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Normal angio n stress tests but pain
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
Answers (2)
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Would suggest to under go Holter monitoring to see ecg rythm when you get angina
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Dr. Jivitesh Satija
Cardiologist
12 yrs exp
Noida
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.
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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.