Dr. Rishu Sharma
Cardiology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's Query
Hi doctor,
I have chest pain for quite a few days and have discomfort on jaws and back. I also have neck pain and arm pain. I have gone through lipid test, ECG twice, echo and TMT. All are normal. My BP remains 115/75 mmHg, my cholesterol is 163, HDL 47 and LDL 98. In TMT, I achieved 13.8 METs maximum; bpm was 181 with BP of 170/100 mmHg on TMT. I have a fear that I may still get a heart attack. I showed to my doctor, and he said that I would not have a heart attack for the next 15years. But, I am not able to get in my.mind. I use to smoke and now have quit smoking. Please help me.
Hi,
Welcome to icliniq.com.
I have noted all your details. As your echo and treadmill test are normal with excellent exercise tolerance, the chances of it being a cardiac pain are highly unlikely. Please mention your age and smoking habits. TMT (treadmill test) and 2D echo are more than 85% sensitive to rule out coronary artery blockage. However, pain radiating to jaw and back of the neck can be of cervical in origin. However, if you want to be dead sure that it is not cardiac, then go for a stress thallium. It is almost 98% sensitive for the cardiac origin of chest pain, and complete cardiology clearance can be given only after that.
Treatment plan
Preventive measures
Regarding follow up
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Cardiology
Related Questions
Due to cervical spondylosis, will I have problem during pregnancy?
Is Diovan an effective drug for left ventricular hypertrophy?
Are there chances of my grandmother getting a heart attack in the middle of a stress test?
I was suggested surgery for cervical spondylosis. Should I go for it?
Can chest pain have other reasons than heart attack?
Chest pain since 15 days. ECG & TMT reports are normal. What could be the problem?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
