About 3 weeks ago I started having chest
pains and some pain in shoulder near
clavicle. Made appt. With doc and he
scheduled stress echo test. A couple of
days later the same pain sent me to the er
and the stress echo was performed earlier
than scheduled. Ekg also normal. When
they got me off treadmill after reaching
target heart rate, my heart rate dropped
so quickly that they did not get
conclusive results from the echo, (i keep
in pretty good shape with weight lifting,
cycling, and walking). The same day,
they ran a adenosine-cardiolite stress
with mulitiple images of my heart. This
test show good perfusion and blood flow
and no heart problems. Er doc did say he
would have liked to see my ejection
fraction higher (it was 48). They sent
me home and over the next few days I
continued to have the same pains. The
pain doesn't seem to come at any
particular time, but does seem to be
anxiety related, and my anxiety levels
have been quite high and i've been a bit
compulsive about any pain I do feel.
About a week ago, the pain came again and
was with me off and on for 10-15 minutes,
so I went back to the er. Again normal
ekg. Blood pressure when I arrived about
160/100, by the time I left it was 116/68.
They did a ct scan looking for any
aortic abnormalities and found nothing.
Saw my doc (not cardiologist) a few days
ago and he concludes there is nothing
wrong with my heart. I asked about
coronary artery spasm and he said that
would have shown up during the cardiolite
imaging. I am still feeling anxiety over
the pain, it comes and goes throughout the
day. Doc feels it is musculo-skeletel due
to the fact that I also was lifting last
weekend and felt the pain during exertion,
but not when resting. In the last day or
two, I have felt it during rest. I should
add that I have had borderline
hypertension for years (i'm now 44) and
only a week ago started taking lisinopril
(this was after pains started). Any
opinions or suggestions about my story
would be appreciated.
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mcahan
New User, Becoming EHEALTHy
Joined: 04 Nov 2005 Posts: 3 Location: Van Nuys
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Posted: 11-04-05 12:50pm
I suggest you stop lifting weights and do
walking instead.
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synnical
New User, Becoming EHEALTHy
Joined: 23 Nov 2005 Posts: 15 Location: Florida
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Posted: 11-23-05 10:12am
Anxiety plays a major role in your heart
rate. Adrenaline that is dumped into
your system raises your blood pressure.
Arteries that run through your neck and
under your collarbone will feel the
impact. Weight lifting causes a higher
heart rate. Since you have gone to the
doctor and nothing has been seen that can
clarify your symptoms, I suggest maybe
some kava-kava (herb used to help people
relax, can be found at local heath store)
or maybe if it is bad enough some
benzodiazapines like xanax, valium or
klonopin. Only take these medicines when
you feel the pressure and see if it works.
If not, try going back to your doctor.
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