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

Question

Hi doctor,

I am suffering from a hiatal hernia. Now, I feel pain in my left hand, shoulder, chest, and both sides of the shoulder blade. So, I consulted a cardiologist. He asked me to take an echo and it is normal. Still, I feel pain in my hand while working. When I was a child, I suffered from rheumatic fever and took antibiotics for five years. Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

Though you suffered from rheumatic fever in childhood, when echo (echocardiogram) is normal there is no damage to the heart. You must be young with no risk factors like obesity, smoking, family history, or diabetes. That is why further tests may not advised by your cardiologist as not cause cardiac pain. If your pain is aggravated by walking or climbing, then it may be non-cardiac. If you send your ECG (electrocardiogram) and echo, I can help you more.

Answer 2

Hi,

Welcome back to icliniq.com.

I have seen your report (attachment removed to protect patient identity). Your echo is normal. For more confirmation, you can do a stress test. If that is normal, then neglect your pain. Also, you can visit a neurologist for investigation if the pain is bothering you.

I hope that you get your answer.

Please let me know if you need any help.

Thank you.