Unrelenting chest pain despite normal heart tests
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- เผยแพร่เมื่อ 27 ก.พ. 2020
- Chest pain is a scary symptom and a very uncomfortable symptom. The obvious concern is that it may reflect an underlying problem with the heart. However sometimes all the heart tests come back normal and the patient continues to suffer. I this video, i discuss other causes of chest pain and how to go about being investigated for them. My website is www.drsanjayguptacardiologist.com; To speak with me, email me on yorkcardiology@gmail.com
I went to the ER 14 times over several months with chest pain radiating into my neck and jaw. Every time, my EKG and cardiac enzymes were perfectly normal. The ER doctors would tell me it wasn't my heart and send me home. I felt like I was going to die. FINALLY, a cardiology doctor came to evaluate me and said he did not feel comfortable sending me home. He admitted me to the hospital and ordered an angiogram. I had a 95% blockage of my LAD and two 80% blockages in my right coronary artery. I received three stents and was put on a blood thinner and multiple blood pressure medications. Thank goodness for doctors who pay attention to their instincts.
David Clay I was in similar situation. My LAD on angiogram was 50% and they did not consider it significant. They said they would stent it at 60% which is what the CT scan showed. All tests otherwise were fine. Very fortunate your cardiologist was called in to check it out!
David Clay I'm sure you thank God every day for that cardiologist
I had the same thing. EKG was fine blood test showed a very small rise so they did a stress tests that showed nothing so they did an angiogram and found I had a 100% blocked chronic total
occlusion with bridging collaterals at the top of my RCA and 2/3 down was blocked 95%. They didn’t do anything and sent me home. Went to another doctor and they stented both open.
joy brooks Yes, I do. Also my wife who insisted I go back to the ER that 14th time.
Ed Erdmann WOW! Glad you got the treatment you desperately needed.
Waiting for a book you write!
48 years of being a Registered Nurse and I HATE to say that you really are one of a kind.
Won't say more than what I have said in the past of how amazing and how this and that that you are but I just want to say you are every parents dream of a son.
I bet your dad in heaven and your mom on earth are the the proudest parents for raising such a kind and humble human being!
Agree wholeheartedly ❤
This man is worth his weight in gold. For helping people beyond any normal cardiologist . Thank you 😊💓
This channel is gold.
If the pstient at the beginning was a woman, she would have been told it’s just anxiety and sent home. Women are much more likely to have issues with the small vessels.
thats my biggest problem middle aged woman must be hysteria
Tell me about it. Same story here. They just say menopause to everything, or depession.
TheAmtwhite just a thought but putting physical objects in anyones bodies cannot be good long term. Better surely to try to see if other non invasive techniques would give better long term survival? There is a lot of this type of pain with COVID-19. Many drugs and even things we eat and drink get into our blood. Would any of these be a better long term remedies?
I'm a male and they did this with me. I have no angina but I have pvc and pac. I also have sharp pains every now and then they blame it on anxiety
Where can we get this spray?
Thank you Doc! This was VERY informative.
Very lucid and reassuring explanation on cardiovascular symptoms and conditions
This content is Gold. Best medical TH-cam channel.
how did we get so lucky to have access to you and this amazing knowledge you provide us with. how i wish i had a doctor who even gave half as much time to me as a patient and putting me not just at ease but also educates me as you do with all of us here. its truly amazing
Love your lectures. Plz keep posting your marvelous videos.
Thankyou so much for all your vlogs. Clear and reassuring. Please keep doing them. York is a very lucky community to have you.
Sir thank you for taking time out of your busy day to do these videos. I really appreciate all the great work our hospitals do.
Once again thank you sir.
You are doing great educational job. Thank you. Much easier to know that my pain not similar to any that you just had mentioned.
Thank you Dr Gupta, this video was extremely helpful for me personally, I’m sharing it on my social media, have a wonderful day 😁👍🏻
Thank you Doc Sanjay Gupta. Good to know different types of Chest Pain and what resources we need and go to. More Power.
Thanks for sharing your wisdom. I was worried about my heart because of chest discomfort, but it was just gastritis.
Best information . Very helpful . Thankyou.
Thank you for articulating what I am experiencing in terms of symptoms and my conversations with medical professionals- am told it is ‘probably’ IBS chest pain
Thank you so much Doctor, this is not only reassuring, it's educational.
