A member asked:

I ask this b4 heart dec 2012 cath clear stress test ok seen many cardilgost hade total of 4 heart caths done in last ten years but still in chest pai?

4 doctors weighed in across 2 answers
Dr. H Robert Silverstein answered

Specializes in Cardiology

May not: Be cardiac. But it could also be "prinzmetal's angina" = the vessels are fine until they go into spasm. If this s is correct, a calcium channel blocker medicine trial (examples are ditiazem, verapamil, amlodipine) may clear this up. Other thoughts are esophageal spasm. Change your diet: see our website www.Thepmc.Org.

Answered 6/13/2014


Dr. Milton Alvis, jr answered

Specializes in Preventive Medicine

NeitherforChestPain: Neither test for chest pain. "stress test", all modalities, at best, detect marked narrowing of heart arteries, ie. Quite advanced ds. Heart cath only sees lumens (ie. Dye in blood in artery openings); atherosclerosis is within artery walls, not the openings. Likely: 1. Looking wrong place due to assumptions & insurance, 2. Syndrome x with artery spasms &/or 3. Distal ds not visible on angiograms.

Answered 3/31/2023



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