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

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?
Fri, 2 Nov 2012
Report Abuse
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!
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]
Share on
 

Related questions you may be interested in


Recent questions on Chest radiograph


Loading Online Doctors....
Chest Pain, Radiating To Left Arm, Pins And Needles Sensation, Swelling In Legs, Ankles. Causes For Symptoms?

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!