Determining if pains are Angina related?

[zil]

How often are Angina/Ischemia related problems diagnosed in the absense of Chest pain?

The reason I ask is this.  I am 39 and in relatively good health.  I exercise frequently and have my cholestorol and blood pressure under control with medication.  I am under a lot of stress.  My family history is good outside of a Grandfather who passed of an MI in his 50's.  He was an extremely heavy smoker. I am a bit overweight, do not smoke.  I passed a stress test 2 years ago given because of frequent chest pain that turned out to be stress.

Recently, I am cramping and some burning/pulsing pains in my upper arms and jawline when exercising, stressed, or at times just sitting around.  Worst at exercise though.  Pain is in the tricep area between the elbow and armpit.  It does not radiate anywhere else, but sometimes I get that same pain in my jaw.

I do not experience chest discomfort at all.  I have been going to Physical Therapy for the arm pains, thinking it was neruological or muscular.  Not much of a difference.

Should I be pushing for additional testing, or given my profile is it beyond unlikely that if this were Angina.

My thought is that since it comes on so easily, that if it were heart related I would almost have to have some chest pain with it right?  Should I push for another stress test?

[momto2]

Hi! Just wondering if you ever found out what was causing your discomfort. I am 41 and have been having similar aching pains in the tricep area as well as around the shoulder blades. Occasionally even have pain in the mid chest area. Like you the discomfort could be there during exercise or at rest. I have the discomfort all day, just a matter of degree. I am also going to physical therapy. I did go ahead and have a stress test that showed subtle anterior ischemia but the cardiologist thinks it was a false positive. I am not so sure. I am currently very frustrated because the Dr. says I should have a ct angiogram just to make sure, but I have been waiting for almost 2 months and he has not been able to work me in. Just the waiting is brutal and I don't know what to do. Let me know what they found out for you.

[Cleveland Clinic]

Some people never experience chest pain and yet their catheterization shows coronary artery disease.  They have what we call angina-equivalent pain that is present in the arm, neck or the jaw.  It typically only occurs with exercise and always gets better when at rest.  I think, for your peace of mind you should probably have a simple stress test to further assess this.