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Heart Disease (Expert Forum)
Advice on angina in 26 yr old female
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Advice on angina in 26 yr old female
by moosejuice, Sep 04, 2006 12:00AM
I know i am lucky to get this posted again so soon. Just wanted to ask few more questions. what is the chance that a 26 yr old female with below average cholesterol and no real family histry would have heart disease with normal cardiolite, stress test holter showing pvcs and EKG showing rbbb?
I have shoulder tip pain, breathlessness with excersise but mainly lifting and a sense that my nervous system is in overdrive, feel like electric in my chest and is followed by a run of pvcs. Pain is in wrist and hand veins and you can trace pain along them where it runs into my neck and feels like somebody is pressing a finger onto my neck behind my ear.I get dizzy and feel very poorly at same time. Does this sound cardiac in nature?
Most of the time my heart feels what i can only describe as unstable...when i go upstairs i feel a sensation in my gut which increases my heartrate and give me this pain.
I have no real family hitory but was once a heavy smoker for ten yrs and i drink too much..i have lost alot of weight(about70 pounds) This started 5 yrs ago as mild pain and is now so bad i feel ill just doing simple things..my arms feel weak and shaky and just need to sit down..some days are better than others.
Do i need to pursue further testing in the cardiac field as i feel i cant go on like this?
Would i be able to get an angiogram if i requested one even if one was not indicated?
I am on Verapimil(UK) for suspected spasms and it does nothing nifedipine makes it ten times worse, i have hundreds of atacks in a day..i was on it for Raynauds and had to discontinue it.
Thanks
I have shoulder tip pain, breathlessness with excersise but mainly lifting and a sense that my nervous system is in overdrive, feel like electric in my chest and is followed by a run of pvcs. Pain is in wrist and hand veins and you can trace pain along them where it runs into my neck and feels like somebody is pressing a finger onto my neck behind my ear.I get dizzy and feel very poorly at same time. Does this sound cardiac in nature?
Most of the time my heart feels what i can only describe as unstable...when i go upstairs i feel a sensation in my gut which increases my heartrate and give me this pain.
I have no real family hitory but was once a heavy smoker for ten yrs and i drink too much..i have lost alot of weight(about70 pounds) This started 5 yrs ago as mild pain and is now so bad i feel ill just doing simple things..my arms feel weak and shaky and just need to sit down..some days are better than others.
Do i need to pursue further testing in the cardiac field as i feel i cant go on like this?
Would i be able to get an angiogram if i requested one even if one was not indicated?
I am on Verapimil(UK) for suspected spasms and it does nothing nifedipine makes it ten times worse, i have hundreds of atacks in a day..i was on it for Raynauds and had to discontinue it.
Thanks
Doctor's Answer
by CCF-M.D.-MJM, Sep 04, 2006 12:00AM
Hello,
Congratulations on losign the 70 lbs. That is a very difficult thing to do.
It is very rare indeed that a 26 year old would have angina from coronary disease -- in fact, I have never seen it before. This does not mean it doesn't happen but I say this to emphasize how rare of an occurance this would be, especially with minimal risk factors.
Do i need to pursue further testing in the cardiac field as i feel i cant go on like this?
Your symptoms do not sound cardiac in nature. If you have a normal stress test and echo, despite the RBBB, I would not recommend any further cardiac testing.
Would i be able to get an angiogram if i requested one even if one was not indicated?
Although it is not preferred, an angiongram can be done to prove to a patient that they do not have coronary disease. Only pursue this if this is what it would take to convince you that you are ok from a cardiac perspective.
I am on Verapimil(UK) for suspected spasms and it does nothing nifedipine makes it ten times worse, i have hundreds of atacks in a day..i was on it for Raynauds and had to discontinue it.
If the thought is that your pains are coming from coronary spasms, calcium channel blockers and nitrates are the standard of care. A cardiac cath or angiogram with ergotamine would help demonstrate if you have coronary spasms. I have ordered angiograms for this reason before.
I understand that you are in tough situation and hope you find peace soon. Good luck and thanks for posting.
Congratulations on losign the 70 lbs. That is a very difficult thing to do.
It is very rare indeed that a 26 year old would have angina from coronary disease -- in fact, I have never seen it before. This does not mean it doesn't happen but I say this to emphasize how rare of an occurance this would be, especially with minimal risk factors.
Do i need to pursue further testing in the cardiac field as i feel i cant go on like this?
Your symptoms do not sound cardiac in nature. If you have a normal stress test and echo, despite the RBBB, I would not recommend any further cardiac testing.
Would i be able to get an angiogram if i requested one even if one was not indicated?
Although it is not preferred, an angiongram can be done to prove to a patient that they do not have coronary disease. Only pursue this if this is what it would take to convince you that you are ok from a cardiac perspective.
I am on Verapimil(UK) for suspected spasms and it does nothing nifedipine makes it ten times worse, i have hundreds of atacks in a day..i was on it for Raynauds and had to discontinue it.
If the thought is that your pains are coming from coronary spasms, calcium channel blockers and nitrates are the standard of care. A cardiac cath or angiogram with ergotamine would help demonstrate if you have coronary spasms. I have ordered angiograms for this reason before.
I understand that you are in tough situation and hope you find peace soon. Good luck and thanks for posting.
I'm sure if you persist they will do further testing.
I hope you get some answers soon.
My grandmother was diagnosed with angina when she was 22. She went to 73 before having any heart trouble to speak of. At that time she had a double bypass surgery (her 40-something sons had the surgery BEFORE her). She is now 77 and doing wonderfully. If your tests are looking good, try to hang in there. If you feel it is something that needs pursued (I'm sure AlDente will tell you it is good to listen to your intuition, and he'd be right) then pursue it.
As someone else mentioned, getting your neck looked at too won't hurt. I have some wild heart-like symptoms from my neck going out.