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Chest pain, radiating to left arm, pins and needles sensation, swelling in legs, ankles. Causes for symptoms?

I m a XXXXX. I have been experiencing severe chest pain that radiates to left arm with a pins and needle feeling in that hand . I have swelling in both legs, primarily in ankles and feet. Last week, they pain got so bad that I benauseous and went to ER. CXR was negative. Lab work negative. Dobutamine stress test was ok, exception they fact I had to be given atropine also because they said I was bradycardic. My HR stayed in the high 40 range. What is wrong with me?
Asked On : Thu, 1 Nov 2012
Answers:  1 Views:  311
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Question is related to
Diseases and Conditions
Lab Tests
General & Family Physician 's  Response
I'm sorry you're not doing well. Despite the fact that your dobutamine stress test was normal, your history is highly suggestive of a heart problem. Dobutamine stress tests are only about 90% sensitive (meaning they miss coronary artery disease about 10% of the time), and the fact that you had to be given atropine to increase your heart rate could have reduced the sensitivity of your test even further. I suggest you return to your cardiologist as soon as possible to discuss the next step in your evaluation. I'm not convinced that coronary artery disease has been ruled out here.
I hope you have some answers soon!
Answered: Fri, 2 Nov 2012
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