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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chest And Shoulder Pain

i was having a pain around 4 months back, around my chest, left shoulder, left arm and neck. it was sort of localized pain, having a piercing sensation. it used to come and go, but was pretty frequent. i had an ECG done, and the doctor initially said that i was a bit ischemic. i consulted a cardiologist, who told me that ecg is not sufficient, and ordered a lipid profile, echocardiogram and stress test. these all came back absolutely normal.he said my heart was in excellent state, and it was due to stress. the intensity and frequency of pain has reduced substantially now, though now and then, i do have a piercing sensation, which i feel is very superficial, as if it is on the skin itself. also, i tend to get a crawling sensation every now and then. besides, ever since my ecg, i have a feeling that i actually have a heart disease which did not get caught in the later tests. is it possible that the tests came out ok though i have heart problems. i used to study a lot lying down on my chest and propping myself up on my left shoulder prior to my problems. also,lately, i can feel my heart beating while lying down                                                                  
Wed, 1 Oct 2014
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,
Chest pain, left shoulder, left arm and neck are most probably due to cardiac ailment probably ischemic heart disease (IHD).
The investigations- ECG, echocardiography, stress test (TMT) and angiography are the investigations done to look for any disease in the heart vasculature.
Besides cardiac disease, diseases of lung and musculoskeletal system can be examined to look for any problem of these systems.
However, you are experiencing a rapid heart rate, you need to consult a cardiologist again.
Assessment of the cardiac health is required at regular intervals.

Thanks and take care
Dr Shailja P Wahal

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Suggest Treatment For Chest And Shoulder Pain

Hello and welcome to HCM, Chest pain, left shoulder, left arm and neck are most probably due to cardiac ailment probably ischemic heart disease (IHD). The investigations- ECG, echocardiography, stress test (TMT) and angiography are the investigations done to look for any disease in the heart vasculature. Besides cardiac disease, diseases of lung and musculoskeletal system can be examined to look for any problem of these systems. However, you are experiencing a rapid heart rate, you need to consult a cardiologist again. Assessment of the cardiac health is required at regular intervals. Thanks and take care Dr Shailja P Wahal