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Heart Disease  (Expert Forum)
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Would a Trial of Nitroglycerin Be Helpful?
This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve Prolapse, Pacemaker, PAD, Stenosis, Stress Tests.

Would a Trial of Nitroglycerin Be Helpful?

by ginny, Nov 15, 1999 12:00AM
Dear Doctor,
I've posted before and you advised that I see a cardiologist.  I am in an HMO and cannot see a specialist without a referral.  I have new onset chest pain, that has all the earmarks of Angina.
My PCP ordered an ECHO Stress that was normal except for some ST and T wave changes.  When I saw him, I asked about these changes and if they might mean that my chest pain is heart related.  He really did not respond to my question, and addressed other health problems I am having.  That leaves me in a quandary.  What I thought would be helpful, not very costly, and possibly indicate my need for a referral to a specialist; is a trial prescription of Nitro?  Reading on this and other WEB sites indicates this is a good step to determine if the chest pain is Angina.  I am asking your advice prior to calling my doctor, and I will not call if you think that it is not advisable.  Thanks!
Sincerely,
Ginny

by CCF CARDIO MD - DLB, Nov 15, 1999 12:00AM
I do not think response to nitro will help in your situation, as other causes of chest pain can respond to nitro. A completely normal stress echo decreases your risk of having heart disease. The ST and T wave changes have liitle significance if the echo was normal.
Member Comments (3)

by ginny, Nov 15, 1999 12:00AM
Thank you!  You have really reassured me and I will not be as concerned by this chest pain, unless it changes substantially.
Sincerely,
Ginny

by CCF CARDIO MD - DLB, Nov 15, 1999 12:00AM
Yes, if there is a worsening of symptoms or development of new symptoms, let your doctor know.
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