Brief Answer: Alternative diagnosis are there Detailed Answer: hi there XXXXXXX This is Dr Saumya Mittal.MD I think I should tell you that there are conditions where the patient has symptoms suggestive of heart attack, but they are actually something else. I will list some of them for you. 1. GERD- this is basically hyperacidity where the acid irritates the diapgragm and enters the esophagus thereby causing similar symptoms. This can be seen on endoscopy and treated by proton pump group of medicines. 2. Musculo skeletal pain- there could be the pain of muscles that may seem similar to cardiac symptoms. Painkillers usually help. 3. Cervical Pain- The condition causes similar problems, and is usually off a doctors radar since sometimes the patient has no symptoms. 4. Anxiety disorder- This condition can mimic almost any other condition 5. Valvular heart disease- the heart has to work extra and so causes problems. I would suggest you meet and request your doctor for a coronary angiography to make sure the heart is clear. Have a echo to make sure the valves are fine. Let me know if those tests are done earlier. Hope this has helped you. Best of luck. If you need any further information, on any of the alternative medicine, or any other subject please do respond. Dr Saumya Mittal

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Brief Answer: Consider GERD Detailed Answer: Hi Read your response. Thanks for the confidence. I think you should discuss the possibility of GERD, known as GORD in some places with your doctor CT angiography is not the same as coronary angiography. The latter is a better test. Of course the probability becomes less. Also suggest an endoscopy while you are at it. I am sure, if you discuss it, your doctor will surely help you with it. And I strongly recommend a prescription of proton pump inhibitors and sucralfate. However since I have not had an opportunity to examine him, the option to prescribe these remains with your treating physician Best of luck Dr Saumya Mittal

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