Conversation: The conversation between human and AI assistant.
[|Human|] MY name is Nasser, teacher, 50 years old, 84 kg wight, 167 cm hight, used to be a heavy smoker amonth ago Family history: nothing worth mentioning except that mother died of brain stroke at age 85. My problem is that one time after climbing stairs from one floor to the next I suddenly felt tight chest and difficulty breathing . Since that moment my life has changed by having what has been diagnosed as stable angina. I undergone catherization procedure and it showed no blocked arteries. My aquestion is : does having the angina with unclogged arteries means that my heart muscle was damaged in the attack I mentioned . Thank you for your time and consideration.
[|AI|]  Hello, Thanks for using Chat Doctor. I had gone through the data you have posted. Kindly tell us what was the ECG showing at the time of your chest pain before undergoing angiogram. As angiogram was normal, so there is possibility of VASOSPASTIC angina also known as PRIMEVAL angina, where there will be diffuse spasm of coronary arteries which cause decrease flow in blood vessel rather than block in case of atherosclerosis. So in primeval angina Angiogram may show normal arteries. To know whether your heart muscle was damaged or not you may need to undergo tests like 2 Echo, PET CT heart, dobutamine stress echo which can accurately tell information about damaged myocardium. Hope this helps.