Help me please regarding chest pains.

[PIPE]

I need serious professional help, I have been getting chest pain on and off
for 3-4 yrs started of very mildly like every 8-10 monthes,

for the last yr I have been getting it quite regularily symptoms include
chest pain,headache, pain in my left shoulder blade and something stuck in
my throat when I get symptoms also I get pain running down in my left
forearm. I got chest pain episode about 4th time now within 1 month had to
goto emergency for it, called the ambulance etc.

first chest pain episode occured within a month was milder and now they are
getting more frequent every 2-3 days now after meals while on computer
playing action games(put me in some stress) I stopped eating large meals but
this aint helping much. I am 28 yr old Indian ethnicity currently living in
Australia.

I had stress test done about a yr ago, it came up normal although I had pain
during the excercise and stupid me I didnt tell the doctor about it, so next
time I told my GP about this pain he asked to get holter monitor and it
showed I have ectopics, after this I also had echo done that came as
negative a yr ago same time a yr ago.

ok at the emergency(in hospital) they did standard cardiac enzyme test, ECG,
BP and that all came normal, gave me anginine(nitrate) to relieve the pain
had to give me like 3-4(2 in ambulance) throughout all these episodes I also
have a HEADACHE associated with it.

results of cardiac enzyme were,

My first chest pain episode were CK were in 900~ish and troponin lvl were
normal
2nd episode CK lvl dropped a little
3rd episode dropped a bit more
4th episode dropped more and troponin were normal in all.

after my 4th episode cardiologist finally saw me in emergency department and
asked me to do Stress MIBI, ok I had it done, did stress test with MIBI and
had the pain again after the excersise, radiologist showed me heart under
stress pics and normal I could see narrrowness understress and he also said
oh they are normal since you are athletic type of person, basically he said
your test is negative!

I went to cardiologist and all he had received was the report from
radiologist faxed copy that my stress MIBI is normal, now cardiologist said
you are fine don't take anginine or blood thinners, that concluded the
follow up.

2 days later I got the pain again while playing computer game
again(competetive game) and right now I am writing this I got the pain
running throuhg my left shoulder and throat now.

Help me please my pain is coming often now and I am scared that I might cope
it a big surprise and body is telling me do something.

BTW I do not smoke, I drink every 3-4 weeks thats if, I goto gym about 3-4-
times a week mainly do weight training weigh about 110 kg not now after the
pain episodes I lost 5 kg so now I weigh 105kg. My spouse dont believe me
and she thinks its muscle related since I push heavy weight if it was muscle
related why do I get it while playing a computer game or eating a meal..she
is a nurse btw my dad is a doctor he thinks it might be musclular too like
all the people I talked to.

All I need is someone to understand me the pain is more frequent and without
excersise I dont goto gym now cos I am scared.

All I wanna know why would cardiologist not look at the pictures I had from
the origianal scan(stress MIBI) and believed radiologist report I am not
saying that radiologist is not competent what they are doing but still..it's
someone life that is on the edge.

Suggest me please how do I go about this I can't go private hospitals I got
no money only option I got is goto emergency whenever I am getting this pain
and they just send me back home next day and this pain keep on coming
back(squeezing) and more often( always with headache and now bit of neck
too)

P.S BTW how good is stress MIBI scan in terms of detecting CAD.

Sorry for the long post, I had to say all that to someone.

Sincerely
Sunny

[Bill]

Post by PIPE
I need serious professional help, I have been getting chest pain on and off
for 3-4 yrs started of very mildly like every 8-10 monthes,
for the last yr I have been getting it quite regularily symptoms include
chest pain,headache, pain in my left shoulder blade and something stuck in
my throat when I get symptoms also I get pain running down in my left
forearm. I got chest pain episode about 4th time now within 1 month had to
goto emergency for it, called the ambulance etc.

You might be better off posting on sci.med or sci.med.cardiology since more
Drs. look there.

