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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chest Pain With 30% Of Blockage?

My wife just had an arteriorgram via the wrist. She had chest pain and received relief with a nitro spray. She has been diagnosed with Atrial Fib. The cardiologist found a 30 percent blockage. He said this was not sufficient to cause her chest pain. Where do we go from here to determine what causes her chest pain?
Mon, 2 Jan 2017
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Cardiologist,  's  Response
Hello and welcome to 'Ask a Doctor' service.

I have reviewed your query and here is my advice. It's unlikely to have chest pain with 30%, now there are two possibilities, one is gastritis which mimic heart disease and do respond to nitroglycerin spray. For that try tab pantoprazole once a day before breakfast.

Also avoid hot, spicy, oily food. Avoid heavy meals instead have multiple small meals and don't lie down immediately after meals instead have walk for sometime. Second possibility is blockages small vessel disease which is difficult to pick on angiography which will also respond to nitroglycerin spray.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Sagar Makode
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What Causes Chest Pain With 30% Of Blockage?

Hello and welcome to Ask a Doctor service. I have reviewed your query and here is my advice. It s unlikely to have chest pain with 30%, now there are two possibilities, one is gastritis which mimic heart disease and do respond to nitroglycerin spray. For that try tab pantoprazole once a day before breakfast. Also avoid hot, spicy, oily food. Avoid heavy meals instead have multiple small meals and don t lie down immediately after meals instead have walk for sometime. Second possibility is blockages small vessel disease which is difficult to pick on angiography which will also respond to nitroglycerin spray. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sagar Makode