A member asked:

Would a holter, stress test and echo rule out heart disease in 40 year old female with chest pain and arm pain. when im stressed i get pain from lft shoulder down to my elbow. low to norm bp.

2 doctors weighed in across 2 answers

No: Tests can help but are not perfect. Especially for a women of your age. You should speak with your doctor about your symptoms and testing. Your problem should be sorted out with someone experienced in dealing with chest pain and heart disease.

Answered 3/12/2015

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Angina: If you have chest pain and shoulder pain whenever you experience stress or anxiety, it could be vasospastic angina. It may not show up in regular stress test. It need special tests. Consult your physician.

Answered 3/12/2015

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