shaz29 said:
cool... i saw my cardiologist on thursday... ive been having chest pains for the last 9 months.. have been off work becoz of it.. i had an echo and a treadmill test, he said echo is ok and my treadmill test is one of the best he's seen in his life... he said i have close to zero chance of having heart disease at my age (32), and that it definately is not my heart... but im still getting sharp pins like feeling on my chest .. it comes and goes.. the cardiologist said that its just pain of the chest wall
Yes, I have conducted thousands of the test you had done. In fact, I do them dozens a time per week.
First off, it is a non-invasive test, meaning we do not invade your body which is a good thing.
Secondly it is far cheaper than an invading your body where we access usually your femoral artery in your groin, run a catheter up to the heart and inject iodine and take an xray of it.
BUT, the angiogram is the gold standard, but like 10,000$
A stress echo is ALOT cheaper, although we make no money on it, it is a screening test for people who need an angiogram where we do.
NOW, it is about 85% accurate than you have a blockage that has grown large enough to restrict flow to the heart.
IT IS ALMOST 100% ACCURATE IF YOU HAVE ONE FOOT ON A BANANA PEEL!
SO it's a good test.
There is no way to see the coronary arteries besides an ultrafast 64 slice ct, or an angiogram.
So you look at the muscle as it responds to exercise. The heart SHOULD get more vigorous with exercise as you put a load on it. If the heart has a blockage in an artery, meaning one of the fuel lines is half clogged, when the muscle needs more gas to perform, the clog prevents that. So the muscle itself runs out of gas.
First you will see that on the ECG before you stop exercising, then you take pictures afterwards and compare rest vs post.
The result should be all segments of muscle being more active. IF, one section stops moving that means you can offer that somewhere along the line, there is a restrictive clog.
Then you flunk and they move you on to the angiogram which is the 'gold standard' and can really see if there is a problem.
At your age, you probably have growths in your coronary arteries due to the western diet of processed food and sugar, bread, pasta etc....
We know this by doing autopsies on 18 year soldiers of vietnam kids and notice the start of the disease process.
This is a disease of civilization. It follows the 20 year rule, google it, but it explains how diabetes and cardiac disease starts about 20 years after being contacted by civilized culture who supply simpler foods that are process.
You must follow your blood levels and btw, at your age it is highly unlikely based on the Framingham study that you have heart disease, and most likely chest wall or gerd (heartburn)..
I'll leave you with this.
The thoracic cavity is like no other in terms of pain. IF, I took a ball peen hammer out and hit one of your toes, you could goddam tell me which one it was.
That is not true with the pain wiring in the thorax. Meaning, I could reach inside of your chest cavity with a needle nose plier and pinch some tissue. You may feel it your chin, your arm, your back. Its referred pain.
Makes it all so difficult to diagnose true heart pain, but no one should wait as time is muscle and morbidity and mortality.
In general though, angina is derived from the greek word 'to strangle'. People feel chest pressure or chest tightness.
If it is sharp pain, then whewwww, most likely not the heart, which is dull
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