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Are Chest Pain And Fatigue Signs Of Heart Attack?

Posted on Thu, 30 Jun 2016

Question: Pain in chest area since last week again last night ecg and enzyme test done normal,tmt and echo normal two month back and several ecg during the pain. Heart prb?? I m worried and. Cant sleep due to this pain .. Pain is not any fix place but very uncomfortable and pinching .. I was tired cauz of this pain frm past 1 yr pls advice always worried of heart attack.. My dr said i m under depression and full of anxiety

Answered by Dr. Anantharamakrishnan (2 hours later)

Brief Answer:
Muscle pain / Counselling will help

Detailed Answer:
Hi friend
Welcome to Health Care Magic

     There is nothing to suggest heart, as the cause of your pain. Pain from the heart is oppressing, in central chest (and left), worse on effort, relieved by rest, may radiate to shoulders and arms, associated with sweating and so on.
     Norma; ECG and ECHO are reassuring
     Your symptoms do not suggest Coronary Artery Disease (CAD). However, it is better to have a Treadmill Exercise Electrocardiogram (TMT). If it is normal, nothing further to do – done more to rule out rather than rule in..
     An upper Gastro Intestinal Endoscopy (Gastroscopy) can rules out issues of food pipe and stomach.
     This is most likely to be pain from muscles of the chest wall – and this could be from spasms from posture (say during sleep) or stress, and so on.
     Psychological assessment and assistance will help a lot. No need for hesitation to see a Psychiatrist – everyone seeing a heart specialist need not have a heart disease. They can assess and assist the role of depression or anxiety... and suggest appropriate medication or counselling

Good luck
God bless you

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Anantharamakrishnan (7 hours later)

Thank u Sir...
but sometime its radiate to left hand and neck
might be due to cervical disc bulge problem i m not sure but sweating never feel,
Generally the pain start frm morning and till evening its more till night
Stress TMT & ECHO done few months back and normal. two time enzymes & 13 times ecg done at different location
Yes Sir i hv very bad gas and indigestion problem frm so many years ( i quit smoking & alchoal almost 5 yr now) and i m daily taken Sompraz-L (Esmaprazole + Levosulpride) from few months. sir as advice by you i will try to discuss with Psychiatrist soon . but i in trap that i have some heart problem and i want to come out with it pls suggest any further test required ???

Answered by Dr. Anantharamakrishnan (11 minutes later)

Brief Answer:
No test needed for heart

Detailed Answer:
Hi

Normal stress test excludes heart, as the cause of the pain
NO FURTHER TEST IS REQUIRED FOR THE HERT
     Cervical spine problem pressing on a nerve root can cause radiation .. MRI of the neck spine and neurological consultation will clinch the diagnosis
     Great to have stopped tobacco and alcohol. After 5 years, there is no bad effects and it is like normal persons. Keep it up

Follow up with your physician / Endoscopy and Psychiatric assessment
Prognosis is generally excellent in such situations

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Anantharamakrishnan (16 minutes later)

Thank you so much sir for prompt reply and giving me confidence to fight back with my anxiety for heart problem issue which is in my mind ... MRI for Cervical already done and C3,C4,C5 problem diagnose.. also done my MRI with contrast for whole abdomen result is only fatty liver with simple cyst.

i will discuss with my GP for Endoscopy for further findings...
thanks once again sir ..

Answered by Dr. Anantharamakrishnan (1 hour later)

Brief Answer:
Go ahead

Detailed Answer:
Hi

Go ahead
Good luck

Regards

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar