It seems as you've been well examined. I would not bother if pain is only lasting a few seconds or if you have muscular pain on direct palpation. However, I would have liked to know your blood pressure. If BP had been high for some time I would definitely recommend a cardiac CT to examine both the coronary artery and the great aorta. If CT is normal, I would try to live with it or consider other reasons e.g. gastritis
best wishes
Thanks for the reply. My primary dr. thinks it is stress because at the time I took all my tests I would never get these pains when exercising. He made it seem like I was wasting his time thinking it was my heart. The cardiologist says it is 1000 percent not my heart from the tests they did. I do sometimes feel like my chest is tight and I cant breathe. When I run I feel like there is a pain wanting to happen and sometimes it does happen and sometimes it doesnt. I used to smoke marijuana but stopped when these started happening 9 months ago. I eat healthy and look physically fit. I am 185 and muscular. That is why I think the dr. feels it is stress. Before this happened I would only exercise about ten to fifteen min. a day now I exercise regulary about 1 to 1.5 hrs. every other day. I just dont see how it can be stress because I get these pains in my sleep and sometimes running. I def. will make another dr. appt. to talk to him about this. Also an rbbb showed up on the treadmill stress test but the cardiologist says it is nothing to worry about . I also always feel like there is phlem in my throat but never get heartburn or stomach aches. I dont know. I am starting to give up hope and hoping my body will eventually heal itself. Thank you again.
Chest pain or pressure that occurs with exertion is always concerning for underlying heart disease. This becomes more concerning if associated with shortness of breath, nausea, and/or sweating. Risk factors for having underlying heart disease include age > 45 for a male, 55 for a female, a history of smoking, high blood pressure (diagnosed as > 120/80 on 2 separate occasions at least 2-weeks apart), hyperlipidemia, diabetes, or having a family history for heart disease (mother or father having a heart attack 85% maximal heart rate) is often a very good test to decide whether more invasive testing such as a left heart catheterization is indicated to look for blockages in the coronary arteries. Stress and anxiety can also cause chest discomfort that is not caused by the heart. However, if you have a lot of risk factors for heart disease, are having more frequent episodes that are worsening, and having them now starting to occur with exercise, you should speak with your regular doctor about your symptoms. He/she may need to re-evaluate your symptoms and decide if further testing is needed. Additionally, there may be another cause for your symptoms that can be dealt with (i.e. acid reflux, etc).
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