My husband was 38 years old. His height was 5.7 and weight is 90kg. Last year he diagnosed with the antral gastritis with erosion and distal oesophageal ulceration. He had not taken any medications for that. He had mild fatty changes in liver and kidney stone with 4.7mm in the left side lower pole.       Last month he had a muscle strain on the back and he went to outstation with that. Within three days he get a sudden chest pain and back pain. He taken the ecg that states left branch bundle block in that. After that we went to another hospital and taken all the test except angio. A) We took the echo that interprets us 1. Dilated left atrium 2. Normal LV Systolic function (LVEF =65%) 3. Grade I LV Diastolic dysfunction. 4. Septae Intact 5.Left Aortic Arch B) Blood test : Sodium = 133 mmol/I Direct billruin = 0.7mgs CPK = 135 IU/L CPK – MB = 11 IU/L C) Lipid profile : HDL Cholestrol = 32 LDL Cholestrol = 143 Blood Sugar (F) = 104mgs/dl Blood Sugar (PP) = 117mgs/dl D) BP Always he had 140/100 At last we have taken the treadmill test too. I have attached the reports for your consideration. Most probably his job was more stressful. After these test doctor told to take angio test for the clarification but my husband was afraid to take the test so we left the hospital. After two days itself he get a muscle strain on the back it will continues till date for more than 25 days. With that he had a chest pain for the past 10 days. He had a discomfort to bend. He had not taken medications till date. PLEASE help us to clarify a)     What is the main cause? b)     Is medication can cure his problems? c)     Is there any big issues on his health? d)     Is it necessary to take angio? e)     What is the health problem for him? f)     Is that any other test to diagnose without disturbing his body like treadmill to find the root cause? ECHO CARDIOGRAM M MODE MEASUREMENTS AO           3.3CM LA           3.4CM RV          3.0CM IVSD          1.1CM IVSS          1.4CM LVIDD          4.0CM LVIDS          2.4CM LVPWD          1.0CM LVPWS          1.5CM FS          45% 2D ECHO MEASUREMENT SV          50ML LVEF          65% LA          5.1 X 3.9CM RA          4.6 X 2.7CM DOPPLER MEASUREMENT : Mitral Valve velocity          :      E : 0.7           A:0.6M/SEC Aortic Valve velocity          :     1.2m/s Pulmonary Valve velocity     :     1.0m/s TREAD MILL TEST      : Stage     Stage Time     Speed     Grade     METs     H.R.     B.P.     R.P.P. X 100 Ex Start                    1.0     124     -     0 Stage 1     2.30     1.7     10.0     4.1     144     130/80     187 Stage 2     2.10     2.5     12.0     6.4     173     130/80     224 Peak Ex     2.19     3.4     14.0     9.5     196     150/80     294 Recovery     1.00     0     0     1.2     176     150/80     264 R13ecovery     2.00     0     0     1.0     165     150/80     247 Recovery     3.00     0     0     1.0     143     150/80     214 Recovery     4.00     0     0     1.0     144     150/80     216 Recovery     4.32     0     0     1.0     140     150/80     210 Findings : Exercise time          :     7.00minutes Max HR Attained     :     198bpm      108% of Target 184 Max BP     : 160/80 Max. Work load attained     : 9.5 (Good Effort Tolerance) Normal HR and BP response No Angina / Arrhythmia / S3 / murmur Functional capacity good No significant      ST segment changes noted during exercise or recovery. Final impression : Test is negative for inducible ischaemia @ 125 W