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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chest Pain, Cholesterol And Diabetes Test Normal, ECG Done. Next Step?

My mom was having chest pain on 29.11.2012 left side. . we immediately had ecg then we have taken advice from 2 doctors one doctor told do CT angio and other doctor said that due to BP and diabetes heart beat fluctuates some time. At present she is ok she is not having any pain even we have did her cholesterol test and diabetes test both are normal. Please advice what to be done.
Wed, 5 Dec 2012
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Cardiologist,  's  Response
Hi friend,
Welcome to Health Care Magic

Absence of pain at present does not exclude heart problem.
This is especially true in diabetic.

Your mother must be investigated for Coronary Artery Disease.
The next step is stress test – TMT (Treadmill Exercise ECG) / preferably with thallium isotope – will be the ideal way to evaluate ischemia.
This is to assess the physiology (function).

If there is a suggestion, the next step is to see the anatomy.
She must undergo catheterisation and coronary angiography with a view for possible intervention.
Coronary arteriography is invasive but it is the gold standard for this.

[CT angio is non-invasive study for the anatomy. If positive, she will need catheterisation, anyway.]

Take care
Wishing speedy recovery
God bless
Good luck
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Chest Pain, Cholesterol And Diabetes Test Normal, ECG Done. Next Step?

Hi friend, Welcome to Health Care Magic Absence of pain at present does not exclude heart problem. This is especially true in diabetic. Your mother must be investigated for Coronary Artery Disease. The next step is stress test – TMT (Treadmill Exercise ECG) / preferably with thallium isotope – will be the ideal way to evaluate ischemia. This is to assess the physiology (function). If there is a suggestion, the next step is to see the anatomy. She must undergo catheterisation and coronary angiography with a view for possible intervention. Coronary arteriography is invasive but it is the gold standard for this. [CT angio is non-invasive study for the anatomy. If positive, she will need catheterisation, anyway.] Take care Wishing speedy recovery God bless Good luck