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

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

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.

Answered by Dr. Mandurke Vivek Maroti

Education:

MBBS

Professional Bio:

Dr. Mandurke Vivek Maroti is a well-experienced Cardiologist specializing in the diagnosis, treatment, and prevention of cardiovascular diseases. His expertise includes managing hypertension, heart failure, arrhythmias, and preventive cardiac care. With a patient-centered approach, he focuses on advanced heart health management and lifestyle modification to improve long-term outcomes. Dr. Maroti is dedicated to delivering comprehensive, compassionate, and reliable cardiac care tailored to each patient’s needs.

This doctor is not available for online consultations on the platform anymore.

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.

Patient's Query

Hi doctor,

Thank you for your reply.

Still, I am having pain in the left hand, jaw, and chest. Herewith, I attached the echo test report. And, I am a social drinker.

Thank you.

Answered by Dr. Mandurke Vivek Maroti

Education:

MBBS

Professional Bio:

Dr. Mandurke Vivek Maroti is a well-experienced Cardiologist specializing in the diagnosis, treatment, and prevention of cardiovascular diseases. His expertise includes managing hypertension, heart failure, arrhythmias, and preventive cardiac care. With a patient-centered approach, he focuses on advanced heart health management and lifestyle modification to improve long-term outcomes. Dr. Maroti is dedicated to delivering comprehensive, compassionate, and reliable cardiac care tailored to each patient’s needs.

This doctor is not available for online consultations on the platform anymore.

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.

Medically reviewed by Dr. K. Shobana
Published At December 8, 2016
Reviewed At September 24, 2024

Education:

MBBS

Professional Bio:

Dr. Mandurke Vivek Maroti is a well-experienced Cardiologist specializing in the diagnosis, treatment, and prevention of cardiovascular diseases. His expertise includes managing hypertension, heart failure, arrhythmias, and preventive cardiac care. With a patient-centered approach, he focuses on advanced heart health management and lifestyle modification to improve long-term outcomes. Dr. Maroti is dedicated to delivering comprehensive, compassionate, and reliable cardiac care tailored to each patient’s needs.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

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

Education:

MBBS

Professional Bio:

Dr. Mandurke Vivek Maroti is a well-experienced Cardiologist specializing in the diagnosis, treatment, and prevention of cardiovascular diseases. His expertise includes managing hypertension, heart failure, arrhythmias, and preventive cardiac care. With a patient-centered approach, he focuses on advanced heart health management and lifestyle modification to improve long-term outcomes. Dr. Maroti is dedicated to delivering comprehensive, compassionate, and reliable cardiac care tailored to each patient’s needs.

This doctor is not available for online consultations on the platform anymore.

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