HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest Treatment For Unstable Angina With Recurring Bouts Of Chest Pain

I am being treated for unstable angina. Drs are not yet certain of the cause since heart cath showed no blockage. On isosorbide and librax until after endoscopy. I am still having episodes but they are not as painful as they were to start with. As a 55 yr old woman, what suggestion do you have for me to pursuing a diagnosis?
Tue, 21 Mar 2017
Report Abuse
General & Family Physician,  's  Response
Hi, thanks for your question.

I understand your worries, but since the pain has been subsiding, your doctors are on the right track.

However, the first set of tests to accurately diagnose unstable angina are the 12-lead electrocardiogram(ECG) and cardiac enzymes test. The latter uses the concentration of chemicals produced in the heart to diagnose problems with the heart.

Furthermore, isorbide and librax are not the first line drugs, and thus are relatively poor for the treatment of angina. Aspirin or cloppidogrel, fat-lowering drugs such as rosuvastatin, and betablocking drugs such as atenonol are the best drugs for treating unstable angina. You might want to review these with your doctors.

Additionally, i believe the endoscopy test you referred to is to exclude heartburn and other esophageal problems. If those are excluded, angina becomes the sole definitive diagnosis.

I hope i have answered your question.

Best wishes.
I find this answer helpful
Note: For further follow up on related General & Family Physician Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
Suggest Treatment For Unstable Angina With Recurring Bouts Of Chest Pain

Hi, thanks for your question. I understand your worries, but since the pain has been subsiding, your doctors are on the right track. However, the first set of tests to accurately diagnose unstable angina are the 12-lead electrocardiogram(ECG) and cardiac enzymes test. The latter uses the concentration of chemicals produced in the heart to diagnose problems with the heart. Furthermore, isorbide and librax are not the first line drugs, and thus are relatively poor for the treatment of angina. Aspirin or cloppidogrel, fat-lowering drugs such as rosuvastatin, and betablocking drugs such as atenonol are the best drugs for treating unstable angina. You might want to review these with your doctors. Additionally, i believe the endoscopy test you referred to is to exclude heartburn and other esophageal problems. If those are excluded, angina becomes the sole definitive diagnosis. I hope i have answered your question. Best wishes.