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Frequent Chest Pain At Night, All Reports Normal. Reasons ?
Hello sir, my father is having chest pain at night frequently. We took him to hospital and had blood test include lipid profile and CBC, ECG and ECHO. All the reports are normal. My father also had gone through angioplasty 10years ago. But now all the reports are normal. So I want to ask what can be the reason behind this?
Mon, 3 Jun 2013
Hi friend,
Welcome to Health Care Magic
A decade after angioplasty, any chest pain should be investigated as HEART PAIN – UNLESS PROVED OTHERWISE. He needs to be investigated for Coronary Artery Disease. Resting ECG and ECHO are not enough.
TMT (Treadmill Exercise ECG) with thallium isotope, is the next step. It is the ideal non-invasive way to evaluate ischemia / to assess the PHYSIOLOGY (function) – to see whether the blood arriving at the heart muscle.
If there is a suggestion, the next step is to see the ANATOMY (structure) – undergo catheterisation and coronary angiography with a view for possible intervention. It is the only way to directly ‘see’ the block, if any – and its location, extent, severity and so on. Coronary arteriography is invasive but it is the gold standard for this.
[CT angio is non-invasive study for the anatomy. If positive, he will need catheterisation, anyway.]
Take care
Wishing speedy recovery
God bless
Good luck
Welcome to Health Care Magic
A decade after angioplasty, any chest pain should be investigated as HEART PAIN – UNLESS PROVED OTHERWISE. He needs to be investigated for Coronary Artery Disease. Resting ECG and ECHO are not enough.
TMT (Treadmill Exercise ECG) with thallium isotope, is the next step. It is the ideal non-invasive way to evaluate ischemia / to assess the PHYSIOLOGY (function) – to see whether the blood arriving at the heart muscle.
If there is a suggestion, the next step is to see the ANATOMY (structure) – undergo catheterisation and coronary angiography with a view for possible intervention. It is the only way to directly ‘see’ the block, if any – and its location, extent, severity and so on. Coronary arteriography is invasive but it is the gold standard for this.
[CT angio is non-invasive study for the anatomy. If positive, he will need catheterisation, anyway.]
Take care
Wishing speedy recovery
God bless
Good luck
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