I feel like crying from relief everytime I watch your videos because I am so frustrated from years of expensive and time consuming testing and doctor visits..all to find nothing and I am still miserable and it consumes my life. But you are the kind of doctor I wish I had. You bring me comfort and help educate. Instead of being treated like your crazy. Thank you so much. ❤
It's truly sad the way many health care systems work. Doctors seem to not even care about the patient. I wish you good luck :D
Me too just learn to live with the tightness of chest and dizziness I also have high blood pressure but every dr tells you your fine after a stress test or ekg or tell ya you need to see a psychiatrist or gives you more blood pressure meds or Xanax
@@michaelclapper6312 Thank you.
@@daddyo3d990 EXACTLY!
@@freeman5354 Thank you !
I love watching these videos when I'm feeling really anxious. Very reassuring. Thank you for the information :-)
Thank you so much Doc for taking your time to help others out!! All of this info is priceless and you don’t realize how great it is to find you when someone is having chest pain!! You could very well save someone’s life and also save someone from rushing into the ER when it’s not necessary!! I wish there were more Doctors willing to do this and help other people! Thank you from the bottom of my heart!!
Thank you for all your explanations...not all Doctors are good at explaining what is going on in our bodies. You have a rare talent to explain it so that non medical people can understand.
Dr Gupta, you are one of the nicest and caring doctors I have ever seen in this life, thank you for all your videos.
I'm from Lancashire. I had chest pain, rather sharp in left side. It occurred randomly. As two members of my family died due to heart attack and one is suffering from the heart condition, I was checked out immediately.
However, they could not find anything, which was pleasing.
Prior to that, I had to go for breast cancer clinic as they felt that my mammogram from previous time, three years ago, was slightly different from the present. The procedure required inserting a long needle to my right breast in order to investigate the cause. This left my breast tissue tender.
After a couple of months, I stated Gym, doing my usual cardio and gental weight exercises. Within few weeks i started getting a sharp pain in my left chest as I mentioned before.
I was certain that my pain was due to the insertion of the needle that may have left my breast muscles prone to damage on stretching.
This video appears to confirm my reasoning. Thank you Dr Gupta.
This video is incredible. Very reassuring that my chest pain is something other than cardiac related.
Very very useful and informative thanks for uploading free of cost
You are simple the best thing that has happened to me in 2021 I love the way you love humanity kudus Dr
Your a wonderful helpful human being and doc. Thank you!!
Best info from a best Doc in the earth .. Love from India
Thank you Doctor Sanjay for your very informative health tips regarding our heart.
Very helpful information. Thank you 😊
Very informative and thorough. Going to share 👍
I really like these videos, they are really informative 👍
Very interesting and helpful.
I wish all doctors were like u my friend god bless u so genuine it’s unbelievable
Thank you so much Dr. your channel has so much useful information
Brilliant video. Thank you!
I wish all doctors were as patient and explained things like you do. People would be more at ease. Thank you for all you do!
thanks so much Dax
It'd mean a tonne to me if you'd consider subscribing to the channel. Wishing you a happy new year
He is so good at his job and I wished I had this lovely doctor in my local hospital because I am finding it hard to see a heart doctor because I am really worried and suffering because of the pain
@@YorkCardiology thank you so much for doing these videos and you are so special doctor that really explains what else
Great info.. Thank you.
This is priceless! I thank you for this video and others, Dr. Gupta👍👍🙏!
This is an awesome video. Although the cause of my pain has been found, I do believe a chest pain clinic would benefit us here in the states. It took 6 years for my diagnosis but I had been living with my issue my entire life. Doctors will ignore you because you don't fit in the boxes. Wrong age, gender, etc and I could have died while they were playing around.
This video was very helpful and comforting. It’s great to hear it from an actual doctor as apposed to google where everything is a heart attack. My doctor tells me my chest pain is most likely exercise related. I think you have put my mind to ease about the whole situation.
What your symptoms bro
This man is a master of his craft
Thank you so much Doctor Gupta. You are a wonderful man.
Thank you, Dr. Gupta.
Thank you so much for explaining in detail. I wish other doctors would do the same.
I would be interested in the correlation of Levothyroxine and heart function, if there is any. Thanks again.
Thank you from a primary care nurse
You can always come back to Sanjay's videos over and.over again because as you learn more, you understand more what he is saying. That's why his videos are invaluable. This doctor is well ahead of the curve and we're blessed! Thanks, Sanjay!
Thank you very much for this info , I was having sharp/stabbing pain near my sternum , easily localized , my anxiety instantly jumped to heart attack , not having any knowledge of when to recognize when it I cardiac or not , now I know, it is not my heart , simply the sac where the heart sits , or stomach issues !
