My question to the esteemed Doctor is –do I need to worry at all to think that the pains which I am having is related to the heart in any way or blocked arteries? I am having persistent pain over the upper chest , upper back near d3-d4 region and left shoulder and arm which when pressing by the fingers hurts . ( surfing thro internet and talking to my doc, they say it is more or less aligned with symptoms of non cardiac pain – chostochondritis /fibromyalgia etc . I have had a treadmill done 4 and half years back which was negative. Recently had ecg done which was normal except that I have RBBB. I also had a 2-d echo resting which was normal . My holter showed a couple of pauses greater than 2.5 sec but with no associated symptoms which the doctor said would be termed asymptomatic but to report if any occasions of lightheadedness/ dizziness/blackout felt. My father and mother is on Bp medicine. No blood sugar. Dad is on pacemaker as used to have blackouts at particular positions of neck. Mother has arrhythmia and arthritis.I have a history of cervical spondolysis at c3-c4 as also lower back pain( due to mild bulge at l4-l5 with mild indentation on right foramina as revealed by MRI) . I walk briskly for 30 -40 mins covering about 3-4.5 kms and also swim for about 700 mtrs in 30 min. I do not experience any squessing sudden pain or feeling of neausea etc. I am at an executive level and practically sitting in front of computer and thro meetings. I try to keep my calorie intake at about 1500-1700 calories.

My details:

I am a married male of 44 yrs, Ht-5’ 6” ; wt at 88 kgs ( which is much higher than max 71 allowed and which I am trying to reduce), am a non alcoholic, non smoker, have not had any tobacco products, have not had tea or coffee till date. My present BP taken day before yesterday was 122/82. My total cholesterol is at 196, LDL, 111, HDL-46. I did not have blood sugar till date but recently after two summer months of having icecreams, cold drink and chocolates it is at a level of fasting 128-130 and PP 155.