Hello,
Thank you for your query at doctorspring.com.
The pain you describe is most probably not angina. Sharp pain not on exercise is unlikely to be angina pectoris. Jaw pain radiating to back and wrist could be neurological in origin. Another cause of pain radiating to back coild be anortic dissection butis unlikely given the description. So you can get a chest xray done followed by a ct scan to look for the aorta and if that is normal you can take a neurologist opinion regarding this pain.
It however doesn't seem to be arising due to coronary artery disease. It could all be due to anxiety as well though. But that we shall label it only after ruling the neurological and vascular cause of pain.
Hope this helps, please feel free to discuss further.
Regards
Dr Vivek Mahajan
DM Cardiology
Patient replied :
Wonderful thanks for your reply.. gives me some comfort. I have been referredffor a stress echo on Monday for completeness. If this comes back negative and i ask for a CT scan (which may also come back ok) then you think I can probably rule out the heart? I have been told only an angiogram is 100 percent but not something I would ever want (or any cardiologist would order for me!)
Thanks for the compliment.
If your stress echo is normal you dont need an angiography. Other option is ypu can undergo a ct coronary angiography along with ct of the aorta. In all probably your stress echo and ct aorta willcome as normal. I wouldn't have sent you for a stress echo because your description is not fitting into coronary artery disease causing angina. The ct of aorta is just to rule out and prove that all this maybe anxiety related. So relax. Get your stress echo or ct coronary angio and then rule out aortic disease by cy of aorta.. then we have all the proof to say you dont have serious cardiac issues.
Regards
Dr Vivek Mahajan
DM Cardiology
Patient replied :
Hello again
Thanks for your reply above. I have had the stress echo and the results are due any day. I felt fine during it, however today afte my usual lunchtime exercise (and lunch following - just a sandwich) my heart has remained elevated since 12.30pm (now 2.49pm) and I am feeling quite lethargic and tired with a very dry mouth. I have been drinking water continuially since I came back. I totally agree that the stress test will likely show nothing. I wonder if this is all caused by something else.
Hello,
Lets wait for your stress echo report and if that is fine we can be assured that all of it is non cardiac.
Regards