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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Chest Pain With High BP And Cholesterol?

Hello, I was getting shooting pains in my chest so I went to my family Dr. She told me that the pain I was describing was not heart related. A few days later I had the shooting pain again so went to ER. The did a ecg and a chest x ray and blood work, they told me all was fine but I needed to stay for observation and so they could repeat the cardiac blood work through the night and ecgs. The nurses told me the ecgs were normal as was the cardiac blood work. The cardiologist came in the next day and told me that the cardiac blood work and the ecgs were all normal and I could go home but he wanted me to have a stress test as an outpatient. I then got a call two days later from a nurse stating they wanted to schedule a nuclear stress test because my ecg was abnormal. I explained they told me it was normal? She said I have high blood pressure and high choloesterol. She said the reasons she is giving the insurance company for pre approval is high cholesterol, high blood pressure, familly history, chest pain, sinus tach, right conduction delay and can't rule anterior wall infarct. I am very confused because I even wore the heart monitor the entire day in hospital and was told it was normal by dr. and nurses. Now ive been reading on line that this would mean I had a heart attack. Does any of this make sense? I am scheduled for a nuclear stress test in a couple weeks.
Tue, 19 May 2015
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Cardiologist 's  Response
Well you have all risk factors present for ischaemic heart disease.various tests of diagnosis have limitations.means it can give false positive or false negative result.this is quite common with resting ECG.
I suggest you to undergo echicardiography and if it shows wall motion abnormality you must undergo coronary angiography.
Meanwhile please continue aspirin and statin.
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How To Treat Chest Pain With High BP And Cholesterol?

Well you have all risk factors present for ischaemic heart disease.various tests of diagnosis have limitations.means it can give false positive or false negative result.this is quite common with resting ECG. I suggest you to undergo echicardiography and if it shows wall motion abnormality you must undergo coronary angiography. Meanwhile please continue aspirin and statin.