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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Pain Side Chest, Arm, MRI Shows Compression C4-c5. Taking Hypertension Medicine, Blood, Stress Test, ECG, ECHO Done

i have pain in left side of chest and arm. the pain comes and goes. all tests such as blood tests, ecg, echo. stress tests are all normal. i am on medication for high blood pressure. during random checking of blood pressure readings range from 110/70 to 120/80. i do feel dizzziness sometimes
recently a mri done of the neck shows compression of the nerve at c4-c5
Fri, 26 Apr 2013
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Cardiologist 's  Response
Dear Harsh
Thanks for writing to us.
once a stress test is normal with good exercise capacity of patient, significant CAD is virtually out of the picture. and if you did not have the repetition of same symptoms during stress test and had good exercise capacity, again cause of symptoms to be anginal heart disease is virtually ruled out.
A pain which is in mid chest and comes always on exertion and relieves by rest is likely to be anginal or cardiac or heart pain. But if the pain comes suddenly, comes as a sudden very sharp pain, lasts for less than a minute, can be elicited by touch or pressure, does not comes up on exercise/running/exertion, it is more likely to be non-cardiac (non-anginal).
Your cervical spine lesion may be responsible for your pain but you need to consult your orthopedician for same.
continue taking your drugs for high blood pressure.
good luck
sincerely
sukhvinder
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Have Pain Side Chest, Arm, MRI Shows Compression C4-c5. Taking Hypertension Medicine, Blood, Stress Test, ECG, ECHO Done

Dear Harsh Thanks for writing to us. once a stress test is normal with good exercise capacity of patient, significant CAD is virtually out of the picture. and if you did not have the repetition of same symptoms during stress test and had good exercise capacity, again cause of symptoms to be anginal heart disease is virtually ruled out. A pain which is in mid chest and comes always on exertion and relieves by rest is likely to be anginal or cardiac or heart pain. But if the pain comes suddenly, comes as a sudden very sharp pain, lasts for less than a minute, can be elicited by touch or pressure, does not comes up on exercise/running/exertion, it is more likely to be non-cardiac (non-anginal). Your cervical spine lesion may be responsible for your pain but you need to consult your orthopedician for same. continue taking your drugs for high blood pressure. good luck sincerely sukhvinder