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Old 09-06-2006, 12:02 PM   #1
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angina pain

I went to my heart dr today and he said that my stress test came back ok but he still thought I was having angina pain??..if everything came back ok why would he think I have angina??? he put me on Imdur 30mg..he also said he was going to see how I do with this med. and he might end up doing a heart catherder..

 
Old 09-06-2006, 01:47 PM   #2
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Re: angina pain

Truthseeker,

Was you scan a NUCLEAR stress test or just plain stress test with echogram and EKG?

If the IMDUR helps, then you almost surely have your diagnosis.

What are your symptoms?

Last edited by Lenin; 09-06-2006 at 01:47 PM.

 
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Old 09-06-2006, 02:48 PM   #3
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Re: angina pain

It was NUCLEAR stress...I've been having pain and pressure in my chest and underneath my ribs and arms..sometimes in the shoudler blades..I have bouts of burning that last a few secounds during the time I have the pain.I get it when I'm working or doing something..it don't hurt when I'm in bed or sitting.I can sit down and get it to pass..thanks for the reply

 
Old 09-06-2006, 03:49 PM   #4
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Re: angina pain

Quote:
Originally Posted by TruthseekerTn
It was NUCLEAR stress...I've been having pain and pressure in my chest and underneath my ribs and arms..sometimes in the shoudler blades..I have bouts of burning that last a few secounds during the time I have the pain.I get it when I'm working or doing something..it don't hurt when I'm in bed or sitting.I can sit down and get it to pass..thanks for the reply
Hi TruthseekerTn,

A take isosorbide (nitrate), but if you take IMDUR it is important that your heart function and BP be closely monitored to avoid the possibility of unfavorable side effects. I can tell you that nitrate-type medication such as IMDUR may AGGRAVATE ANGINA CAUSED BY CERTAIN HEART CONDITIONS. THAT IS A WARNING GIVEN WITH IMDUR.

The stress test should show if there is ischemia meaning a lack of blood supply to the heart muscle during the exercise routine when demand for oxygen increases. Your symptoms of pain you are experiencing appears to be angina! Why do you say you don't have angina?

It is possible the stress test didn't reveal any ischemia; it could be a false negative result.

 
Old 09-06-2006, 07:25 PM   #5
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Re: angina pain

Hi TruthseekerTn, it looks like we have the same issues going on. I also don't call it angina - yet, although the nitroglyceran always relieves it. My pcp sent me to the ER a month ago because I had a bout that lasted 4 weeks with pain a couple of times most days a week, and a particularly nasty episode that made me call the doctor. Mine happen at rest or exercising and they are talking unstable angine now. No heart attack showed up on the enzymes tests. I was also hospitalized in April for chest pain and they did the nuclear stress test which came up negative.

I saw a cardiologist last week, and he said that sometimes the blockage is similar in each of the arteries, and that can cause the stress test to show negative. It also can just be false-negative at times. I'm scheduled for an angiogram next week, so maybe they can just rule out the heart. ;-) I'm still hoping for an esophagus spasm diagnosis. I have a bad family history for heart disease, so my cardiologist thinks it's better to check it out. Both the cardiologist and the pcp told me that nitroglycerin can relieve esophagus spasm pain as well as angina since it dilates all blood vessels. I sure hope they're right about that, and yes, I'm in a blissful state of denial at the moment.

Good luck with getting this sorted out.

Fran

 
Old 09-07-2006, 10:54 AM   #6
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Re: angina pain

kenkeith...The only reason I wouldn't think it's angina is because of the nuclear stress test if it don't show any blockages it couldn't be angina pain could it???I know there is false postives but how can the dr say he thinks it's angina pain without seeing blockages??and this med he gave me can it hurt me taken it if it's not angina??

granny Fran...I've thought mine could be esophagus spasm but it don't hurt while swallowing and thats one of the symptoms with esophagus spasms if you find out what yours is please let me know thanks for the replys

 
Old 09-07-2006, 01:06 PM   #7
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Re: angina pain

Good questions. I believe the doctor is trying to rule out angina even though the stress test was negative. If the medication provides relief, that would provide some evidence there is a cardiovascular problem. The medication targets heart vessels and dilates same.

There is almost always a risk with medication. But the risk/benefit may be favorable and in the short term and monitored the risk is minimal.

 
Old 09-07-2006, 02:06 PM   #8
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Re: angina pain

kenkeith..thanks so much for the reply

I've also notice something else with me I'm thinking it could be arthritis but then again it could do with what is going on with me now not sure but my left ring finger has been hurting me lately..I don't know if it's arthritis or what..I think i'm falling apart

 
Old 09-07-2006, 06:33 PM   #9
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Re: angina pain

TruthseekerTn,

I didn't know about the hurting while swallowing part with esophagus spasms, and I don't have any pain with swallowing. My cardio also mentioned that because my chest pain spreads to the arm, back and neck, he said it's not consistant with the esophagus pain. I'll let you know what I find out.

 
Old 09-08-2006, 01:26 PM   #10
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Re: angina pain

fran...good luck..hope to here from you soon

This med Imdur 30mg twice a day is giving me a bad headache I feel like if I could hit it agaist the wall it would feel better grrrrr..but I've not had any pain as of yet other then my head and left ring finger pain which the pain in my finger was before the meds don't know what the deal is there it's always something

 
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