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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chest Pain After Exercising

I am a 45 year old juvenile diabetic with three stents int he last 3 years. I was an avid exerciser until about five years ago, and now when I ride my bike for even 15 minutes, my heart hurts afterward like somone took it out, stomped on it and put it back in. It is not like angina pains. I take a nitro pill before I ride. I am 5 ' 6" and 145 pounds. dont' drink or smoke and eat only super healthy foods..can you please help? thanks
Fri, 5 May 2017
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Pulmonologist 's  Response
Hello
Thanks for posting at HCM.
Since you have diabetes And history of heart disease with three stents and symptoms of chest pain after exertion, an angina cannot be ruled out. You define it as non angina pains. But any chest pain in a diabetic person with a history of heart disease should not be ignored.
You have premature heart disease with three stents already at the age of 45, so your pains cannot be underestimated before you don't feel it's typical angina pain. We must get you evaluated with a treadmill test which requires you to walk on a treadmill while your ECG is continuously being monitored and a 2 D echo.
Please get a TMT done.

Wishing you good health
Regards
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Suggest Treatment For Chest Pain After Exercising

Hello Thanks for posting at HCM. Since you have diabetes And history of heart disease with three stents and symptoms of chest pain after exertion, an angina cannot be ruled out. You define it as non angina pains. But any chest pain in a diabetic person with a history of heart disease should not be ignored. You have premature heart disease with three stents already at the age of 45, so your pains cannot be underestimated before you don t feel it s typical angina pain. We must get you evaluated with a treadmill test which requires you to walk on a treadmill while your ECG is continuously being monitored and a 2 D echo. Please get a TMT done. Wishing you good health Regards