Post by PIPE
first chest pain episode occured within a month was milder and now they are
getting more frequent every 2-3 days now after meals while on computer
playing action games(put me in some stress) I stopped eating large meals but
this aint helping much. I am 28 yr old Indian ethnicity currently living in
Australia.
I had stress test done about a yr ago, it came up normal although I had pain
during the excercise and stupid me I didnt tell the doctor about it,

If it were heart related there is a good chance it would show up on the test,
but not 100%.

Post by PIPE
so next time I told my GP about this pain he asked to get holter monitor and
it showed I have ectopics, after this I also had echo done that came as
negative a yr ago same time a yr ago.
ok at the emergency(in hospital) they did standard cardiac enzyme test, ECG,
BP and that all came normal, gave me anginine(nitrate) to relieve the pain
had to give me like 3-4(2 in ambulance) throughout all these episodes I also
have a HEADACHE associated with it.

The headache is normal.

Post by PIPE
results of cardiac enzyme were,
My first chest pain episode were CK were in 900~ish and troponin lvl were
normal
2nd episode CK lvl dropped a little
3rd episode dropped a bit more
4th episode dropped more and troponin were normal in all.
after my 4th episode cardiologist finally saw me in emergency department and
asked me to do Stress MIBI, ok I had it done, did stress test with MIBI and
had the pain again after the excersise, radiologist showed me heart under
stress pics and normal I could see narrrowness understress and he also said
oh they are normal since you are athletic type of person, basically he said
your test is negative!
I went to cardiologist and all he had received was the report from
radiologist faxed copy that my stress MIBI is normal, now cardiologist said
you are fine don't take anginine or blood thinners, that concluded the
follow up.
2 days later I got the pain again while playing computer game
again(competetive game) and right now I am writing this I got the pain
running throuhg my left shoulder and throat now.

From what you discribe it seems likely that what you are experiencing is not
Cardiac related.

Are you right or left handed?

Post by PIPE
Help me please my pain is coming often now and I am scared that I might cope
it a big surprise and body is telling me do something.

I don't think anyone could give a diagnosis over the internet.

Post by PIPE
BTW I do not smoke, I drink every 3-4 weeks thats if, I goto gym about 3-4-
times a week mainly do weight training weigh about 110 kg not now after the
pain episodes I lost 5 kg so now I weigh 105kg. My spouse dont believe me
and she thinks its muscle related since I push heavy weight if it was muscle
related why do I get it while playing a computer game or eating a meal..she
is a nurse btw my dad is a doctor he thinks it might be musclular too like
all the people I talked to.
All I need is someone to understand me the pain is more frequent and without
excersise I dont goto gym now cos I am scared.

That is probably not a good idea. Heart blockages usually become more apparent
with exercise. I was able to confirm to myself (and later through tests) that
I had angina by going on the treadmill. The pain would come at roughly the
same point in the exercise routine.

Post by PIPE
All I wanna know why would cardiologist not look at the pictures I had from
the origianal scan(stress MIBI) and believed radiologist report I am not
saying that radiologist is not competent what they are doing but still..it's
someone life that is on the edge.

That is fairly common. He does not feel expert enough to read them well and
will defer to the radiologist. Also he probably has access to only stills
while the radiologist can probably look at something like a movie.

Post by PIPE
Suggest me please how do I go about this I can't go private hospitals I got
no money only option I got is goto emergency whenever I am getting this pain
and they just send me back home next day and this pain keep on coming
back(squeezing) and more often( always with headache and now bit of neck
too)
P.S BTW how good is stress MIBI scan in terms of detecting CAD.

It is fairly good but not 100%. The gold standard is an angiogram. These are
very expensive and your insurance - if you have some - may not cover it. It is
usually only done with a positive nuclear stress test or some other positive
sign of CAD.

Do you feel short of breath during your episodes?

Bill - not a Dr.

