Hi, I am a 37 yr old Male. Height 5’10” & Weight 115kg approx. I have type 2 diabetes and I take 1 metformin tablet daily (500mg). Currently, I am having chest pressure intermittently throughout the day. Sometimes It happens during the night , sometimes during the day while sitting on desk working on computer etc. It all started on 15th July @ 1:30AM when I woke up with similar sort of chest pressure / heart
palpitations / left arm numbness (which may have been caused due to neck pain I had since few days ago or sleeping at wrong angle). I called 911 and the operator told me to chew 4 low dose aspirins while paramedics arrived. After the arrival of paramedics, I was asked standard question if I had any dizziness / shortness of breath etc (which I didn’t) so they asked me to chew 2 more low dose aspirins and I was given 2 sprays of nitroglycerin (maybe 10 min interval in between) and that caused some light headedness (I was told by paramedics that is one of side effects of nitro glycerin). I was then taken to ER where they did blood tests and ECG and I was told that blood work or ECG didn’t show and signs of myocardial infraction and I discharged around 7AM. Chest x-ray showed slight hilar adenopathy and to confirm that I have been called back for a CT scan on 22nd July. Same day (15th July) around 5PM I started having same pressure in chest and I was trying to get answers from 24hrs nurse helpline but they asked me to call 911, operator asked me to chew 4 low dose aspirins while they sent paramedics again. This time the paramedics showed me that my BP & pulse was unusually high at 169/103/125 (reading taken at 7:28 PM) and right after that they gave me a spray of nitroglycerin and I had instant chest pressure relief and my BP / pulse rate also dropped (I don’t recall exact readings). Paramedics took me back to ER and this time since my status was “resolved” so they didn’t cart me in and I had to wait in the ER for rest of the tests. While I was waiting in the ER, I seemed to have chest pressure buildups every hour (5-10 min duration) well past mid night and every time I took a sip of water and swallowed it gave me relief. They ran 2 blood tests at 2 hr intervals as well as ECG and they were negative for myocardial infraction and I discharged around 2AM (16th July). I had a graded treadmill stress test
at 1:50PM (16th July) which was clean but by the end of the test I had same chest pressure so the tech told me that I should talk to the attending cardiologist, I updated him whatever transpired in the past 2 days and that I climb 30 floors of stairs on most weekday mornings and swim frequently in the evening and never had any issues with the heart etc. Cardiologist advised me to wear a chest holster for 48hrs (17th 10:40AM – 19th July 10:40AM), plus asked for another bloodwork (to check for Cholesterol which I don’t have as per my yearly blood tests since past 3 years and my diabetes is well under control as per my family doctor who does my bloodwork every quarter) + Stress Echo to be done (on 22nd August) and another consult with him.
Since 16th July, I have had several occurrence of same chest pressure buildup (with no other signs of dizziness / shortness of breath etc) and on all instances this chest pressure buildup happened while I was sitting on desk working on my computer or sleeping. I was checking on web and my symptoms match prinzmetals angina (I maybe wrong). I have been monitoring my BP & pulse using a digital monitor whenever I have similar chest pressure and it is always at good level i.e. Systolic 120+-5 / Diastolic 80+-5 / Pulse 80+- 5. Since my cardiologist consultation is quiet far off I was wondering what else I could do to diagnose my condition and get relief? I have scanned images of all the blood work that was done by ER + all the previous tests dating back to march ‘2012 + even a stress echo done in march’2012 and it was clean, so I can upload all these files if the cardiologist wants to review them. Right before I posted this question online, I had pressure buildup again around 6:50PM ET and I took ENO (it’s an ayurvedic antacid manufactured GSK in India) and the pressure went down immediately and it hasn’t come back as of yet (1 hr later, current time is 7:55PM ET)