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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Enlarged Heart, Cardiologist Prescribed Medicines, Persisting Chest Pain, Angio Results Clear, Internist Advised Stopping Medicines. Suggestion?

I recwntly had some health issues and had a series od tests including an echo stress test ecg and then saw a cardiologist who told me that i had a heart attack an enlarged heat and was going to book an angiogram for me. he put me on some heart meds right away. I after that had some chest pains and went to the local ER they had a hard time listening to me about what my cardiologist said because of my age. I am a female 41 year old. They booked the angio and the results were clear. The internist at the local hospital told me stop taking rhe heart meds and that therw is nothing wrong with me. What should i do? Who do i listen to the cardiologist or the internist.y
Tue, 9 Oct 2012
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Cardiologist 's  Response
Hi
An angiogram is the gold standard - against which all other tests are compared... A normal angio excludes mechanical obstruction but not spasm causing chest pain (Prinzmetal variant) - probably, they might have done provocative tests to rule out - have it clarified.
The cardiologist has suspected on initial encounter - investigations have clarified.
Of course a cardiologist is the better person under the circumstances - he is also basically an internist - further trained and specialised in one speciality.
Age does not exclude any disease - statistically, some are common ia a particular age, gender and so on. In an individual instance, that is not a major consideration - one sees the overall picture....
You have a third opinion! I will go for from a cardiologist
Good luck
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Enlarged Heart, Cardiologist Prescribed Medicines, Persisting Chest Pain, Angio Results Clear, Internist Advised Stopping Medicines. Suggestion?

Hi An angiogram is the gold standard - against which all other tests are compared... A normal angio excludes mechanical obstruction but not spasm causing chest pain (Prinzmetal variant) - probably, they might have done provocative tests to rule out - have it clarified. The cardiologist has suspected on initial encounter - investigations have clarified. Of course a cardiologist is the better person under the circumstances - he is also basically an internist - further trained and specialised in one speciality. Age does not exclude any disease - statistically, some are common ia a particular age, gender and so on. In an individual instance, that is not a major consideration - one sees the overall picture.... You have a third opinion! I will go for from a cardiologist Good luck