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What Causes Pain In Center Of Chest Area With Normal Cardiac Angiography?

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Posted on Sat, 2 May 2015
Question: I HAVE GRADUALLY WORSENING OVER THE LAST YEAR PAIN DOWN THE CENTER OF MY CHEST SHORTNESS WHEN WALKING 30 FEET I GASP FOR AIR, WHEN TALKING I LOSE MY BREATH. I HAVE BEEN IN THE HOSPITAL 4 TIMES IN THE LAST FOUR MONTHS BECAUSE I CANT BREATH
doctor
Answered by Dr. Drkaushal85 (20 minutes later)
Brief Answer:
Get done CT Pulmonary Angiography to rule out PE.

Detailed Answer:
Hello dear, thanks for your question on HCM.
I can understand your situation and problem.
Since your cardiac Angiography is normal, no need to worry for heart related causes for your breathlessness.
Your PFT (Pulmonary Function Test) is also normal, so possibility of asthma or bronchitis is also very less.
In my opinion we should rule out Pulmonary Embolism (PE) in your case.
The reasons for my suspicion are
1. Age more than 50years.
2. Female gender
3. Chronic leg pain can be due to Deep Venous Thrombosis (DVT) of lower limb veins. And DVT is strong risk factor for PE.
4. Normal coronary Angiography with normal PFT and chest x ray.
So get done CT Pulmonary Angiography to rule out PE.
Please let me know
1. Are you obese?
2. Do you smoke?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wish you good health.
Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (44 minutes later)
THANK YOU DR FOR ANSWERING SO PROMPTLEY. I HAVE HAD THREE TEST SINCE DECEMBER ALL NEGATIVE I DO WAY 185 LBS BUT WHEN THIS STARTED I WEIGHED 145.
doctor
Answered by Dr. Drkaushal85 (13 minutes later)
Brief Answer:
Have you ever undergone CT Pulmonary Angiography?

Detailed Answer:
Thanks for your follow up question on HCM.
You are referring which three tests, cardiac catheterization, chest x ray and PFT?.
Have you ever undergone CT Pulmonary Angiography?
Please reply clearly to avoid misunderstanding.
Hope you understand.
I will be happy to help you further.
Wish you good health.
Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Drkaushal85

Pulmonologist

Practicing since :2008

Answered : 15003 Questions

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What Causes Pain In Center Of Chest Area With Normal Cardiac Angiography?

Brief Answer: Get done CT Pulmonary Angiography to rule out PE. Detailed Answer: Hello dear, thanks for your question on HCM. I can understand your situation and problem. Since your cardiac Angiography is normal, no need to worry for heart related causes for your breathlessness. Your PFT (Pulmonary Function Test) is also normal, so possibility of asthma or bronchitis is also very less. In my opinion we should rule out Pulmonary Embolism (PE) in your case. The reasons for my suspicion are 1. Age more than 50years. 2. Female gender 3. Chronic leg pain can be due to Deep Venous Thrombosis (DVT) of lower limb veins. And DVT is strong risk factor for PE. 4. Normal coronary Angiography with normal PFT and chest x ray. So get done CT Pulmonary Angiography to rule out PE. Please let me know 1. Are you obese? 2. Do you smoke? Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.