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Clear arteries still angina?
I’ve been experiencing angina-like symptoms for several months.
I get intermittent chest discomfort, left arm heaviness, and jaw pressure. Today since morning, my left arm has been feeling tight and heavy, both at rest and during activity.
3 weeks ago had angiogram which showed normal arteries with zero blocks . stress echo was also normal.doc told me that despite the symptoms sounding typical of angina, they are non-cardiac.
But symptoms keep returning and feel very typical of heart-related pain, I still feel worried. What could be the possible causes of such symptoms despite normal angio..
And should I be concerned about my heart?
Answers (36)
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Normal angiography
Nothing to warry
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Could be due to spasm of arteries
Kindly consult a cardiologist
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It can be due to muscle spasms, arterial spasms or gastritis. So we have to rule out these first and also at the same time not neglect the heart too. Regular checkups with cardiologist is suggested
Next Steps
Consult me on practo for further guidance to rule out other possible reasons
Health Tips
regular excercise, brisk walk daily, healthy life style is recommended for u
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Start flavidom mr teice daily for next 10 days
Advice blood test cbc lft kft esr
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With zero blockage of the coronary arteries,the pain you are experiencing could be due to either muscular, gastric issues or rarely coronary artery vasospsm ,a condition you may discuss with your cardiologist as a rare possibility
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Health Tips
Microvascular angina
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Consult psychiatrist once
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As per your history and test reports it seems its mostly gastritis problem, heart seems fine. Take pantop , monitor the symptoms. Get ECG and TMT done after few days if symptoms persist. For more you can connect.
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DO TMT
LIPID PROFILE
TFT
AND CONNECT ONLINE
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Normal reports
Tab.pan 40mg (1-0-1) before food for 5 days for symptoms
Stay hydrated
Avoid stress
Walking of 30 mins after having meal
Sleep should be adequate 6-8 hrs
Do not go to bed immediately after dinner
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Considering your age and previous normal angio report, most probably angina like chest pain is due to gastritis.
But before coming into such a conclusion, do an ecg and do a tmt test ( to know exercise tolerance) and consult a cardiologist.if everything is normal you can treat this as severe gastritis.for further doubts do online consultation
Next Steps
visit a cardiologist
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Repeat ecg, TMT. Also do blood sugar and lipid profile done.Share results.
For now, take tab paracetamol 500mg one sos, when pain occurs,
tab pantaprazole 40mg one daily before breakfast for 7 days.
Avoid heavy, fatty, spicy meals.
Next Steps
Connect online.
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As per the reports provided their seems no problem with the heart...it seems gastrointestinal or muscular problem.
Kindly connect for management.
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Kindly take a repeat ecg ..have a tab pantop. Need more details kindly connect directly on practo
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Try to have a pulse oximeter.. measure the heart rate and Measure BP at the symptoms occuring.. consult sos at practo
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Heart is perfectly fine. Dnt worry. Go with symptomatic treatment. Kindly consult with me on 94 two six 86 seven eight 96.
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As these or normal, It could be gastrointestinal issues
Get trop I test, and consult cardiologist
And gastroenterologist opinion for your relief
Health Tips
Keep hydrated
Follow healthy lifestyle
Consume fibre rich diet
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Gas, acidity, gastritis????
Muscular pain??
Most probable cause.
Change life style n diet plan drastically first.
Tab nexpro RD40 ONE IN EMPTY STOMACH FOR 7 days.
Mucain gel 10ml without water nothing by mouth till 30min can be taken 3to4 times.
Flexon Mr two times a day after food for 3to5 days.
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Hello,
I can understand the worry you are going through. But the gastrointestinal issues can also causes same symptoms. So to be sure we do ECG and 2D Echo, since they are normal, please consult for the gastro symptoms to be verified.
Thank you
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Since your stress echo turns out to be normal and also cardiologist had said you that it's non- cardiac pain I have few more questions
1) Do you have regurgitation ( it can also be gastric or duodenal ulcer)
2) R u an alcoholic ( Check your serum amylase and lipase levels)
3) Does your pain decrease with rest
I would also recommend you to take an MRI Cspine with whole spine screening to rule out cervical spondylosis which also presents with similar symptoms
So for more explanation and if any doubt consult with me on practo
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Dr. Shahbaz Khan
General Physician
4 yrs exp
Delhi
Consult a cardiologist for further evaluation
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Dr. Shaikh Huzaif
General Physician
18 yrs exp
Aurangabad
Please consult
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Dr. Davra Kaushalkumar Dilipbhai
General Physician
6 yrs exp
Ahmedabad
Yes
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Dr. Konica gupta
General Physician
4 yrs exp
Ghaziabad
It might be due to some nerve compression or b12 or d deficiency
Next Steps
Kindly consult
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Dr. Neethi
General Physician
16 yrs exp
Bangalore
What’s your occupation are there any stressors? Any particular time you get them?
Any family history of cardiac diseases ?
Next Steps
If pain persists get an ECG to rule out,
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Dr. Laxmi Koppishetty
General Practitioner
8 yrs exp
Rajahmundry
Could be health anxiety .. Consult psychiatrist .. Symptoms could be treated
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Normal
Pls don’t worry
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Dr. Kishore R
Ayurvedic Endocrinologist & Internal Medicine Specialist
3 yrs exp
Salem
Hello, I can completely understand how frightening and frustrating it must be to experience these symptoms, especially when you're so worried about your heart. Your feelings are valid, as the symptoms mimic heart-related pain. Let me answer your most important question first: "Should I be concerned about my heart?"
The tests you had (Coronary Angiogram and Stress Echo) are the gold standard for ruling out heart artery blockages. Having a normal angiogram at age 26 is the most powerful and definitive reassurance you can get. It definitively means your symptoms, while real and uncomfortable, are not being caused by a blocked artery and you are not at risk of a heart attack from coronary artery disease.
So, what are the possible causes?
You are experiencing what we call Non-Cardiac Chest Pain (NCCP). This is very common. Based on your description (pain at rest and during activity), the most likely causes are:
Musculoskeletal Pain: This is the #1 cause. Inflammation of the rib cartilage (Costochondritis), a pulled pectoral muscle, or even a pinched nerve in your neck (Cervical Radiculopathy) can send pain to the chest, arm, and jaw.
Gastrointestinal Issues: Severe acid reflux (GERD) or esophageal spasms can feel exactly like a heart attack, including the jaw and arm pain.
Anxiety/Panic: This is not 'in your head.' High anxiety and panic can cause very real, physical symptoms like chest tightness, muscle tension (in your arm/jaw), and a feeling of heaviness. The worry about the symptom then creates a feedback loop, making the symptom worse.
Next Steps
The correct next step is to stop re-investigating the heart (which we know is healthy) and start investigating these other, much more likely, causes.
Health Tips
I strongly recommend a paid consultation so we can do a deep dive into your symptoms: When do they start? Is it related to food? To posture? To stress? This will help us find the true non-cardiac source and get you the right treatment. You can book a consult via my profile. This is my contact number eight two four eight double zero seven zero three five
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Do connect and consult
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
No worries
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Dr. Pooja Lalrintluangi Fanai
General Physician
5 yrs exp
Delhi
You should take cardiologist opinion and do your latest ECG
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Take cardiologist opnion
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