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Frisco, TX
A 65-year-old male asked:

Male 65 pain l jaw/arm/chest, nuclear stress apical ischemia, angiogram neg, cardiolo says all ok. sternum pain, clutching worsening w/anxiety/cancer?

3 doctor answers3 doctors weighed in
Dr. Jon Ahrendsen
Family Medicine 40 years experience
Ok angiogr doesn't : Mean you can't have heart problems if you have bad pain, especially if worse with activity, and you breakout in a sweat with pain, most Drs. Would tell you to get checked. That is the way you cane best know. Certainly anxiety can cause similar symptoms. It is best to work closely with your doctor and if you are not satisfied seek a 2nd opinion.
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Dr. Anand Haridas
Specializes in Cardiology
Myocardial bridging: Given that your stress test showed apical ischemia, there is evidence for inducible ischemia. Was your angiogram entirely normal? Ask your cardiologist if there was evidence for myocardial bridging ? Microvascular ischemia can cause anginal symptoms, though typically in women. But, microvascular ischemia rarely shows up as an abnormality on a nuclear stress test.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Tony Maglione
A US doctor answeredLearn more
YOU ARE OK: A NEGATIVE ANGIOGRAM MEANS NO SIGNIFICANT BLOCKAGES IN YOUR CIRCULATION IN YOUR HEART. THEREFORE, YOU CAN BE REASSURED THAT YOU HAVE NO SIGNIFICANT HEART DISEASE. THE SYMPTOMS MAY BE DUE TO A MUSCULOSKELETAL PROBLEM IN THE AREA OF THE HEART OR DUE TO RESPIRATORY(BREATHING) ISSUES OR DUE TO ANXIETY. TALK TO YOUR FAMILY DOCTOR ABOUT YOUR CONCERNS AND HE/SHE CAN HELP YOU OR FURTHER REASSURE YOU.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Oct 31, 2017

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