Chestpain and shortness of breath

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Submitted by Dr T on August 29, 2011 – 10:03am

Question: 
I have been using apprinox and atenolol for 5 years now. Recently I have developed pain coming from my left chest to left arm continuous not affected by my dep breath or normal breathing.
I only sleep on my right side due to that pain. I have shortness of breath and cant walk for more than 15 minutes without feeling heavy chest. I recently took ECG, results were normal, Echo results were as follows: GOOD LV FUNCTION, NORMAL CARDIAC CHAMBERS/VALVES,NO PERICE EFFUSION OR THROMBOSIS, CONCENTRIC LVH,CONCLUSION: LVH HT, MILD MR. dR.PLEASE HELP ME UNDERSTAND WHAT EXACTLY DOES THOSE RESULT MEAN TO ME AND WHAT MEASURES SHOULD i TAKE? MY DR. PRESCRIBED ATACAND AFTER THE RESULTS FOR 1 MONTH, i HAVE BEEN TAKING THE MEDICINE FOR A WEEK i STILL FEEL ALL THE SYMPTOMS.

Your symptoms are very suggestive of what is called angina caused by a blocked coronary artery:

https://www.cardiachealth.org/chest-pain
https://www.cardiachealth.org/chest-pain-symptoms-your-heart

The cardiac ECHO indicate you seem to have a normal heart function with as only mild abnormality LVH, the result of high blood pressure. Patients can have severe coronary artery disease with a normal EKG and ECHO. This is best tested with a stress ECHO as opposed to the one at rest you got.

You can read more here:
https://www.cardiachealth.org/heart-information/hypertension 
https://www.cardiachealth.org/heart-disease-diagnosis/exercise-stress-tests

Depending on the outcome of a stress ECHO, you may need a cardiac cath:
https://www.cardiachealth.org/heart-disease-diagnosis/cardiac-catheterization
I would not be surprised if your doctors would one or more blockages in your coronary arteries!

Meanwhile, you can check your symptoms and your risk for heart disease here:
https://www.cardiachealth.org/app/chest-pain.php
https://www.cardiachealth.org/risks-benefits/cardiovascular-risk

Hope this helps,
Dr T
https://www.cardiachealth.org/

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