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Dawn, I want to thank you for posting your story. I am currently in the cardiac wing of a local hospital, having had an emergency angiogram and diagnosed with coronary artery spasm as well. It has been 4 days since my diagnosis and I am still in shock and trying to understand what this is and how it happened to me. I am 40 years old and just gave birth to my 3rd child 8 months ago.  I am still carrying baby weight but not overly overweight, in decent condition with a history of playing soccer and my angio confirmed a healthy heart and no buildup in the arteries.  However, your description is exactly what I experienced...the chest pain, the abnormal ekg's, the release of enzymes and the vomiting that occurred during some of the episodes.  Strangely, I had been experiencing these episodes to a degree for over 4 years, starting with the birth of my first child, then subsiding, then after the birth of my second child, subsiding and now here I am after the birth of my 3rd.  Initially we thought it was a pinched nerve and treated with muscle relaxers and massage.   It is all so strange and I want to come home, but petrified.  Petrified that the episode will turn in to a heart attack.  So far the meds seem to be helping though not totally alleviating the symptoms.  However, it helps me to see that there is someone out there who had exactly what I had, diagnosed exactly as I have been and is out there living their life.  I am concerned about how tired you are and all, and that will be a concern in day to day.  But thank you for posting your symptoms, your story and your question.  With a quick internet search, I suddenly did not feel so alone.  I can't believe that I am 40 years old and a heart patient. I did not see that coming.  I hope you are doing well and the mix of meds has finally worked for you. I am now starting my own journey. Michelle from Seattle