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Experiencing Chest Pain I Am Experiencing It Daily Do Not Know Why. I Have 2 Stents In My Right Side Feeling Something Wrong That Is Causing The Pain, But I Have No Idea Of How To Find Out What Is Wrong?

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Posted on Wed, 1 Aug 2018
Twitter Wed, 1 Aug 2018 Answered on
Twitter Tue, 27 Dec 2022 Last reviewed on
Question : I have an as yet to be diagnosed issue with chest pain. I am experiencing it daily do not know why. I have 2 stents in my right side(Dec 2007), 1 stent in my left side (July 2008) and have been to the ER several times since. I have a pacemaker implanted in Dec 2011. Other issues include: Arrhythmia-Sick Sinus Syndrome; Atherosclerosis of Aorta; Diaporesis; Right Bundle Branch Block; Left Anterior Fascicular Block; Unstable Angina; Hptertension; Hypperlipidemia, Mixed; CAD; I have had prostate cancer and skin cancer; Factor 5 Lieden Mutation 1 copy; Osteioirisusl Polymyalgia) Hernia surgery right side; Hearing aids; glasses; Spine Tenderness and chronic back pain; Arthritis - including gout; I had a Heart Event in May 2013. After that, I began to experience chest pain, primarily on my left side , above my heart and pacemaker. I also has pain in the calf of both legs - they felt like heavy legs. Both my Cardiovascular doctor and Primary physician told me not to be concerned unless I had other symptons that are warning signs. The chest pains occured randomly and did not last many days. In XXXXXXX 1, 2018 I had breathing issues and checked into the emergency room. The doctors performed a catheization procedure. They saw that there were more blockages - but not enough for stents. They noticed that one of the old stents had a plaque build up on it and fixed that. They gave me a new medicine , isosoribe mononitrate 30mg, that was supposed to eliminate the chest pain and lower blood pressure. That did not happen. The chest pain was occurig mostly daily and increasing in pain level. On XXXXXXX 26 they increased the dose to 60mg. It still did not stop the pain. They increased in to 90 mg on July 1 - the pain has persisted. They conduced and echo test on XXXXXXX 21 and results. They conducted a nuclear stress test today - August 1 and the results were normal. I know there is something wrong that is causing the pain, but I have no idea of how to find out what is wrong.
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Answered by Dr. Ilir Sharka (3 minutes later)
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HealthcareMagic!

I passed carefully through your question and would explain that considering your normal nuclear stress test and other cardiac tests, it seems that the chest pain is not related to the heart.
Besides the fact that the increased dose of isosorbide did not help, is another argument in favor of an extracardiac cause.
For this reason, I would recommend considering other possible causes like musculoskeletal pain, costochondritis or gastritis. Is the pain triggered by manual pressure on the chest or deep breathing? Is it related to eating or hunger?

If the pain is triggered by pressure on the chest, it would be indicative of a musculoskeletal pain. In such case, ibuprofen would help relieve the pain.

If the pain is reduced by antiacid or PPI ( omeprazole), it would be indicative of possible gastritis.
In such case, a fibrogastroscopy may be needed.

A ventilation-perfusion chest CT scan or angio CT scan would help exclude possible pulmonary embolism.

You should discuss with your doctor on the above tests on the above tests.

Hope you will find this answer helpful!

Kind regards,
Dr.Iliri


Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Follow up: Dr. Ilir Sharka (14 hours later)
Thank you. I will get this to my Primary Care Physician today. I am relieved that it is not cardiovascular. I did have a angio CT scan on XXXXXXX 26. It was normal; unfortunately, I developed transient hypotension and unresponsiveness following the angiogram. The doctors concluded that I am allergic to the iodine. The pain is not triggered by manual pressure on the chest or deep breathing. It is not related to eating or hunger. In XXXXXXX I had chest pain every day except for one day. In July I had chest pain every day with the exception of 6 pain free days. There was no specific trigger. Sometimes I would have it when I got up in the AM. Sometimes it occurred at random times throughout the day and would either stay all day of would subside then return. It may start when I am watching TV, when I am working in the yard, or at any time. Do you think there may be any other possible issues than the ones you sent in your response? Thanks
doctor
Answered by Dr. Ilir Sharka (1 hour later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello again!

Your symptoms could be related to fibromyalgia, considering all your performed tests. I would recommend discussing with your doctor on the possibility to start duloxetine.

Hope to have been helpful!

Wishing all the best,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9503 Questions

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Experiencing Chest Pain I Am Experiencing It Daily Do Not Know Why. I Have 2 Stents In My Right Side Feeling Something Wrong That Is Causing The Pain, But I Have No Idea Of How To Find Out What Is Wrong?

Brief Answer: I would recommend as follows: Detailed Answer: Hello! Welcome and thank you for asking on HealthcareMagic! I passed carefully through your question and would explain that considering your normal nuclear stress test and other cardiac tests, it seems that the chest pain is not related to the heart. Besides the fact that the increased dose of isosorbide did not help, is another argument in favor of an extracardiac cause. For this reason, I would recommend considering other possible causes like musculoskeletal pain, costochondritis or gastritis. Is the pain triggered by manual pressure on the chest or deep breathing? Is it related to eating or hunger? If the pain is triggered by pressure on the chest, it would be indicative of a musculoskeletal pain. In such case, ibuprofen would help relieve the pain. If the pain is reduced by antiacid or PPI ( omeprazole), it would be indicative of possible gastritis. In such case, a fibrogastroscopy may be needed. A ventilation-perfusion chest CT scan or angio CT scan would help exclude possible pulmonary embolism. You should discuss with your doctor on the above tests on the above tests. Hope you will find this answer helpful! Kind regards, Dr.Iliri