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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chest Pain Especially At Night

My husband has been having chest pains on and off for months. Has been to the ER three times in a year. All test checked out ok. Has not had an angiogram due to not having insurance. Has taken 24 nitro 0.04 in a 9 day span. The nitro relieves the pain, which always seems to happen a night before bed. What to do?
posted on Tue, 14 Apr 2015
Twitter Wed, 6 May 2015 Answered on
Twitter Wed, 6 May 2015 Last reviewed on
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Pulmonologist 's  Response
Thanks for your question on Health Care Magic.
I can understand your husband's situation.
In my opinion, he is having anginal pain due to coronary artery disease (CAD).
Following points are in favour of CAD associated anginal pain.
1. Recurrent chest pain.
2. Relieved with nitrates.
3. Chest pain at bed time in night.
Nitrates cause coronary vasodilation. So anginal pain will be reduced.
So better to get done stress test (trade mill test) first if you are not affording for Angiography.
Stress test is also helpful in diagnosis of CAD.
But the gold standard test is coronary Angiography.
Hope I have solved your query.
I will be happy to help you further.
Wishing good health to your husband.
Thanks.
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Suggest Treatment For Chest Pain Especially At Night

Thanks for your question on Health Care Magic. I can understand your husband s situation. In my opinion, he is having anginal pain due to coronary artery disease (CAD). Following points are in favour of CAD associated anginal pain. 1. Recurrent chest pain. 2. Relieved with nitrates. 3. Chest pain at bed time in night. Nitrates cause coronary vasodilation. So anginal pain will be reduced. So better to get done stress test (trade mill test) first if you are not affording for Angiography. Stress test is also helpful in diagnosis of CAD. But the gold standard test is coronary Angiography. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks.