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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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On Insulinn. Pain In Upper Chest While Walking, Belching, Discomfort. Clear ECG, Non Reactive Throptin T Test. Advice

I am 59 years old, female, fat, on 90 units of insulin. I go for a walk for 45 mins every morning. As soon as I start to walk I get pain in my upper chest and have to stop before I can walk again. It is accompanied by belching and discomfort. I had an ECG which was clear, the Throptin-t test was non reactive. I need to know what else to do. I cannot take the TMT as I limp from an old injury. Please advice. Special request for Dr. Anil Grover Cardiologist.
Thu, 7 Nov 2013
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Cardiologist 's  Response
Hi!

From what you are saying it seems like having exercise induced angina, which is a typical sign for ischemic heart disease. but you can't performe the ECG stress test cause of the old injury.

In your case i would suggest a lot of alternative examinations, one of them is medical induced Stress Echo (It is a drug induced stress to the heart, no physical activity needed).

Also onother oportunity to check you for ischemic heart disease is Coronary CT angiography.

I hope i answer to your question.

Dr. Benard
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On Insulinn. Pain In Upper Chest While Walking, Belching, Discomfort. Clear ECG, Non Reactive Throptin T Test. Advice

Hi! From what you are saying it seems like having exercise induced angina, which is a typical sign for ischemic heart disease. but you can t performe the ECG stress test cause of the old injury. In your case i would suggest a lot of alternative examinations, one of them is medical induced Stress Echo (It is a drug induced stress to the heart, no physical activity needed). Also onother oportunity to check you for ischemic heart disease is Coronary CT angiography. I hope i answer to your question. Dr. Benard