
What Causes Prickly Feeling In Arms And Legs And Tightness In Chest?

It doesn't seem to be ischemic cardiac angina.
Detailed Answer:
Hello! Thank you for asking on HCM! Regarding your concern about a possible chest angina (an ischemic cardiac problem), it doesn't seem to be likely according to her complains history and pain characteristics (a prolonged pain that is modulated by posture: it's getting worse when sitting at a desk). A prolonged pain with those characteristics doesn't sound as of cardiac origin. A resting ECG coupled with cardiac enzymes test (blood exams), and a cardiac ultrasound would be helpful to rule our the raised suspicion (I am not sure if she could perform an exercise stress test at her conditions). But I believe that all these tests have been performed already. Could you bring the tests results (upload) please! There are specific cases, when patients with ischemic heart disease at low or intermediate coronary risk level, and inconclusive test results, have discriminated their hidden cardiac origin of complains by performing a coronary angio CT scan (a triple rule out protocol for studying aorta and pulmonary arteries too, would be preferable).
I don't know the results of her performed tests (blood and imagine tests). She performed CATSCAN and MRI, but, could you explain please, what body regions were investigated? Could you send the conclusions (upload) please?
On my opinion after checking routinely all body systems (inclusive careful physical examination, blood tests and some imagine tests) we should redirect our attention to neurological domains (although she hasn't blurred vision or drooping muscle, etc) as there are some neurological pathologies that could display such a clinical scenario. Yes, (if the above mentioned tests are OK) she has to consult a neurologist.
Hope to have been helpful to you! Greeting! Dr.Iliri

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