Lab tests: Your cardiac labs are fine. The positive lyme titer is of some concern. The symptom is nonspecific and not a high probability for being heart caused. Should discuss with your doctor about musculoskeletal and also the signficance if any of the positive lyme titer.
Answered 10/2/2013
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Need angio: Stress test could be false negative specially woman, but if you have risk factors like smoking, family hosptry of premature cab, personal history of htn, diabetes, dyslipidema then i would see cardio for further invasive testing like angiogram. You cannot lable it as musculoskeletal unless it is completely ruled out of cad.
Answered 9/29/2016
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