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Tightness in chest, heaviness in left arm. Angina?

hi,have had a tightness in the chest of and on for a couple of years now,have had a scan on the heart , been on the tread mill twice now but nothing is showing up. Twice this week I have had a good walk noticing the tightness in the chest and now a I think my left arm felt a little heavy, once up the hill the tightness goes but I am feeling nobody believes me, is this angina, lynda
Asked On : Tue, 13 Nov 2012
Answers:  2 Views:  258
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General & Family Physician 's  Response

Thank for your query, Lynda.

Persistent chest tightness over the year actually doesn't suggest Angina. Angina typically occur during exertion like exercise, after a heavy meal or in the cold weather, mental stress etc and usually last for few minutes not hours. Rest often relieve Angina.

Sometimes, it becomes very difficult to differentiate the angina from other causes of chest discomfort like respiratory, gastrointestinal, musculoskeletal, psychogenic etc. Gastrointestinal reflux disease (GERD) which is so common often mimic Angina even in radiation to left arm.

Old age, Obesity, Smoking history, Hypertension, Sedentary lifestyle are usually associated with Angina. Diabetic old women often don't experience Angina as the nerve that convey pain get destroyed even they have heart attack.

ECG and Echocardiograph are often normal in angina if done in symptom free period.

However, don't be tensed as anxiety can cause such pain.

Be happy. Do regular exercise. Eat healthy. Quit smoking and Lose weight if appropriate...that's all.

Hope, this helps.
Answered: Wed, 14 Nov 2012
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General & Family Physician Dr. Pradipta Ghosh's  Response
hi.i have gone through your problems.

tightness in chest along with heaviness in left arm may be from heart disease like angina,ischaemia.

but you first inform me following:

1)your age

2) smoking habit

3) blood sugar level,lipid profile

4) working habit

5) blood pressure

do routine blood test like hemoglobin,lipid profile,blood sugar,sodium,pottasium,urea,creatinine.

monitor blood pressure.

avoid oily food,do meditation.

you must undergone ECG test,echocardiography,trade mill test to evaluate heart condition.

consult a cardiologist.

inform me in future.

i hope my advice will help you.bye
Answered: Wed, 14 Nov 2012
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