Chest pain

[cgatrelle]

I had my AVR in May of 1995. I have a SJM valve. Anyway, lately, I would say for the last 2 years, I experience chest pain after some minor exercise or exertion. Usually this occurs after a meal. Unfortunately, I am not in the greatest shape. I sometimes get it when I mow the lawn and then "work" thru it and it disappears. I have had 2 treadmills done from 2 different Cardiologist and they say the test have come out fine, showing no problems. The cardiologist recommended a catheter as the next step, but I am not sure.
Again, this is transient. Sometimes I can exert myself and am fine. Then other times I have the pain.

Any ideas or recommendations?

Charles

 

[Georgia]

Hi, Charles! Welcome.

Can't say that I know a whole lot about chest pain, but frankly, with your history, I'd want to know what's going on. And if the cardio recommends a cath, I'd get one. It's not a nice procedure, but if you have some blockage you'd be better finding out about it sooner rather than later.

And if it all comes out fine, perhaps you could get your doc to prescribe cardiac rehab? I'm in Phase III, have been since my valve surgery 3 years ago, and I really enjoy it. I've always hated exercise, and this suits me well.

 

[KimC]

Charles,

Referred pain is tough to pin down. Many things can effect bloodflow to the heart, i.e, the pericardium, microvascular and narrowing valves.

Why not ask your cardio for a trial run of nitro spray? Next time you feel the chest pain, take the nitro and note your body's reaction. If you feel your chest open up, and can breathe more easily, it may be angina you're experiencing.

Aortic valve disease, stenosis especially, and heart disease can go hand and hand. Caths will give you peace of mind, or address a serious blockage or other problem. It's the gold standard for determing the cause of chest pain.

Be sure to note any changes in the pattern of the pain, especially if it sustains. Don't wait, call 911.

Best regards,