxygen kills the heart which is basically one large muscle. Along the way
to killing it, the lack of oxygen causes pain like angina.
All I can tell you is to find the answer for yourself. To find it, though,
start with verifiable medical web sites and university medical departments.
Derek F - 23 Dec 2003 23:29 GMT
> > When I mentioned my symptoms and that I had an angiogram that was clear
> ( I
[quoted text clipped - 27 lines]
> All I can tell you is to find the answer for yourself. To find it, though,
> start with verifiable medical web sites and university medical departments.
I do not have any angina like pain or breathlessness. I walk miles a day up
and down hills without problems in that respect. I was told at the first
treadmill test 11 years ago that I must have angina as my heart was not
getting enough oxygen when the pace was stepped up. My racehorse must have
had the same problem, he could not quicken when the rest did but never
finished breathless :-)
Derek.
The person you think - 24 Dec 2003 04:15 GMT
> > > When I mentioned my symptoms and that I had an angiogram that was clear
> > ( I
[quoted text clipped - 44 lines]
> finished breathless :-)
> Derek.
Actually, in what I do for my self employment, I have no doubt I walk more
than that. I walk up and down hills, too. Unfortunately and against popular
mythical belief, walking simply doesn't cut it for pointing out this sort of
thing unless your heart is really badly off. I can even run upstairs (about
8 stairs) and down again. What is something of a beginning of a REAL test
has to take place from rest and then a sudden exertion. It is more than at
rest though. What is the best idea of whether you should be seeing a doctor
about your heart if you THINK something MAY be wrong is to sit about 10
minutes on the floor by kneeling, on hands and knees and then sitting back,
your backside on your ankles. You know like they show the ancient Japanese
used to do all the time? While sitting there in that position, after about
10 minutes you should have SOME tingling even if not much. Now, lean forward
and stand straight up without getting any help by holding on to something.
This will put a lot of strain on your knees so if the knees are really bad,
this isn't something you should do. I regularly do this as I have dogs that
like me to be on the floor. Every single time I get up, I get the chest
pains, almost fall over with dizziness etc. However, I am a believer in
"getting used to things" therapy. Eg, keep doing it till it doesn't have
that negative effect any longer. I don't know if I ever WILL get rid of it
but I wont stop trying. This sort of therapy has helped me a lot. I had
arthritic pain in my big toe where it joined the foot SO bad that it was
like a knife was in it moving around. So, I forced AGAINST the pain, spots
in front of my eyes, about 5 or 6 times and eventually whatever was causing
the pain (likely a calcium buildup) gave way in a big CRACK and I have had
very little of anything more than a low dull pain ever since. That is why I
persevere in getting up like that. Well, that and the fact that my job
requires me to crawl under desks and such and then get up. I need to
maintain a modicum of fitness in the legs. I figure if I am going to blow
out badly by doing this, I would rather be at home than out on a job!
BTW, apart from walking more than that, I also tow behind me, if possible,
or carry if not, a bag that you see at airports with extendable handle and
wheels. A big HEAVY one. Not much of a problem when I can tow it but very
heavy when I cant and I often have to go upstairs with it and on more than
one occasions, up LADDERS with it!
Derek F - 24 Dec 2003 08:21 GMT
> > > > When I mentioned my symptoms and that I had an angiogram that was
> clear
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> heavy when I cant and I often have to go upstairs with it and on more than
> one occasions, up LADDERS with it!
I regularly carry three bags of heavy shopping home from the supermarket,
uphill all the way. The other day under my burden I easily passed a young
man who was pushing his bicycle up the hill.
Derek.