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Dr. Andrew Rynne

Family Physician

Exp 18 years

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Angina diagnosis??

I am 42 years old and I was diagnosed with Stable Angina in May 2007, and put on Nitrodur Patch 0.4mg. I also went through an angiogram in June 2007, which showed Minimal blockages x2. My family doctor has stated that for someone my age that is Normal . (I had a complete Hysterectomy in 1999) I have gone through many test (stress test, Echo, EKG) everything has been returned as normal. My last EKG was done on April 22, 2008. The hospital reported to my family doctor that there were Minimal Ischemic changes , but my doctor has reviewed and stated that he is doubtful that I even have Angina. His Diagnosis is that more than likely my chest pains are due to heart burn or irritable Bowel Syndrome. I have also been told by hospital staff that I have a very low heart rate 50-55 BPM, But when I go see my family physician my heart rate has been anywhere from 56-86 BPM. What is the possibility of getting normal readings from all these tests and still have angina
Tue, 15 Dec 2009
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  User's Response
You need to see your cardiologist. "minimal blockages" are not normal for a woman in her 40's, maybe her 60's. Also women with a heart disease are 10 times more likely to be underdiagnosed therefore leading to more extreme cases when they are older. I would see a cardiologist specializing in women. Women's chest pains or angina present in a different pattern and fashion than do men. Women typically have a more heart burn type feeling, a burning to the right side (i.e. arm or chest) than the left (although the left is still a strong indicator in both sexes). Heart rate can vary depending on your mood, what you were just doing etc. Hope this helps.
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