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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Coronary Artery Spasm

I had a pacemaker 3 months ago. I get a lot of chest pain, which the cardiologist says is coronary artery spasm, but it seems to be coming from the pacemaker. I have had it checked, all is ok and is pacing 95%. But I still have pain. I take 25mgs metoprolol twice a day. Do I just have to put up with this, or can something be done? I am 68, weigh 46 kilos and am 151 cm
Thu, 29 Sep 2016
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General & Family Physician 's  Response
Hello,

Thanks for writing to Health Care Magic, I am Dr Asad Riaz, I have closely read your question and I understand your concerns, I will hereby guide you regarding your health related problem.
chest pain can be due to many reasns, that are IHD, muscle pain or due to bone injury ..if u were my pateiint i would like to ask detail histry like nautre of pain ,aggravating factor liek pain inc with presure is most likely muscular,radtiatnig or not n lcation of pain ..do detail exam n then run some test liek chest x ray to see is there ay boje injury ,ecg to rule IHD,angio if neded to see isnt it coronary artery stenosis,..if it is due to spasm then i would advise to take calcium chanel blocker bcs it is better than beta blocker n if it is bcs of other issue then will tx u on that path..
I hope this answered your question, if you have more feel free to ask.

Regards.

Dr.Asad Riaz.
General and Family Physician.

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Suggest Treatment For Coronary Artery Spasm

Hello, Thanks for writing to Health Care Magic, I am Dr Asad Riaz, I have closely read your question and I understand your concerns, I will hereby guide you regarding your health related problem. chest pain can be due to many reasns, that are IHD, muscle pain or due to bone injury ..if u were my pateiint i would like to ask detail histry like nautre of pain ,aggravating factor liek pain inc with presure is most likely muscular,radtiatnig or not n lcation of pain ..do detail exam n then run some test liek chest x ray to see is there ay boje injury ,ecg to rule IHD,angio if neded to see isnt it coronary artery stenosis,..if it is due to spasm then i would advise to take calcium chanel blocker bcs it is better than beta blocker n if it is bcs of other issue then will tx u on that path.. I hope this answered your question, if you have more feel free to ask. Regards. Dr.Asad Riaz. General and Family Physician.