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What causes pain in the chest and arms despite negative ECG results?

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Practicing since : 2001
Answered : 4855 Questions
Hi doctor,

I have small pain in around my chest and in my arms sometimes. This is scaring me... I went to the hospital few weeks ago for another reason (i felt like i was gonna faint) and they madr an ECG. The results were good.

They gave me some diazepam for 1 week but i did not take it.

if i was at risk to make a heart attack. would that ECG prevent it ?

should i worry ?

Thank you

i am 33 years old, i smoke and i work a lot..
Mon, 23 Apr 2018 in Hypertension and Heart Disease
Answered by Dr. Ilir Sharka 1 hour later
Brief Answer:
My opinion as follows:

Detailed Answer:

Welcome back on HCM!

Your symptoms are not typical of a heart attack.

Besides, a normal ECG is very reassuring that nothing serious is going on.

Anyway, considering the fact that a normal resting ECG does not exclude possible myocardial ischemia in 100% of the cases, I would recommend performing some other tests to help totally exclude any cardiac disorders :

- cardiac enzymes
- a cardiac ultrasound
- an exercise cardiac stress test.

Hope you will find this answer helpful!

Wishing all the best,


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