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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes mild chest pain with tiredness?

Have mild chest pains after walkng for 20 minutes. They last about 15 minutes and when I slow down they go away. The rest of the day I just feel somewhat tired. Had echo,stress test on tread mill and angiogram CT scan. They said my heart is fine but I have some indictation of blocked arteries. One of them appears to be about 55-70% but they do not want to do an angiogram with stent. I had a liver transplant last Dec 2009 and it is fine. I maintain a good BP and pulse rate is a little low. After walking my BP is about 119/65 and HR is 62. Always, but I do have morning hypertension and am taking Cozaar and Norvasc along with Prograff,Imuran--Immunosurpressants for LIVER and Bactrim. The seem to cause headaches EVERY night about 2am that last for several hours. thought I was having a stroke but they ruled that out. Went to ER several times thinking that I was having a heart attack. EKG shows nothing and the heart enzyme tests are negative. I am puzzled. My dentist who is an avid runner said that I may be having ANGINA and to take my NITRO with me. I don t want to stop walking but this has been gpoing on for 3 months and nothing has been diagnosed? Thank You.
Fri, 28 Sep 2018
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Pulmonologist 's  Response
Hello,

If the coronary arteries are blocked then you should do a coronarography procedure however it is the cardiologist specialist that should order it. Please talk to your doctor.

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

Take care

Regards,
Dr Jnikolla, Pulmonologist
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