Aa
some cath questions
I am 28/male/245 pounds
6 months ago, a few days after I had an EGD and colonoscopy done (all that and it was just a small ulcer and maybe IBS)...but a few days after the scopes I was standing up and felt what I would define as a hard spasm or rough bloodflow of some sort inside my upper abdomen, then I had near syncope and a sense of impending doom.
Well, 3 more months went by after that and I thought I'd be okay even though I was feeling generally lightheaded all the time. After 3 more months , then I started having constant chest pain and I started having bursts of tachycardia. I wore a 30 day monitor and it showed possibly an SVT. Nobody is paying much attention to my chest pain though, but truthfully the chest pain feels like the crux of my problems..it's bothering me more than anything because it's near constant.. I was sent to an EP-ologist who offered an EP study and he didn't think much about my chest pain but I have to say it is bad, by the end of each day I feel like I've fought in a war to make it thru each day and it exhausts me.... Funny enough though, it doesn't prevent me from exercising with a pulse rate of 170. I can actually begin exercise with this chest pain present, and get my pulse way way up and the chest pain doesn't stop me.
I thought about asking the EP-ologist if he was also going to look for chest pain causes during the cath. Would this be standard? would it be inconvenient or unreasonable for me to request this? Would he also measure the pulmonary pressure without going out of the way?
Any other thoughts or tests I should have?
Help?
6 months ago, a few days after I had an EGD and colonoscopy done (all that and it was just a small ulcer and maybe IBS)...but a few days after the scopes I was standing up and felt what I would define as a hard spasm or rough bloodflow of some sort inside my upper abdomen, then I had near syncope and a sense of impending doom.
Well, 3 more months went by after that and I thought I'd be okay even though I was feeling generally lightheaded all the time. After 3 more months , then I started having constant chest pain and I started having bursts of tachycardia. I wore a 30 day monitor and it showed possibly an SVT. Nobody is paying much attention to my chest pain though, but truthfully the chest pain feels like the crux of my problems..it's bothering me more than anything because it's near constant.. I was sent to an EP-ologist who offered an EP study and he didn't think much about my chest pain but I have to say it is bad, by the end of each day I feel like I've fought in a war to make it thru each day and it exhausts me.... Funny enough though, it doesn't prevent me from exercising with a pulse rate of 170. I can actually begin exercise with this chest pain present, and get my pulse way way up and the chest pain doesn't stop me.
I thought about asking the EP-ologist if he was also going to look for chest pain causes during the cath. Would this be standard? would it be inconvenient or unreasonable for me to request this? Would he also measure the pulmonary pressure without going out of the way?
Any other thoughts or tests I should have?
Help?
MEDICAL PROFESSIONAL
I would suggest that you have a CT angiogram, which will look not only at your heart but also at the aorta and lungs for possible causes of the chest pain. It is very unlikely at your age that you have obstructive atherosclerosiws, especially since the chest pain is not exertional, but you may have an anomalous coronary origin which can cause symptoms, and this would also be evaluated by the CT angiogram.
The EP study is performed in the low pressure ( venous system) of the heart, so while it is in the same general location of the right heart cath it is not feasible to look at the coronaries at the same time.
The EP study is performed in the low pressure ( venous system) of the heart, so while it is in the same general location of the right heart cath it is not feasible to look at the coronaries at the same time.
Oh sorry, I meant to say I've had a chest xray, resting echo, and of course the usual labs..with everything showing normal
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