Thank you 🙂 That was an exhaustive list of investigations a doc must do. So your patient came back negative with all these physiology? They had to resort to managing it instead of digging deeper? If you could provide an update to this 3 year old video with latest findings that will be great. Appreciate you helping the community 🙏🏼
you do wonders sanjay gupta
true god, doctors underrated
Thanks dr sanjay gupta sir for this video on some different problems/ symptoms on heart related pains. Very useful feedback as usual 20/01/2021
Good video.
Excellent, excellent video. Thank you. As i read through the comments, something quite surprising popped out.... the large number of people who are experiencing undiagnosed or untreated or ineffectively treated chest pain. This is very interesting. On the one hand, it's very good to hear these personal stories as it helps everyone realize how common such medical conditions exist. On the other hand, it begs the question, "How many undiagnosed or ineffectively treated medical conditions exist?" It's very concerning, and a very complex discussion. I feel bad for the top doctors such as Dr. York who are helping so many, but understand the limited amount of assistance available relative the scope and quantity of medical conditions in the general public. I am also having undiagnosed chest pains but only when doing aerobic exercise and only intermittently. Therefore, I do not consider my condition serious but will seek medical advice at some point. Good luck to all, and thanks to everyone for sharing your story so we can all learn.
i am 35 years old with constant chest Pain/Upper right quadrant pain and doctors dont know what the pain is from. I have done Hietal hernia test, CT scans, Ultra sound, xrays, blood work, urine test but no answers. Gave me ulcer meds that did nothing. Pain is mostly at left chest and I dont know what to do now? SO FRUSTRATING
@@That_Cyber_Dude If I had your condition, the first question I would require the docs to answer is, "Can you tell me with full confidence that the pain I am experiencing is NOT something that indicates a very serious medical condition that requires immediate attention?" The docs (if they are properly qualified) absolutely must be capable of answering that question. If the answer is, "no", or, "we cannot be certain", then I would start working up the food chain. Demand a reference, i.e., specialist who has a thorough background in your particular issue. The point is this.... plain and simple, there is a near-certainty that SOMEONE can diagnose your condition. The bad news is that you may have to fight until you get the answers you need. Happens often in the medical field. good luck.
@@jlvandat69 Appreciate your feed back! Seems like I will have to press the issue to get answers.
Very useful. Thankyou Dr :) I'll share this with my Brother.
Always helping me to understand more about chest pains
Thank you for your explanation 😁
I been to lung specialized for ex ray. he saw dark patch. I been to other lung specialized he say I don't have lung problem
I get v bad pain in left side. I have to take pain tblts.or rub. Voltage. to ESE pain..think u doc please rely to now more.if I do have..I had a v stressed full life..
Thank you my husband has been experiencing this!
Your patients are fortunate that you care about finding the cause. In the U.S. if cardiologists cant find a heart related resolution will write the patient off as crazy and give them xanax
Same in the UK, if they cant find an obvious cause then its depression/ anxiety, and you're told to clear off. I think the people of York are fortunate to have this man.
Very true.
That's exactly what they did to me, then come to find out I have a little bit of cardiomyopathy
Luis Perez wow, how are you feeling now?
Oh I know that’s right !! That’s what they told me go to a psychiatrist 🙄😳 and gave me Zanax ☹️
Used to be an oncology nurse. Night before surgery, patients often got chest pain, and standing orders were to give them an antacid to see if there was relief, and there usually was. I had my own episode with pain and paralysis loan my left arm, but I can been doing a carving, lost track of time, and did a 7 hour stint. It was a combination of wearing a leather apron tied around my neck, hunched over the carving, thus irritating my torn rotor cuff and nerve impingement, which physio aided.
great work
good informative
Thanks you. This is very informative
And Thank You Kindly! DaveyJO in Pennsylvania
Dr. Gupta rocks!
I'm diagnosed with costcocronditius and the pain never goes away.
Are you fine now I am also having costochondritris from last 2 yr on n off but it always feel like heart and ECG came nrml
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@@khyatikhan4172 what your symptoms
Thank you so much Doctor. Very informative. I'm suffering from constant chest pain. I wish my Doctor was as thorough as you are.
Me too. Any thing help you
wow, amazing advises doctor, thank you a lot
Thanks for the video!
Thanks for the important info
Really appreciated!
Thank You so much 🙏
I have a 'Peptic Stricture' that sometimes brings on what I think is called: 'Nutcracker Esophagus'. It's excruciating. The first time I had it-it was mistaken by others in the restaurant as a heart attack. The pain goes all across the chest. Its a really knotting, twisting, torque of a pain.
