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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain In Shoulder. Stress Test And Heart Pain. Emergency?

On Wednesday, I experienced pain in my left shoulder upon waking in the morning. It went away immediately. I had no further symptoms. I went for a 10 mile walk that day and continued to feel no further symptoms. That night as I lay in bed reading, all of a sudden I had a weird sensation in my left shoulder again. It just vanished. I went to sleep. Thursday I woke up and felt fine but there were two instances where I felt some shortness of breath. I do suffer from anxiety so I attributed to that. (Anxiety over what I had felt and what to do about it.) Today, (Friday) I went to the gym and did a 45 minute cardio workout with ease. However, reading all this information about what the pain in my left arm could mean is giving me some anxiety. I am trying to decipher if I really am having something cardio going on. I have had no symptoms since Wednesday. I had a full cardio work up about a year ago, including a stress test and sonogram of heart because I was having lots of pain in my left arm. The doctor told me I am the healthiest patient he has and my symptoms are not cardiac related. How do I know if my shoulder pain is my heart or if I have some other shoulder issue? I have to stop reading the Internet because It s giving me anxiety. When do I run to the ER?
Thu, 27 Sep 2012
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  User's Response
Hello.. thanks for writing us..
As I always request to my patients that you should write complete medical history including your age, sex, presence or absence of Diabetes, Hypertension, any other illness of you or your immediate blood relative, habbit of smoking , alcohol etc..

your pain doesnt looks like cardiac pain.

Typical cardiac pain will present like squeezing, pressing or sometimes burning pain in substernal, parasternal, lower jaw or epigastric region that usually lasts for more than 20 minutes, increased by stress both physical and emotional, food, anxiety and relieved by rest or nitrates.

Dont worry .. as your cardiac work up was normal everything seems to be normal

Best wishes for healthy life
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Pain In Shoulder. Stress Test And Heart Pain. Emergency?

Hello.. thanks for writing us.. As I always request to my patients that you should write complete medical history including your age, sex, presence or absence of Diabetes, Hypertension, any other illness of you or your immediate blood relative, habbit of smoking , alcohol etc.. your pain doesnt looks like cardiac pain. Typical cardiac pain will present like squeezing, pressing or sometimes burning pain in substernal, parasternal, lower jaw or epigastric region that usually lasts for more than 20 minutes, increased by stress both physical and emotional, food, anxiety and relieved by rest or nitrates. Dont worry .. as your cardiac work up was normal everything seems to be normal Best wishes for healthy life