Q. What is the treatment for intermittent dull chest pain and heavy left arm?
Hi doctor,
I am a 28-year-old female. For the past few years, I have been having dull chest pain with a heavy left arm, which has been intermittent, but recently it has become more frequent, like two to three times a day, and the pain lasts from 45 minutes to hours. I get palpitations that last for about three to five seconds and hard-pounding heartbeats. I also get sweaty at night. I have had two ECGs, resulting in abnormal inferior and lateral ST depression. A troponin blood test result was 3 ng/mL. My hands and feet are colder than usual, and I often get very tired. I want to know what my results mean and what the problem could be.
Thank you.
Hi,
Welcome to icliniq.com.
I understand your concern.
ECG (electrocardiogram) is fine. Symptoms are unlikely to be due to ischemic heart disease. Regarding episodic chest pain and palpitations, have a Holter monitoring done in which ECG will continuously be recorded for 24 hours. If any chest pain occurs, ECG will record if chest pain is due to the heart. If not, pain can be due to other causes, including lung infection or musculoskeletal or gastric issues. Further workup will be done then. If all causes are excluded, the reason will be anxiety or psychogenic pain.
Thank you.
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