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Chest pain & discomfort
One year ago done coronary angiogram report is ' normal epicardial coronaries, large calibre vessel with delayed dye clearance ' with zero calcium score. Hdl 64, tg 46, ldl 54, hs-crp 0.48 two months ago report. Echo normal (65% ef), ecg normal. Sinus rhythm.
Non smoker, non diabetic, non alchoholic
Please suggest what to do? Symtomps are still hampering quality of my life badly.
Is it a cardiac problem? If yes, can it be life threatening?
Should i repeat angiogram once again?
Plzzz help
Answers (5)
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Consult superspecialist like cardiologist
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Consult a cardiologist physically, Las clinical evaluation also needed.
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• Findings strongly suggest non-obstructive heart disease.
• With normal angiogram, zero calcium score, normal echo (EF 65%) and ECG, chances of a life-threatening cardiac problem are very low.
• Persistent symptoms are more likely due to coronary slow flow / microvascular angina or non-cardiac causes (anxiety, GERD, musculoskeletal pain).
Is repeat angiography needed?
• No, not indicated at present unless new high-risk features develop.
Next Steps
• Start/optimize beta-blocker or calcium channel blocker
• Consider ranolazine if chest discomfort persists
• Do stress test with imaging (TMT-Echo / nuclear) for reassurance
• Evaluate anxiety/panic disorder and GERD
• Lifestyle: daily walk, stress control, good sleep
Health Tips
• Symptoms are real but not dangerous
• Avoid repeated invasive tests without new evidence
• ER visit only if severe chest pain, syncope, or breathlessness at rest develops
Bottom line:
This is not a life-threatening heart condition. Focus on symptom control and non-cardiac causes rather than repeat angiography.
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.