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?