Post by PIPE
Sorry for the long post, I had to say all that to someone.
Sincerely
Sunny

[PIPE]

Post by Bill

Post by PIPE
I need serious professional help, I have been getting chest pain on and
off for 3-4 yrs started of very mildly like every 8-10 monthes,
for the last yr I have been getting it quite regularily symptoms include
chest pain,headache, pain in my left shoulder blade and something stuck
in my throat when I get symptoms also I get pain running down in my left
forearm. I got chest pain episode about 4th time now within 1 month had
to goto emergency for it, called the ambulance etc.

You might be better off posting on sci.med or sci.med.cardiology since
more Drs. look there.

Post by PIPE
first chest pain episode occured within a month was milder and now they
are getting more frequent every 2-3 days now after meals while on
computer playing action games(put me in some stress) I stopped eating
large meals but this aint helping much. I am 28 yr old Indian ethnicity
currently living in Australia.
I had stress test done about a yr ago, it came up normal although I had
pain during the excercise and stupid me I didnt tell the doctor about it,

If it were heart related there is a good chance it would show up on the
test, but not 100%.

Post by PIPE
so next time I told my GP about this pain he asked to get holter monitor
and it showed I have ectopics, after this I also had echo done that came
as negative a yr ago same time a yr ago.
ok at the emergency(in hospital) they did standard cardiac enzyme test,
ECG, BP and that all came normal, gave me anginine(nitrate) to relieve
the pain had to give me like 3-4(2 in ambulance) throughout all these
episodes I also have a HEADACHE associated with it.

The headache is normal.

Post by PIPE
results of cardiac enzyme were,
My first chest pain episode were CK were in 900~ish and troponin lvl were
normal
2nd episode CK lvl dropped a little
3rd episode dropped a bit more
4th episode dropped more and troponin were normal in all.
after my 4th episode cardiologist finally saw me in emergency department
and asked me to do Stress MIBI, ok I had it done, did stress test with
MIBI and had the pain again after the excersise, radiologist showed me
heart under stress pics and normal I could see narrrowness understress
and he also said oh they are normal since you are athletic type of
person, basically he said your test is negative!
I went to cardiologist and all he had received was the report from
radiologist faxed copy that my stress MIBI is normal, now cardiologist
said you are fine don't take anginine or blood thinners, that concluded
the follow up.
2 days later I got the pain again while playing computer game
again(competetive game) and right now I am writing this I got the pain
running throuhg my left shoulder and throat now.

From what you discribe it seems likely that what you are experiencing is
not Cardiac related.
Are you right or left handed?

Post by PIPE
Help me please my pain is coming often now and I am scared that I might
cope it a big surprise and body is telling me do something.

I don't think anyone could give a diagnosis over the internet.

Post by PIPE
BTW I do not smoke, I drink every 3-4 weeks thats if, I goto gym about
3-4- times a week mainly do weight training weigh about 110 kg not now
after the pain episodes I lost 5 kg so now I weigh 105kg. My spouse dont
believe me and she thinks its muscle related since I push heavy weight if
it was muscle related why do I get it while playing a computer game or
eating a meal..she is a nurse btw my dad is a doctor he thinks it might
be musclular too like all the people I talked to.
All I need is someone to understand me the pain is more frequent and
without excersise I dont goto gym now cos I am scared.

That is probably not a good idea. Heart blockages usually become more
apparent with exercise. I was able to confirm to myself (and later through
tests) that I had angina by going on the treadmill. The pain would come at
roughly the same point in the exercise routine.

Post by PIPE
All I wanna know why would cardiologist not look at the pictures I had
from the origianal scan(stress MIBI) and believed radiologist report I am
not saying that radiologist is not competent what they are doing but
still..it's someone life that is on the edge.

That is fairly common. He does not feel expert enough to read them well
and will defer to the radiologist. Also he probably has access to only
stills while the radiologist can probably look at something like a movie.

Post by PIPE
Suggest me please how do I go about this I can't go private hospitals I
got no money only option I got is goto emergency whenever I am getting
this pain and they just send me back home next day and this pain keep on
coming back(squeezing) and more often( always with headache and now bit
of neck too)
P.S BTW how good is stress MIBI scan in terms of detecting CAD.

