Brief Answer:
These tests have totally excluded the possibility of any heart attack.

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

Regarding your concern, I would explain that a normal cardiac ultrasound, normal ECG and cardiac stress tests are very reliable tests in confirming a normal cardiac structure and function and to exclude possible coronary artery disease.

As a cardiologist, I can assure you that if these tests are normal you have no chances to have a heart attack.

So relax and do not worry about it!

There is no reason to think that anything like this will occur.

I would recommend you to focus on your anxiety. These irrational fears from a possible heart attack are just some bad thoughts, which is necessary to be pushed away from your mind.

The reality is quite different: all your cardiac performed tests have excluded any possible cardiac disorder and have shown a normal and healthy heart structure and function.

There is no reason to perform any additional cardiac tests.

Hope to have been helpful!

If you have any other uncertainties, please do not hesitate to ask me!

Best wishes,

Dr. Iliri

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Brief Answer:
I would recommend performing some other tests:

Detailed Answer:
Hello!

Your symptoms do not seem to be cardiac related.

All your performed cardiac tests have excluded this possibility.

Other possible causes to consider would be:

- Thoracic outlet syndrome
- a cervical disc bulging, which would lead to radicular chest and arm pain
- an inflammatory disorder.

The nailbeds changes in color may be related low blood flow, which could be caused by Thoracic outlet syndrome or Raynaud Syndrome.

For this reason, I would recommend consulting with your attending physician for some other tests:

- a chest X ray study
- a cervical spine X ray study
- inflammation tests (PCR, sedimentation rate, complete blood count)
- a nerve conduction study of the upper limbs may be needed coupled with a CT scan of the upper chest.

You should discuss with your doctor on the above issues.

Hope you will find this answer helpful!

Wishing all the best,

Dr. Iliri

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Brief Answer:
Your symptoms are not cardiac related.

Detailed Answer:
Hello again!

As a cardiologist I can assure you that based on your symptoms and performed cardiac tests a cardiac cause can be completely excluded.

There is no heart attack. I can assure you about that.

So relax and do not think about it any more!

Yes, gerd could cause such chest pain. Have you ever tried taking an antiacid? Has it relieved your symptoms?

Anxiety can also mimic all this clinical situation.

I would also recommend performing thyroid hormone levels, because a thyroid dysfunction could trigger all this clinical situation.

Hope to have been helpful!

Best wishes,

Dr. Iliri

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Brief Answer:
My answer as follows:

Detailed Answer:
Hello again!

A cardiac disorder would be really uncommon at your age.

Besides your cardiac performed tests are very reassuring that your symptoms are not related to any cardiac cause.

So relax! You can sleep like all normal persons! Nothing bad is going to happen.

I recommend trying an antiacid to check the possibility of gerd or gastritis, related to the chest pain.

Regarding your thumb shooting pain they are definitely not related to the heart. A nerve disorder can be the possible cause (shooting pain is usually related to nerves or muscles). A nerve conduction study of the upper limbs could be helpful in this situation.

I would not recommend repeating thyroid hormone levels, as you have performed them within the last year.

Anyway, your symptoms do not seem to be related to any serious medical condition.

So try to take a deep breath and do not think about this.

Hope to have clarified your uncertainties!

Regards,

Dr. Iliri

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