I wish all doctors where like you. I was in A and E with really bad chest pains. Once they did ECG and blood test and it came negative, they told me to go home without even a pain relief. That dismissal is the worse thing you could do to a patient. I am really glad I listened to this. Will book an appointment with my GP and if they to ignore my pain, send them this video. It does affect one's quality of life. Thank you
Thanks, For sharing this info Dr Gupta. I have microvascular angina. It's good to hear different opinion of chest pain.
Hello did you have a problem with your stress test, but a normal echo and ct? What made them look further?
@@kasiaday212 I had a VT episode...213 beats min, They recorded it on a holter monitor. So I had a angiogram which shown all was ok with regards blockages and structurally. Also echo gram was ok. I have constant palpitations daily. But they are part of my daily life now.
What your symptoms
Very helpful 👍 thank you !
Its the same thing that i am suffering from and i also did a coronary angiogram and it came out negative!
Thanks so much.
Thank Doc 👍, it’s helpful 😊
Thanks for this video. My girlfriend recently had a similar experience, though the pain was not so serious. We went to emergency and had a lot of testing done: EKG, xray, blood test for clots, BP was fine. The doctor said it could be that something was developing like a cold or flu, but not to worry.
As you have said, one has to consider everything in a person's lifestyle, and in her case, she is not obese, consumes a very clean diet, no smoking etc. As a teach however, she is under some stress.
I will share this video with her. Again, thanks
Some stress?? As a teacher as well the stress is unbelievable. It's a nonstop job from morning to night.
thank you so much doctor Gupta! GodBless you🤗
you are an angel! thank you doctor.
Thank you so much doctor.🙌🏻
I have had chest pain for more than a year and a half. It began in a small area at the Centre of my chest, compared to now, it radiates as far as the left and right sides of my chest. have done a few heart tests such as EKG stress test and will be going for ultrasound at the end of this month. All of the tests have come back normal and now, I have been having dizzy spells with the sweats but I try to get on with things. When I lie down in bed to sleep or rest, I get these sharp pains on the left side more, and the right, sometimes have to take pain killers. In all this, additionally, I have an overall feeling of malaise everyday. I have also checked for Acid Reflux Disease and will be doing an ultrasound of the Pancreas, the Gallbladder and the stomach. Thank you for the information in this video, it has helped.
any news.???
I have same symptoms which got worse after covid vaccine
Any update?
@@kryscarson5560 yes A little more than a two and a half years later, still have chest pains and for about three or four months I have been having intermittent pain right on the middle right clavicle, so far only at night.
I have had ultrasounds of the gallbladder which was fine but they found five stones in my bladder. Have taken meds which have dissolved most of them.
Sorry to sound like I’m wining but every morning now I get extreme anemic symptoms of which I thought was low blood sugar🤔
I plan to visit doctor very soon to find out more about the clavicle pain, there is a swollen area on my upper back.
Thank you for your interest🙏😊 I will post doctor visit results hopefully before end of year🤗
Thia was very helpful, but I must ask - where did you get your shirt?
We love your videos
A thousand thanks Dr. Gupta! I’ve been having this symptom for over 10 years. And hospitalized 4 times only to have tens tests done. Then be told that my heart is 100% five. Only to return home and have the same symptoms.
I’ve recently start Magnesium 575mg in the mornings. This seems to be doing the trick. The symptoms aren’t a frequent or severe.
Again, thanks a million!
Which brand please
CUES, I use a generic brand off of eBay: Magnesium Ultra 576.
Are you man?
@@ferozemalik7171 , yes, I am a man.
@@donovanbenyahudah4734 Did you have Severe chest pain for ten years? Did you also do angiogram was it normal?
Amazing video very helpful information that was the problem I had after the heart attack and the stent I was still getting chest pain mostly at rest I was out and in to hospital with pain after watching your other video I mentioned to my cardiologist it was spasms I was getting he stopped the beta blocker and put me on calcium channel blockers thanks for sharing.
Just if all doctors were 5% as good as this doctor 🙏
I have coronary artery spasm / micro vascular angina diagnosed by Prof Kaski in London following two confirmed heart attacks . My heart attacks were recorded whilst undergoing angiogram, elevated troponin and ecg. It took years to be taken seriously by my cardiologist in my local hospital as my ecg can be normal during my heart attacks. ECG change was noted when I was in the ambulance but it’s intermittent so the chances of it being noted is low. My cardiologist said to me if he hadn’t seen it on the ambulance ecg he would never had thought the chest pain was cardiac related. When I call an ambulance with terrible chest pain I can’t cope with I have to ask the paramedics to keep watching the ecg even if normal as it will show up then disappear then pop up again. I manage my unstable angina 95% of the time at home and only ask for help if I am desperate. What is dangerous is to be told oh don’t worry coronary artery spasm is painful but harmless. It’s NOT, it has caused two heart attacks aged 39yrs old and again at 45yrs old confirmed by Prof Kaski.
