Chest Pain, Radiating To Left Arm, Pins And Needles Sensation, Swelling In Legs, Ankles. Causes For Symptoms?
I m a XXXXX. I have been experiencing severe chest pain that radiates to left arm with a pins and needle feeling in that hand . I have swelling in both legs, primarily in ankles and feet. Last week, they pain got so bad that I benauseous and went to ER. CXR was negative. Lab work negative. Dobutamine stress test was ok, exception they fact I had to be given atropine also because they said I was bradycardic. My HR stayed in the high 40 range. What is wrong with me?
I'm sorry you're not doing well. Despite the fact that your dobutaminestress test was normal, your history is highly suggestive of a heart problem. Dobutamine stress tests are only about 90% sensitive (meaning they miss coronary artery disease about 10% of the time), and the fact that you had to be given atropine to increase your heart rate could have reduced the sensitivity of your test even further. I suggest you return to your cardiologist as soon as possible to discuss the next step in your evaluation. I'm not convinced that coronary artery disease has been ruled out here.
I hope you have some answers soon!
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Chest Pain, Radiating To Left Arm, Pins And Needles Sensation, Swelling In Legs, Ankles. Causes For Symptoms?
I m sorry you re not doing well. Despite the fact that your dobutamine stress test was normal, your history is highly suggestive of a heart problem. Dobutamine stress tests are only about 90% sensitive (meaning they miss coronary artery disease about 10% of the time), and the fact that you had to be given atropine to increase your heart rate could have reduced the sensitivity of your test even further. I suggest you return to your cardiologist as soon as possible to discuss the next step in your evaluation. I m not convinced that coronary artery disease has been ruled out here. I hope you have some answers soon!