HomeAnswersCardiologychest painI have chest pain despite all reports being normal. Why?

What could be the cause for chest pain despite a normal ECG?

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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

Dr. Ilir Sharka

Medically reviewed by

Dr. Nithila. A

Published At May 29, 2019
Reviewed AtApril 16, 2024

Patient's Query

Hello doctor,

I have chest pain for three months. I took ECG, Echo, TMT, my reports are normal. But still, I have the same problem. I take Solopose Beta 0.5 mg. My blood pressure suddenly rises to 120/90 mmHg.

Answered by Dr. Ilir Sharka

Hello,

Welcome to icliniq.com.

I understand your concern and would like to explain that as all your cardiac tests have resulted in normal, a cardiac issue is almost excluded. A 24 hours ECG monitoring test (Holter) would be necessary to eliminate any abnormal arrhythmic event. Probably the most important aspect to explain your symptoms seems to be anxiety. It may exacerbate tachycardia and also unpleasant chest discomfort. But, before getting to that conclusion, I would recommend a cardiac magnetic resonance imaging test. Also, be careful with your current medication as it contains a beta blocker (Propranolol), which if not taken continuously may lead to a rebound effect (increased heart rate). I hope to have been helpful to you.

Patient's Query

Thank you doctor,

I am afraid that could it be a heart attack?

Answered by Dr. Ilir Sharka

Hello,

Welcome back to icliniq.com.

You should not worry as all the cardiac tests have resulted in normal. Just to be completely sure that only anxiety plays a role I have recommended the above tests.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ilir Sharka
Dr. Ilir Sharka

Cardiology

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