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Hello, I have a few question for you, and hopefully I'll be able to help.
1. Can you tell me when the pains come, ie with activity, at rest, etc?
2. What makes them go away?
3. How long do they last?
4. Does the pain radiate anywhere?
5. Have you had a cardiac workup as in an EKG, labs, etc?
6. Any history of heart problems in your family?
7. Have you been treated for anxiety or stress before?
Let me know and I'll see what we can come up with, look forward to your reply
Hello, first of all I'm sorry to hear about your mother, and wish her well. Unfortunately if your doctor was comfortable in telling you that the chest pain was stress related in the past ( a very common problem), it may again be stress related to your mother or other stressors you didn't mention. At your age, the likelihood of this being a heart related pain such as a heart attack are minimal, and seeing as how it was treated before with anti-anxiety medications I would recommend getting another prescription for whatever worked for you in the past.
This will hopefully help in the short term, but I'd also recommend pursuing an activity that will help you deal with your stressors, such as yoga/ meditation/ any kind of relaxation activity (even reading a good book), whatever works for you.
If however you begin to feel that anxiety is not the cause because the meds aren't working, or your symptoms worsen or change, it may be worth having a more extensive workup. Since strokes and high cholesterol are in your family, they will be something you should monitor yourself for in the future to prevent having problems if possible.
I hope this helps, please let me know if you have further questions. Best of luck...
Please ask if you need clarification/more information.
POSITIVE feedback & a BONUS are greatly appreciated. Please note that answers are for information only, do not take the place of an assessment by your doctor, and does not establish a patient-physician relationship
Yes there are a few different test that can be ordered to evaluate your cardiac function. The basic initial workup includes an EKG, and a series of labs which are referred to as your cardiac enzymes. These include Troponins, and Creatine Kinase which increase with damage to your heart muscle. However the issue with these is that unless it's a heart attack, they don't show a lot.
Probably the most appropriate next step is a stress test (cardiac stress, not the kind of stress you were having when you owned the store...)which is essentially a prolonged EKG while you are exercising on a treadmill. Along with the EKG your heart function is also evaluated with an echocardiogram to make sure that it beats correctly under stress and increased demand. This test will have to be ordered by a dr, but it may be worth bringing up if you feel that the anxiety is not the root.
I'm not sure what was elongated, I'm guessing one of your intervals on your EKG (most likely the PR interval, which is dr talk for something that doesn't really matter as long as it went away), so don't concern yourself too much with that
Hopefully this answered your question