Pain in left arm and jaw sporadically for a month. Normal stress echo 6 months ago? Heart attack concerns?
Heart attack. Stress tests needs to be repeated. Coronary angiography can rule out coronary disease if pain is persistent in left arm and jaw.
Need more info. In general a person in their 30s with a negative stress test is at very low risk of coronary artery disease. Still no test is perfect and younger men can still get coronary disease, (especially if another risk factor is present (smoking, diabetes etc.) on the other hand there are many causes of arm and jaw pain. You should discuss the problem with your physician to get to the bottom of it.
Possibility of heart attack with normal: EKG, troponin, nuclear stress, cardiac MRI, echo, calcium score? I have chest / left arm pain. Need cath/CTA?
Not need cath. This is noncardiac chest pain. Your physician can send you to a rheumatologist or other specialist to help clarify this for you.
Feeling pain in both arms and jaws. Normal stress test and echo 5 months ago. Could this be a heart attack?
Unlikely. With your age and negetive testing its not likely your heart.
Could be. It would be unusual for someone your age to have progression of coronary disease to cause a heart attack at this point following a normal stress test and echo, but not unheard of. Combining the two tests as a stress echo can be more sensitive than either one alone.
Can a 36 male with no family history, non smoker, normal chol, 22.3 BMI and good results stress/echo a year ago get angina or heart attack? Scared!
Possible but unlikely. Most angina occurs on the basis of hardening of the arteries which would be unlikely with a normal stress test and no cardiac risk factors There are however some types of angina is that do not occur from "hardening of the arteries such as spasm of the arteries this can be diagnosed by EKG by giving certain drugs or by heart catheterization.
Is it that rare for a 27-30 year old male to have a heart attack? Does it make it even rarer if they had recent normal ekg/stress/echo? No fam hist
Yes, rare. Hi. Yes it's rare for a 27-30 yo male to have a heart attack (MI). And, yes, it's even rarer if he has no family history of premature MI and a recently negative stress echo; EKG is not a good screening test for risk of MI, but can often diagnose a current or past MI.
Ct angio score of 0, three negative stress echo test in 5 years, normal echo, normal event monitor low hdl, dad heart attack at 50. Do I have blockage?
Tests. Given your test results you do not appear likely to have calcified obstructive coronary artery disease at the present time. If you have plaque in your coronaries it doesn't appear to be highly obstructive at the present. We can't say there are no plaques.
Unlikely. The investigations you had do not suggest any blockage. Have a diet rich in fresh vegetables, fruits, whole grains, low fat milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco or alcohol in any form.
Cath Angio. Would be the test that will give you the answer. So far your tests are all encouraging and pleading against early coronary disease. Lifestyle risk factor modification and keeping a low threshold for possible heart related symptoms will be key (s) in the medium to long term prognosis.