Yes, it's possible. How are you feeling lately?

Niranjana, recently I've been experiencing a clearer tendency toward nighttime or morning attacks of varying intensity. 2:00 AM, 12:00 AM, 4:00 AM, 6:00 AM, 8:00 AM. The pain is squeezing, stabbing, and often feels like a heavy weight on the chest. A burning sensation may occur. The pain spreads throughout the chest, creating heat and a squeezing pressure in the heart. This can develop into a stabbing pain or radiate down the left arm to the elbow or even the entire arm. It can also radiate to the neck, around the left carotid artery, or to the left side of the lower jaw. I wake up immediately and get out of bed. I take nitroglycerin and validol. The last time I had attacks, they were in bursts, every 5 minutes. There were about four of them, and I felt a sense of death. But after three, I was able to stop the coronary spasm. This morning, I started the day with my morning dose of nitroglycerin. I was stressed by my sick grandmother after a hemorrhagic stroke. She accidentally hit me in the chest near the heart. I started having an attack in the afternoon. At first, the pain radiated from the heart under the left collarbone, then to the left side of the lower jaw. I took nitroglycerin and validol, along with morning medication. My cardiologist prescribed 1/2 tablet of Filodip for angina. A stress echocardiogram once again confirmed endothelial dysfunction of the vessels, including the heart. The attacks recur at night and early in the morning. I recently noticed that they can be triggered by physical activity. Angina pectoris, along with a variant form, is possible, but has not yet been confirmed by my cardiologist. My treatment regimen: Omacor 2000 mg tablets per day, 1/2 tablet of Filodip, nitroglycerin for acute attacks, and 20 drops of Kudesan in the morning. I have been suffering from a coughing fit for a week, and there is no relief.

Do you have a cardiologist? Don’t try to resolve this through the rheumatologist. This is a heart condition and it’s better to see the correct specialist particularly if you have a complex medical history.