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Severe chest pain, loud heartbeat, fluctuating BP. Holter test, echo, stress test, hormone test normal. Treatment?

I have woke the last 2 days with a heavy chest pressure. last month started getting heavy pressure in chest with string heartbeat . Cardiologist says 24hr Holter, echo, and stress test normal...nothing to treat. Hormones normal...not typically an anxious person. I am 43 in am an extreme sports enthusiast. Things dont scare me...what could bee going on?? My bp fluctuates from 180/100 to normal rates.
Asked On : Sat, 14 Jul 2012
Answers:  1 Views:  106
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Question is related to
Lab Tests
Cardiologist 's  Response
Dear patient,

One of the possibilities that could be contemplated from a heart standpoint would be that of endothelial dysfunction, a tendency of the heart vessels to suffer spasm at rest usually; episodes can be more frequent at night time. A stress test would not precipitate it usually, and to do that, an angiogram with a provocative spasm phase can be recommended. Nonetheless, horses being more common than zebras, other causes of non cardiac chest pain include esophageal reflux or spasm, gastritis, costochondritis or muscle sprains from the thoracic wall. I encourage you to talk to your cardiologist about appropiate referrals and workup if one of these possibilities is contemplated higher in the differential.

Yours truly,

Dr Brenes-Salazar MD
Mayo Clinic MN
Answered: Tue, 23 Jul 2013
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