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Re: body over mind

Posted by medlib on March 11, 2000, at 15:07:43

In reply to body over mind, posted by judy on March 3, 2000, at 9:46:12

> Hi,
> Just went through an angiogram (abnormal thallium stress test and chest pains) despite being female and under 40. The angiogram came back normal except for an anomaly in my right coronary artery. Despite "clean pipes", I am experiencing recurrent bouts of angina which the doc just says to pop klonopin- he feels it's panic attacks. I know elevated cortisol can cause all kinds of anxiety symptoms- going along the theme of the previous posts. Yet, nitroglycerin alleviates my symptoms, benzos do not. Any thoughts? Thanks.

Judy-
Scott's explanation is a model of lucidity and completeness--as usual! Propanolol makes sense to me; you might also ask your pdoc or cardiologist about pindolol (another beta-blocker specifically used in AD augmentation) and verapamil (a calcium channel blocker). BTW, benzos probably would be more useful in preventing, rather than relieving a specific attack. Are you on any psychoactive meds?

I'd want to know a bit more about the nature of your RCA anomaly and the timing and onset of your angina attacks. Are you able to connect them with any external events?

If you're interested in a cognitive as well as medical approach, you might try the Phobia and Anxiety Workbook on Dr. Bob's book list.

Angina is scary even if you're sure it isn't life-threatening. Best wishes in your efforts to deal with it.
medlib


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