Brief Answer:
Negative stress tests exclude coronary disease, with high probability

Detailed Answer:
Hello. Thank you for your question and welcome to HCM. I understand your concerns.

Well, with a history of three consecutive negative cardiac stress tests, probability of coronary artery disease is very very low. Typical angina is more like a tenderness or heaviness or squeezing pain in the mid chest, triggered by effort and relieved with rest, that also radiates to the jaw, left shoulder and left arm. Considering your age of 37 years old, further minimizes the possibility of a coronary artery disease. Atypical cases of anginal presentation are not impossible. If I wouls have been your doctor, I would do an EKG and measurement of CK-MB and Troponin - highly specific tests that display a certain suffering of heart muscle from ischemia (when a blockage in a coronary artery impedes oxygen supply to the heart muscle). With all these said, if the tests were negative for coronary artery disease, it would be safe to exclude the coronary origin of your burning sensation, and I would focus more on other possible origins of this phenomenon. I would not recommend coronary angiography. In this scenario, it would only be the typical anginal pain that would make me recommend an angiography, after other origina have been sought.

It ia clear you have gastritis and esophagitis, confirmed by the upper GI endoscopy you have undergone three months ago. This is a kind of inlammation that, even when treated, can be reactivated if some beverages or food or lifestyle forms are present in your life. These are the culprits of keeping the inflammation "alive". If these are not reduced in intake, then medical treatment only alleviates the symptoms and the basal diagnosis is not completely cured. I am referring to coffee and other caffeine-containing beverages, alcohol, tobacco, chocolate, pickles, fried and spicy food, that keep the inflammation to the gastro-oesophageal mucosa "alive". At this point, my opinion is that the gastric origin of the burning sensation should be sought. If it is excluded, then it would be appropriate to take coronary angiography into consideration.

I hope I was helpful with my answer. I am happy to help, if you have further questions. Wish you a good health.

Best regards,
Dr. Meriton

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Brief Answer:
I hope that will sort your problem..

Detailed Answer:
Welcome back.

I am really glad I was of help. Feel free to ask any time.

I kindly ask you to rate my answer, if you do not have further clarifications.

Kind regards,
Dr. Meriton

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Brief Answer:
May be connected to the eating habits

Detailed Answer:
Hi again.

I understand your concern, but it also may be related to food intake habits. I recommended you to pursue the path of a possible and now known problem with your stomach, after carefully considering all the cardiac factora that may eventually lead to a certain problem. If I would be your doctor, I would clarify the test results I suggested in my first answer to the query, but my opinion remains that this is not a problem generated from coronary arteries, assuming that a cardiac stress test would have showed that there is this kind of problem.

I hope this helps. Wish you a good health.

Dr. Meriton

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