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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Mild chest discomfort. Family history of CAD. Small PFO with flap on echo. Suggestions?

Hi, I am a 33-year-old male, nonsmoker, non-diabetic, normal lipids, FAMILY HISTORY OF CAD, both father and mother, sedentary life style, daily exerciser, avid runner on treadmill, h/o having center chest discomfort since 2010, had been to a cardiologist, EKG negative, enzymes negative, TMT differnet doctors with different opinion. RBBB, ST- depression. ECHO- Small PFO with flap. Had exercised today too - with mild discomofrt, but able to complete a full 5 kilometers

Mon, 29 Apr 2013
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Cardiologist 's  Response
Dear Sir,
Thanks for writing to us.
The most important thing in your description is TMT for which you have written that there are different opinions by different doctors. A discomfort which is in mid chest, comes with exercise and goes with rest is likely to be anginal and TMT is next investigation which will guide us. A good exercise capacity and absence of symptoms during test favors absence of significant disease and a negative TMT with these two, rules out angina as cause of your symptoms. u hope i clarified the concept to you. Beyond this, opinion is not feasible without having a look at your TMT.
sincerely
sukhvinder singh
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Mild chest discomfort. Family history of CAD. Small PFO with flap on echo. Suggestions?

Dear Sir, Thanks for writing to us. The most important thing in your description is TMT for which you have written that there are different opinions by different doctors. A discomfort which is in mid chest, comes with exercise and goes with rest is likely to be anginal and TMT is next investigation which will guide us. A good exercise capacity and absence of symptoms during test favors absence of significant disease and a negative TMT with these two, rules out angina as cause of your symptoms. u hope i clarified the concept to you. Beyond this, opinion is not feasible without having a look at your TMT. sincerely sukhvinder singh