Heart & Cardiology/heart attack?
I am a 24 year old female. For about the past 12 months I have had left arm and shoulder pain, trouble breathing/shortness of breath, hot flashes, jaw pain, chest pain and slight dizzy spells. I went to a cardiologist around May of last year and he did an ekg, blood work, and an echo. He said all of my resuts were great and that my arm pain was not heart related. He wrote me a script for tranquilizers. this was my second visit to him over the past 4 years with the same tests and the same results. I was bulimic for a period of time but both tests were after I stopped. I was a casual smoker, have not touched one in months since I am pregnant now. My insurance would not cover any further testing since I do not appear to have any risk factors. Should I be worried? Could this really just be anxiety? Should I demand further testing?
Chest pain in a young person is usually cramping of muscles in the chest wall. If pushing on the painful area modifies the pain (makes it better or worse), or if the pain is relieved by bending the body away from the painful area, that proves the pain is from chest wall. Even if these maneuvers donít affect the pain, itís still probably chest wall. Pain caused by narrowing of the coronary arteries that supply blood to the heart is extremely rare below age 40. Chest wall pain is no threat to life or health, just a big nuisance. Safest management is just to ignore the pain, though Tylenol, aspirin or ibuprofren usually help.
Not anxiety, but a normal occurrence.
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