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What Causes Pain And Tightness In Left Hand And Neck?
Posted on
Thu, 5 Mar 2015
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Thu, 5 Mar 2015
Answered on
Fri, 27 Mar 2015
Last reviewed on
Question : Dear sir
two days back I have done TMT 2 echo and ech. Everything is normal.
but sometimes my left hand side and neck side pinching and tightness. Then I feel anxiety. Yesterday I went to cardiology doctor and I ask him . All tests are normal and is there any chance to get heart attacks with in one month. He said yes
but reports all are normal including lipidpprofile.
TMT 2D ECHO I AM DOING EVERY 10 DAYS.
PLEASE ADVISE
two days back I have done TMT 2 echo and ech. Everything is normal.
but sometimes my left hand side and neck side pinching and tightness. Then I feel anxiety. Yesterday I went to cardiology doctor and I ask him . All tests are normal and is there any chance to get heart attacks with in one month. He said yes
but reports all are normal including lipidpprofile.
TMT 2D ECHO I AM DOING EVERY 10 DAYS.
PLEASE ADVISE
Brief Answer:
please see details.
Detailed Answer:
Dear Sir / Madam
1. It would have been great if you had provided your complete clinical profile. Anyway, the following medical facts will clarify your queries.
2. Pinching, tightness involving neck and hand which do not come up on exercise / exertion, which occurs spontaneously but is never precipitated by exercise, which lasts for less than a minute or for many hours together and is not accompanied by any other symptom is not likely to be related to anginal heart disease. Moreover, in case of normal TMT test with non-provocation of symptoms during TMT, the symptoms are unlikely to be anginal.
3. Despite all these test being normal, still you can have have heart attack in near future. Yes, this is true. Because these tests (stress test/ TMT) tell us that if there is any significant blockade in your coronary arteries or not (>70% and flow limiting). It also tells us that current symptoms are due to any coronary artery blockade or not. However it does not guarantee against any future heart attack in any manner because heart attacks occur mostly (85%) on those cholesterol plaques which are causing < 70% blockade and are non-flow limiting; hence can not be picked up by any stress test.
4. Even if we pick these plaques on angiography, it is of no practical use. It does not change the management substantially which in any case relies on preventive measures only. These include psychological stress avoidance, cessation of smoking, control of cholesterol/ diabetes/ high blood pressure and weight management & daily exercise.
Hope this clarifies the issue. Feel free to discuss further.
Sincerely
Sukhvinder
please see details.
Detailed Answer:
Dear Sir / Madam
1. It would have been great if you had provided your complete clinical profile. Anyway, the following medical facts will clarify your queries.
2. Pinching, tightness involving neck and hand which do not come up on exercise / exertion, which occurs spontaneously but is never precipitated by exercise, which lasts for less than a minute or for many hours together and is not accompanied by any other symptom is not likely to be related to anginal heart disease. Moreover, in case of normal TMT test with non-provocation of symptoms during TMT, the symptoms are unlikely to be anginal.
3. Despite all these test being normal, still you can have have heart attack in near future. Yes, this is true. Because these tests (stress test/ TMT) tell us that if there is any significant blockade in your coronary arteries or not (>70% and flow limiting). It also tells us that current symptoms are due to any coronary artery blockade or not. However it does not guarantee against any future heart attack in any manner because heart attacks occur mostly (85%) on those cholesterol plaques which are causing < 70% blockade and are non-flow limiting; hence can not be picked up by any stress test.
4. Even if we pick these plaques on angiography, it is of no practical use. It does not change the management substantially which in any case relies on preventive measures only. These include psychological stress avoidance, cessation of smoking, control of cholesterol/ diabetes/ high blood pressure and weight management & daily exercise.
Hope this clarifies the issue. Feel free to discuss further.
Sincerely
Sukhvinder
Above answer was peer-reviewed by :
Dr. Pradeep Vitta
Sir
My woryy is why it is comming and my lipid profile also normal.pinching and tight XXXXXXX is is cervical nerve problem or heart proble
I am doing all tests every ten days.is like tmt echo.
My age is thirty four.please advise
My woryy is why it is comming and my lipid profile also normal.pinching and tight XXXXXXX is is cervical nerve problem or heart proble
I am doing all tests every ten days.is like tmt echo.
My age is thirty four.please advise
Brief Answer:
nerve related issue is more a possibility
Detailed Answer:
Dear Sir/ Madam
There is no need to get these tests done every 10 days.
You should consult a physician who will examine you and guide you further that if there is a need to see a neurophysician or not. As I detailed you earlier, please do not worry too much and as per available information, these symptoms appear to be more from nerve related issue rather than heart.
Sincerely
Sukhvinder
nerve related issue is more a possibility
Detailed Answer:
Dear Sir/ Madam
There is no need to get these tests done every 10 days.
You should consult a physician who will examine you and guide you further that if there is a need to see a neurophysician or not. As I detailed you earlier, please do not worry too much and as per available information, these symptoms appear to be more from nerve related issue rather than heart.
Sincerely
Sukhvinder
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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