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Old 12-15-2008, 05:45 PM   #1
Join Date: Jul 2008
Location: us
Posts: 302
lucylucy HB User

I need to know more about Angina BEFORE I go to the doctor. I get chest pains mainly at night when I'm getting ready for bed. They're not very painful, just troublesome because it's hard to sleep.

I exercise regularly (sort of), and I don't get chest pains when I work out. (Or if I do, they're too mild to notice while I'm moving.) I do sometimes get a pain or tight feeling that runs up my neck when my heart rate gets really high.

I used to get fast palpitations, and pain sometimes accompanied it. I had all the tests done (10+ years ago) and they said there was nothing to worry about. They had me on a Betablocker, but it lowered my blood pressure too much, and I stopped taking it. I was fine for 10 years. Now the pain is coming back, but I don't feel the palpitations very much. My last EKG (several years ago) was normal.

Every time I go to the doctor for something new, I end up getting sent for all sorts of tests, and it takes over my life, generating fears and the feeling that I'm too sick to focus on other things. I hate that feeling. I want to know what to tell the doctor that's relevant, so that he can focus in on the right thing right away.

Any suggestions?

Last edited by lucylucy; 12-15-2008 at 05:51 PM.

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Old 12-16-2008, 07:24 AM   #2
Join Date: Apr 2006
Location: Qld, Australia
Posts: 366
Beefsteak HB UserBeefsteak HB UserBeefsteak HB UserBeefsteak HB User
Re: Angina?

The DR would be be asking about when and how you get the chest pains, and if they follow any exertion. Bear in mind the pain alone can be a subjective thing and not something to easily base a diagnosis on.
He or she will listen to your heart for any palpitations or murmurs and ask about your fitness.
I expect for angina some attention will be given to the Risk Factors:
1. Smoker
2. Have smoked
3. Family History (genetic)
4. High Blood Pressure
5. High Cholesterol history
6. Stress (stressful nature or job or poor sleeper)
7. Poor diet
8. Poor weight control (overweight)
9. Male gender
10. Age
(Some would say family history should be first.)
Experienced cardiologists can, I am sure, classify most patients as having angina or not after a short discussion.
Your diagnosis may not be that simple and sources of cramps and muscular pain, arthritis, etc., might need more thorough examination.
If you have none of the risk factors near the top of the list it might well be something other than angina.
Good luck with it.

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