SYMPTOMS-
* Pain in chest, left side neck, left arm
* Pain disappear at rest
* Feeling of exertion in normal walking
TEST FINDINGS–
* ECG- Normal
ECHOCARDIOGRAPHY-
- Aortic valve- Normal
-AV valve- normal
- IV septum- Intact
-Vessel diameters
Aorta-35mm
LA-33mm
IVS(D)- 12mm
LVTW(D)-11.6mm
What should be the probable diagnosis??
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With any lab results if they are negative they do not have any significance and will not rule out any thing.Repaet test in a different laboratory is advisable.
Irrespective of the tests, the symptoms presented by you are typical of Angina pectoris which requires an admission, repetition of the investigation, a treadmill test, and a holter monitor test etc.
Please don’t neglect the condition just because the test reports came normal; and consult your cardiologist for necessary advice as it is concerned with your Heart.
ive just had symptoms like that and spent 5 hours in A&E and all the test came back normal.
Shaan,
The symptoms that you describe are common to some causes and most of these appear to have been tested for/examined, according to the results you show. The diagnostic tests needed to exclude angina or to establish the severity of the underlying coronary disease, include the electrocardiogram (ECG) at rest, the stress test, and x- rays of the coronary arteries (coronary “arteriogram” or “angiogram”). You do not state that you have had the stress test, for your peace of mind, it is not a bad idea to have a stress echocardiogram, but the probability that it will turn out positive in your case is very miniscule, meaning that there is likely nothing to worry about. The first possibility that comes to mind, of course, is mitral valve prolapse (a benign condition that should have appeared on the Echocardiogram but since it did not appear on the Echocardiogram then you most probably don’t have it). Allow me to run through some other possibilities. To eliminate further causes, if your thyroid functions have not been already checked, I suggest you have them checked. A stabbing pain in the chest may be caused by lung infection. More often, the pain is due to indigestion (dyspepsia) or reflux of the acid contents of the stomach into the oesophagus. The pain that you are having might also be due to a problem in the cervical spine of your neck or a muscle problem. Pain may result from a wide range of causes including physical over-exertion and muscle strains. Finally, if you can not find a medical cause you should explore the possibility that this is a psychological reaction. Your body often manifests anxiety in symptoms like chest pain, sweating, nausea, etc. I regret that I can not be more positive, but without more details and the possibility of examination, I am not able to arrive at a positive diagnosis.
Hope this helps
matador 89
some times the ECG changes in angina don’t appear unles there is physical stress , therefore if still in doubt about the diagnosis , the cardilogist may nedd to do treadmill test ( but i emphasize it should be under medical supervision ) , if still no ECG changes , so one should think about other possibilities like esophagitis or even just a simple muscular pain , but untill then i advise not to do strenous exercises unless u consult your cardiologist. Best wishes to you.
YES THAT IS TRUE!. .
The correct history, risk factors and the examination are of critical importance. The tests have there own importance and are very important, how ever a person with normal coronary angiogram can have and or develop angina pectoris or hear related pain under certain un usual circumstances, though the chances statistically speaking are less likely. It is important to follow with your doctor.
It is important any way but especially in such situations to stop, smoking, taking drugs including especially cocaine and amphetamines and other vasoactive herbal supplements and have a change in diet, life style, exercise and most importantly never forget close follow up with your doctor, especially to have an EKG and an echocardiogram right during the episode of chest pain
From first hand experience, I can tell you that tests will show nothing and there still be something going on. I was at the emergency room countless numbers of time for chest pain and when they did the EKG, it would be normal. An EKG is normal until it isn’t. Unless you are having something going on at the exact time that the symptoms are the EKG is worthless, except in detecting arrythmias. They discounted me having anything major wrong with my heart because I was only in my 30′s, but have had high blood pressure since my 20′s. At age 40 I went to the hospital with chest pain and an uncomfortable feeling in my left arm and neck, 2 days later I was having a 5 artery by pass surgery. It changed my whole life. I don’t know why they can’t find it until it’s too late, but Dr.’s just don’t want to think that someone that young can really have that bad of heart disease. I went through premature menopause in my mid 20′s due to Ovarian failure and that’s what made my medical issues come a little earlier than they should have, amoung other things. I would ask my Dr. to do an Angiogram, where they go up through your groin and shoot dye into your arteries so they can tell if you have clogged arteries and if you go to a hospital and use a Dr. that is trained in Angioplasy, they can put stents in if the arteries are not too bad, just enough to cause you the angina. Whatever you do, don’t do NOTHING! This is serious business and you should not overlook it or let your Dr. shrug it off, just because those 2 tests listed above didn’t show anything significant. Please get some help no matter what!
Anxiety attack, acid reflux, TMJ problems, etc.
This is known as exercise intolerance. Ther are very effective ayurvedic capsules such as Rudved or Suved etc. Check in google.
If they have not found any cardiac source of the pain then they lean towards a muscular source. Have you taken any ibuprofen on a regular basis to see if this goes away? You might try and see. Look up costochondritis on WebMD and see your your symptoms match this. If this doesn’t help with your symptoms, you will need to continue working with your doctor to find the answers.