Truth! Thanks for pointing that out. Even some doctors don't think it could lead to a serious real cardiac event.
Thank you Doc
Thanks doctor...I wish I could consult you. Thanks once again from India.
You are great
Very useful information you have been educating the heart patients like no one else god blessyou doctor OM NAMASHIVAYA SRK INDIA
This guy is great
Thankyu sir
Thank you so much for this video, my sister suffers from chest pain that travels to the back down her shoulder, down her arm and heart issues were ruled out...appreciate the information
huh...It looks angina pectoris from the way the pain travelled down to her arm. What was it if not angina?
Have her check to see if her potassium is low. Low potassium is needed for heart conductivity. Severe chest pain and left back pain is one of my symptoms along with increase heart rate, heart palpitations, and shortness of breath with activity. My symptoms are worse when I go to lay down and at night.
@@rabens02 Thank you, I am not sure will check with her about the potassium. I know she has done a lot of tests and seen a lot of doctors and they have ruled out pretty much everything that could give you chest pain. I know she tells me her family doctor is always saying her blood work is great.
@@conniemorgan6055 Same here only thing they found was that my potassium was low but they did not attribute my symptoms to the potassium even though my level was low. So when I started taking it was an instant difference, I ended up needing daily supplements of it. I can feel when it gets low and when I take it feels better. This Covid 19 is causing a continuous loss of potassium to varying degrees in people, yet hardly anyone or any doctors are talking about it. Now that I recognize the symptoms and can say I've had episodes of this for years but I never knew what it was so something is making me prone to it. She can request or look back at the results of her BASIC METABOLIC PANEL and see what her potassium levels are. See if they are on the low end. She can also start with adding some potassium rich foods and should notice some improvement pretty quickly if that is indeed some of the source of her symptoms. It is called Hypokalemia and there are multiple conditions that can cause it and it can be a side affect of other diseases, poor diet, and genetic factors. She can look that term up and compare symptoms to hers easiest test is to try the food change first.
@@rabens02 Thank you will give her that information.
What dosage do u recommend. Thanks doc
Thank you Doctor for your so detailed information on a subject which no cardiologist ever gets time to tell to his patient particularly in India's super speciality hospitals...I myself have passed through such situation...btw kindly enlighten if one need a second angiogram if done once ? What should be the gap between the first test and the second one...Does it require at all to have angiogram again and again ?
Best regards.
I have learned so much from your videos. Thank you! Can you explain why my blood pressure shoots up in the middle of the night?
My pressure is high at night as well along with palpitations and chest pain 😭😭😭😭 I'm tired of suffering
@@preciousloveslopez I have found two things that have been extremely helpful for me. 1. I eat less (as the Dr recommended). For my age and level of activity 2 meals and a snack are sufficient. 2. I had stopped drinking coffee and this is when I started have problems with my blood pressure. Despite all the evidence that says coffee raises blood pressure, when I resumed drinking 1 cup of coffee (12 oz) in the morning my blood pressure went down 20 points. With these 2 changes, my blood pressure is never over 140/90 and almost always lower. My night-time spikes have ceased. Hope you find a good solution.
@@59kuphoff I'll definitely take it into consideration. At this point I'll try anything. My cardiologist keeping brushing me off and saying I'm to young and not to worry, but I feel like it's getting worst. Thanks for responding 👍
Thank you
Very interesting and informative information on this subject of chest pain without the direct involvement of the heart. You have mentioned several reasons to cover this subject very successfully. At this point allow me to mention the vertebral area between T4-T7 also may be involved in causing pain heart/chest due to vertebral subluxation, a common finding in Chiropractic practice.
I have one...Signs of paraesophageal hernia include, gastroesophageal reflux (heart burn, bloating, burping) chest and/or abdominal pain, shortness of breath, nausea and vomiting, For patients with a paraesophageal hernia who are experiencing symptoms (abdominal pain, gastrointestinal bleeding and/or reflux), surgical treatment is typically recommended to prevent a strangulated hernia. Surgical intervention usually involves pushing the stomach or other protrusions back into place. The surgeon then narrows the gap in the diaphragm (hiatus) with sutures and mesh materials to prevent another hernia