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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Crushing Pain In The Middle Of The Chest. Diagnosed As Mild CAD. Prescribed Medicines. Suggestions?

Hi I have just come home from hospital a day ago after going to Emergency , experiencing crushing pain in the middle of my chest , through to my back and a headache that hit me in the forehead and backwards. angiogram was performed and an ultra sound of the heart and up to my jaw. the results were good i was told - minor coronary artery disease - Iwas given Aspiririn !))mg, Rosuvastatin 5mg tablets. However I don t really have an answer yet - this has been the 5 th time to emergency and admission.Can you guide meas to right way to go in clearing this up or managing it . Ido suffer from reflux and take Nexium 40mg .
Sat, 30 Mar 2013
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Cardiologist 's  Response
it is very good that you have no significant coronory artery disaes , there are other reason of causing chest pain
Gastrointestinal-- Gastroesophageal reflux disease (GERD) and other causes of heartburn, Hiatus hernia, Achalasia, nutcracker esophagus and other neuromuscular disorders of the esophagus
Functional dyspepsia
Costochondritis or Tietze's syndrome - a benign and harmless form of osteochondritis often mistaken for heart disease
Radiculopathy
Psychological -- Panic attack,Anxiety,Clinical depression,Somatization disorder,Hypochondria

consult with good physician and investigate thoroughly
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Crushing Pain In The Middle Of The Chest. Diagnosed As Mild CAD. Prescribed Medicines. Suggestions?

it is very good that you have no significant coronory artery disaes , there are other reason of causing chest pain Gastrointestinal-- Gastroesophageal reflux disease (GERD) and other causes of heartburn, Hiatus hernia, Achalasia, nutcracker esophagus and other neuromuscular disorders of the esophagus Functional dyspepsia Costochondritis or Tietze s syndrome - a benign and harmless form of osteochondritis often mistaken for heart disease Radiculopathy Psychological -- Panic attack,Anxiety,Clinical depression,Somatization disorder,Hypochondria consult with good physician and investigate thoroughly