Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
169 Doctors are Online

Chest pain, radiating to left arm, pins and needles sensation, swelling in legs, ankles. Causes for symptoms?

I m a XXXXX. I have been experiencing severe chest pain that radiates to left arm with a pins and needle feeling in that hand . I have swelling in both legs, primarily in ankles and feet. Last week, they pain got so bad that I benauseous and went to ER. CXR was negative. Lab work negative. Dobutamine stress test was ok, exception they fact I had to be given atropine also because they said I was bradycardic. My HR stayed in the high 40 range. What is wrong with me?
Asked On : Thu, 1 Nov 2012
Answers:  1 Views:  311
Report Abuse
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Lab Tests
General & Family Physician 's  Response
I'm sorry you're not doing well. Despite the fact that your dobutamine stress test was normal, your history is highly suggestive of a heart problem. Dobutamine stress tests are only about 90% sensitive (meaning they miss coronary artery disease about 10% of the time), and the fact that you had to be given atropine to increase your heart rate could have reduced the sensitivity of your test even further. I suggest you return to your cardiologist as soon as possible to discuss the next step in your evaluation. I'm not convinced that coronary artery disease has been ruled out here.
I hope you have some answers soon!
Answered: Fri, 2 Nov 2012
I find this answer helpful
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]


Loading Online Doctors....
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor