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Normal angio n stress tests but pain

2025-11-27 11:13:33
Hlo doctor I Had a normal ICA (0% stenosis). Prior CTCA, multiple ECGs during pain, and Trop tests also all normal. But I still get classic angina-type — chest heaviness/tightness, L arm + jaw discomfort, occasional sharp pain, and a strong uneasy feeling. These don’t follow typical CAS/spasm pattern (not early-morning/rest onset). Tried Nicorandil, Sorbitrate (SL), gastric + anxiety meds — minimal benefit. With a normal ICA + normal tests, what could be the cause of these angina-like sx? My family doc thinks its somatic disorder
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Answers (2)

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Is echo normal ? Thickness of IVS on Echo ? Hypertension? Any substance use ? Family history ?
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Would suggest to under go Holter monitoring to see ecg rythm when you get angina

Answered2025-11-27 13:44:58

YESNO

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Can’t comment without seeing the patient personally. But if cardiac disease has truly been ruled out, the most common causes for such symptoms are musculoskeletal, gastric or psychosomatic problems. Assess your diet, lifestyle, stress, sleep status. Correct accordingly.

Answered2025-11-30 13:42:40

YESNO

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