Question: Hello,
i have chest discomfort in left side under the chest and i already did stress test, ECHO, x ray, CT chest two times. the doctor want do Ct coronary angiogram . i am concern about this test because i already exposed to radiation from previous tests from few month. and for this test i will exposed to more radiation to 45 mSv . another doctor here said "I would not recommend performing a coronary angio CT scan, because of radiation and because your symptoms are not suggestive of a cardiac ischemia. "
do you recommend me to do this test and is the radiation safe ?
thank you

I would like to mention that i could do sport but the discomfort come in rest all the time

Thank you
But another doctor didn't recommend me to do this test as he mentioned "In such case coronary angio CT is not considered a firm indication.

It may add beneficial information in regard of other potential structures involved in the pathophysiology of pain (chest CT may reveal other extracardiac disorders responsible for your current complaints (such as a backbone disorder, a hiatal hernia, a chronic pleural inflammation, an articular disorder,etc.).

But, it is not justified for concluding a coronary artery disease, as long as you don’t have other medical evidence (the performed cardiac tests has resulted normal) and coronary risk factors that raise sufficient suspicions about any cardiac issues.

So, my personal opinion would not go in favor of a coronary angio CT.

Regarding the differential diagnosis of several extra-cardiac causes that may be involved in your recent chest discomfort, I would recommend discussing with your doctor on the possibility of performing a chest MRI, which doesn’t utilize X ray imagine, so it does not produce harmful radiation."
What do you think


and also he mentioned "oming to this point, as all your previous cardiac tests have resulted normal and your symptoms are not typical of a cardiac disorder, I would not recommend performing coronary angio CT scan, because it would be just another dose of unnecessary radiation.

As your chest CT scan has resulted normal, other extra-cardiac causes have been excluded too.

So, in my opinion it is just anxiety or a musculo-skeletal pain. In my opinion your symptoms are not related to any cardiac disorders.

I would not recommend performing a coronary angio CT scan, because I find it unnecessary in your clinical situation.

Just try to relax and do not worry about !"

that's why i am not sure if i do CT coronary angio or not

Thank you
but ECG , ECHO and stress test all for the heart determine blood vessels are working, why you mentioned they don't support heart disease.

and also can i take this supplement in the link with blood pressure medicine amlodipine 5mg, propranolol 20 mg and baby aspirin 81 mg .

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Asked by Me , 14 hours ago
The general doctor said i can't take it because will raise my blood pressure and because has stimulant but the cardiology said i can take and won't hurt me but i am not sure because not regulated from FDA

thanks
i will try do CT ango to make sure everything is fine. and do you think the chest discomfort from blood pressure medicine
but i mean can i use this supplement in the link
https://www XXXXXXX com/Brain-Juice%C2%AE-Herbal-Energizer-Nootropic/dp/B01I6ACGRU

with amlodipine 5mg, propranolol 20 mg and baby aspirin 81 mg because the supplement not regulated from FDA, please check the link and let me know

Hi
the doctor gave me Omeprazole 20 mg and aspirin but i stopped taking them because another doctor online recommend me to stop them because he said aspirin will make internal bleeding and he recommended me to stopped it so i stopped it. he said i don't need it because i don't have heart problem . what do you think
and is it safe to take these supplement with these medication

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thanks you