Re: Check pain question
- From: "elgoog" <bjdefend-newsgroups@xxxxxxxxx>
- Date: 25 Apr 2005 20:30:59 -0700
Andrew B. Chung, MD/PhD wrote:
> Mark wrote:
> >
> > Hello,
> >
> > I'm posting here today in hopes of getting some feedback on
something
> > I've been dealing with as of late.
> >
> > I've been struggling with chest pains for the last 4-5 months now.
The
> > pain is in my upper chest and tends to move around a fair amount,
but
> > usually radiates from the center of my chest (never to my arms,
neck,
> > or shoulders). I would describe the pain as an aching sensation,
and
> > it's generally fairly mild.
> >
> > Shortly after experiencing this pain for the first time, I went to
the
> > ER. They did an ECG and a cardiolite stress test, and found no
problems
> > (doctor said I have excellent blood flow, etc.). Later these tests
were
> > followed up with a lipoprotein analysis, which also turned out
normal.
> >
> > The problem, as I alluded to earlier, is that the chest pains
continue
> > and nobody seems to know precisely what's going on. I have a couple
> > questions, and would appreciate any advice from the readers of this
> > group, and especially from anyone with similar experiences.
> >
> > First, should I still follow up with a cardiologist?
>
> Yes.
Sure, do that as your cardiologist is having referred check pain. Your
check is sure to cure his pain. ;-) <JK>
> > Or are the tests
> > I've had pretty much definitive enough to rule out a cardiovascular
> > cause?
>
> No test(s) replaces a good history and physical exam combined with
the
> experience and wisdom of an astute cardiologist who has gray matter
and
> not striated muscle between his/her ears.
>
> > My family doctor feels pretty confident that the pains aren't
> > cardiac, but I'm not sure if I should seek another opinion.
>
> Would suggest you ask your family doctor to refer you to a
cardiologist.
>
> > Second, can cardiac-related pain move around the chest area as mine
> > does?
>
> Yes. Cardiac pain is a referred type of pain.
>
> > As I noted above, it tends to raidate from the center of my
> > chest, but on other days I feel it more to the left or more to the
> > right. This doesn't seem like the angina pain that I'd read about
in
> > books, but I realize that real-world experiences can be different.
>
> It can vary from person to person.
>
> > Third, does the fact that I've been dealing with this pain for
months
> > now seem to suggest a non-cardiac cause, or can angina precede a
> > serious heart problem by a fairly long period of time?
>
> Angina can occur for a fairly long period of time before a heart
attack
> occurs.
>
> > Finally, does anyone know of any muscular problems that might be
> > causing my symptoms? I do sit in front of a computer a LOT.
>
> Being sedentary is a risk factor for cardiovascular disease.
>
> > Thanks very much for any feedback.
>
> You are welcome :-)
>
> At His service,
>
> Andrew
>
> --
> Andrew B. Chung, MD/PhD
> Board-Certified Cardiologist
>
> **
> Suggested Reading:
> (1) http://makeashorterlink.com/?G1D5217EA
> (2) http://makeashorterlink.com/?U2A821CEA
> (3) http://makeashorterlink.com/?X1C62661A
> (4) http://makeashorterlink.com/?U1E13130A
> (5) http://makeashorterlink.com/?K6F72510A
> (6) http://makeashorterlink.com/?I24E5151A
> (7) http://makeashorterlink.com/?I22222129
.
- References:
- Check pain question
- From: Mark
- Re: Check pain question
- From: Andrew B. Chung, MD/PhD
- Check pain question
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