Question #1:If angina presents as jaw pain with no chest pain, what, typically, is the nature of the pain? Diffuse? One-sided? Squeezing? Including the neck too? I have a mild discomfort only in one particular quarter size area of my jaw, just to the left of my chin that comes and goes. It can last a few minutes or a couple hours. Exertion does seem to bring it on, but I also sometimes have it at rest with a heart rate about 75. Also it is no worse with more intense exertion with a heart rate of 140. My dentist couldn't find anything. I've asked two cardiologists about this. One doc thinks its nothing to worry about, the other suggested an angiogram. My history: 39 year old female, healthy weight, Cholesterol total 154, HDL 49, LDL 88, VLDL 17, Triglycerides 83, never smoked, BP 120/70, no family history, not diabetic, pre-menopausal, basically no risk factors at all except that I have panic/anxiety diorder for which I take 60mg Paxil/day. A echo-stress test done 3 months ago was normal. I reached 102% of predicted maximum heart rate during the test. An angiogram seemed too risky to me given the atypical nature of my pain and my history. But the second cardiologist thought that if the pain is related to exertion it was needed. Q2: Can you give me any reasurrance. Does the fact that the discomfort is mild and in just one area mean anything. I feel like most people wouldn't even think twice about it, but here I am considering an angiogram. Q3: How do you determine when an angiogram is needed? Thank you very much for you time and consideration.