It is fairly good but not 100%. The gold standard is an angiogram. These
are very expensive and your insurance - if you have some - may not cover
it. It is usually only done with a positive nuclear stress test or some
other positive sign of CAD.
Do you feel short of breath during your episodes?

I do feel short of breath lately with episodes but very midly initially I
didnt even get them. I feel some fluid retention as well for good six
monthes now in my ankles they are more profound when I wear socks even for
30 or gym time.

So is heart jumps for no apparent reason is associated with heart desease eg
my cat just meow and I jumped it never used to happen before.

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Post by PIPE
I need serious professional help, I have been getting chest pain on and off
for 3-4 yrs started of very mildly like every 8-10 monthes,
for the last yr I have been getting it quite regularily symptoms include
chest pain,headache, pain in my left shoulder blade and something stuck in
my throat when I get symptoms also I get pain running down in my left
forearm. I got chest pain episode about 4th time now within 1 month had to
goto emergency for it, called the ambulance etc.
first chest pain episode occured within a month was milder and now they
are getting more frequent every 2-3 days now after meals while on computer
playing action games(put me in some stress) I stopped eating large meals
but this aint helping much. I am 28 yr old Indian ethnicity currently
living in Australia.
I had stress test done about a yr ago, it came up normal although I had
pain during the excercise and stupid me I didnt tell the doctor about it,
so next time I told my GP about this pain he asked to get holter monitor
and it showed I have ectopics, after this I also had echo done that came
as negative a yr ago same time a yr ago.
ok at the emergency(in hospital) they did standard cardiac enzyme test,
ECG, BP and that all came normal, gave me anginine(nitrate) to relieve the
pain had to give me like 3-4(2 in ambulance) throughout all these episodes
I also have a HEADACHE associated with it.
results of cardiac enzyme were,
My first chest pain episode were CK were in 900~ish and troponin lvl were
normal
2nd episode CK lvl dropped a little
3rd episode dropped a bit more
4th episode dropped more and troponin were normal in all.
after my 4th episode cardiologist finally saw me in emergency department
and asked me to do Stress MIBI, ok I had it done, did stress test with
MIBI and had the pain again after the excersise, radiologist showed me
heart under stress pics and normal I could see narrrowness understress and
he also said oh they are normal since you are athletic type of person,
basically he said your test is negative!
I went to cardiologist and all he had received was the report from
radiologist faxed copy that my stress MIBI is normal, now cardiologist
said you are fine don't take anginine or blood thinners, that concluded
the follow up.
2 days later I got the pain again while playing computer game
again(competetive game) and right now I am writing this I got the pain
running throuhg my left shoulder and throat now.
Help me please my pain is coming often now and I am scared that I might
cope it a big surprise and body is telling me do something.
BTW I do not smoke, I drink every 3-4 weeks thats if, I goto gym about
3-4- times a week mainly do weight training weigh about 110 kg not now
after the pain episodes I lost 5 kg so now I weigh 105kg. My spouse dont
believe me and she thinks its muscle related since I push heavy weight if
it was muscle related why do I get it while playing a computer game or
eating a meal..she is a nurse btw my dad is a doctor he thinks it might be
musclular too like all the people I talked to.
All I need is someone to understand me the pain is more frequent and
without excersise I dont goto gym now cos I am scared.
All I wanna know why would cardiologist not look at the pictures I had
from the origianal scan(stress MIBI) and believed radiologist report I am
not saying that radiologist is not competent what they are doing but
still..it's someone life that is on the edge.
Suggest me please how do I go about this I can't go private hospitals I
got no money only option I got is goto emergency whenever I am getting
this pain and they just send me back home next day and this pain keep on
coming back(squeezing) and more often( always with headache and now bit of
neck too)
P.S BTW how good is stress MIBI scan in terms of detecting CAD.
Sorry for the long post, I had to say all that to someone.
Sincerely
Sunny