So far, so good. Chest pain followup post.- Mtbr.com
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  1. #1
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    So far, so good. Chest pain followup post.

    At your urging and to get some peace of mind I decided to go see my doctor about the strange chest pains (discomfort?) I've been having over the past 2-3 months. Being a fellow doc, I was able to get him on the phone and talk about it first, and he suggested a plan for keeping my health record as clean as possible. I went straight back to his nurse who ran an EKG, then between patients he came in and looked at it and listened to my heart. He also ran some blood tests checking my cardiac enzymes etc. Everything Iooked normal. I came back a few days later fasting so they could do the lipid panel. He also wanted me to do a exercise stress test which I did today. Everything turned our very good. In fact I'm the first one they've ever tested who was able to go the whole twenty minutes. It took almost 15 minutes to get me up to my estimated max HR of 177(I know it's higher than that so I kept running untill we got to 190). They were all amazed by that. I guess not too many physically fit people have that test done here. Anyway, no sign of coronary artery disease. The problem with that test is it's only 100% accurate if they find something. If they don't it's more like 85%. Still, that's better than going code blue on the treadmill and having to be defibbed, right?

    Eventhough we're pretty comfortable with the healthy status of my heart, my doc wants me to see the cardiologist next month to see if he recommends any further testing. (Stress test with dye and x-ray or angiogram).

    I'm paying for everything cash and telling them not to bill my insurance. We're listing routine physical as reason for visit etc to try and reduce my potential insurance problems if I decide to change insurances later (almost a given when you're self-employed). It's starting to get about as expensive as my Hammerhead makeover which is all complete btw. I'll post a separate review on the upgrades after a few more rides.... but, so far.....sooo good.

    I asked about an Echo cardiogram, but none of the doctors seemed to think that was necessary. I'll ask the cardiologist about that too when I see him (her?).

    Thanks to all of you for your advice and encouraging me to have it checked out. It does give me more piece of mind knowing what's not wrong.

  2. #2
    life is a barrel o'fun
    Reputation: Christine's Avatar
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    Good to know!

    I've been urged to visit a cardiologist due to some strange, irregular heartbeats that worry me a bit. But without ANY insurance at the moment, I tend to research the symptoms myself and rely on the kind (free) advice of friends, family and riding buddies in the medical field. Including my sister, the veterinarian

    So these tests and visits to specialists cost about as much as a new bike, huh? Hmmm. If I had to choose between life without bikes, or death.......................

    Yeah, I know, I hafta make the necessary appointments eventually. I'd be curious to hear how it works at the cardiologist, so please post about that once you go!

  3. #3

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    Hey How's the stress/anxiety in your life right now? I was feeling a pressure on my chest for a few months and thought I had some major heart issues. I did the stress test everyhitng normal, and I felt great when I rode, but at times I was felling like someone was pressing lightly on my chest.
    After talking to some people I have decided it is related to stress/anxiety. Doc seems to agree.
    Anyways that's my experience,and it may be something for you to check out.

  4. #4

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    Sounds like you are on the right track

    Does that blood work up include a troponin I? Cardiac enzymes even including MB aren't diagnostic on their own. Hey you should know this if you're a doctor

  5. #5
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    Thats good news to hear that everything is working good. I was just thinking about your original post, earlier today

    Unfortunately for me, my chest pains have come back. Sometimes it hurts bad. I have a hard time drawing a breath, and it leaves me exhausted. It sucks. I sometimes have good days, during which I can ride. But mostly I have resorted to staying off the bike. The cardiologist telling me that they havent found anything isnt enough peice of mind to make me want to risk it. "We havent found anything" is almost as bad of news as hearing "We found something."

    Apparently the word on my local race scene is that I moved up to expert, got frustrated, and quit - when in reality I just dont want to die. Real nice and sympathetic people around my local scene (sarcasim).

  6. #6

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    Quote Originally Posted by KRob
    At your urging and to get some peace of mind I decided to go see my doctor about the strange chest pains (discomfort?) I've been having over the past 2-3 months. Being a fellow doc, I was able to get him on the phone and talk about it first, and he suggested a plan for keeping my health record as clean as possible. I went straight back to his nurse who ran an EKG, then between patients he came in and looked at it and listened to my heart. He also ran some blood tests checking my cardiac enzymes etc. Everything Iooked normal. I came back a few days later fasting so they could do the lipid panel. He also wanted me to do a exercise stress test which I did today. Everything turned our very good. In fact I'm the first one they've ever tested who was able to go the whole twenty minutes. It took almost 15 minutes to get me up to my estimated max HR of 177(I know it's higher than that so I kept running untill we got to 190). They were all amazed by that. I guess not too many physically fit people have that test done here. Anyway, no sign of coronary artery disease. The problem with that test is it's only 100% accurate if they find something. If they don't it's more like 85%. Still, that's better than going code blue on the treadmill and having to be defibbed, right?

    Eventhough we're pretty comfortable with the healthy status of my heart, my doc wants me to see the cardiologist next month to see if he recommends any further testing. (Stress test with dye and x-ray or angiogram).

    I'm paying for everything cash and telling them not to bill my insurance. We're listing routine physical as reason for visit etc to try and reduce my potential insurance problems if I decide to change insurances later (almost a given when you're self-employed). It's starting to get about as expensive as my Hammerhead makeover which is all complete btw. I'll post a separate review on the upgrades after a few more rides.... but, so far.....sooo good.

    I asked about an Echo cardiogram, but none of the doctors seemed to think that was necessary. I'll ask the cardiologist about that too when I see him (her?).

    Thanks to all of you for your advice and encouraging me to have it checked out. It does give me more piece of mind knowing what's not wrong.
    It sounds like you are on the right path, I'm glad all seems well. I'm sure now knowing these things may help the overall stress (except the stress of those high bills!!). Good luck and take care. By the way congrads on the low HR on the stress test.

    Adm

  7. #7
    pepito
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    glad to hear everything's healthy in there! and it's pretty cool of that doc to help you out with the insurance thing too. keep riding and stay healthy

    the_dude

  8. #8
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    Excellent!

    Thanks for the update. Glad to hear everything seems to be groovy.

    Ken

  9. #9

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    I'm sure this is not the case

    But my father was admitted to hospital earlier this year complaining of chest pains. Doctors all thought it was a heart attack but the tests all showed nothing. After a few days of tests it turns out it was shingles. They came up on his chest. After reading up on it a bit it I found out it is a fairly common mistaken diagnosis.

  10. #10
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    Quote Originally Posted by Christine
    So these tests and visits to specialists cost about as much as a new bike, huh?
    Depends on the bike I guess. I've recently spent about $1000 upgrading my Hammerhead 100x (new fork, Push shock upgrade, cables, pads, bar, grips, pedals, saddle, etc) and by time I see the Cardiologist I suspect my checking-out-the-ticker bill will be $1200-$1500 depending on what other tests they recommend.

  11. #11
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    Quote Originally Posted by Panacea
    Does that blood work up include a troponin I? Cardiac enzymes even including MB aren't diagnostic on their own. Hey you should know this if you're a doctor
    I'm an eye doctor, but I'm assuming (hoping) my phyisician knew that. I'll ask.

  12. #12
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    Quote Originally Posted by ekozy
    Hey How's the stress/anxiety in your life right now? I was feeling a pressure on my chest for a few months and thought I had some major heart issues. I did the stress test everyhitng normal, and I felt great when I rode, but at times I was felling like someone was pressing lightly on my chest.
    After talking to some people I have decided it is related to stress/anxiety. Doc seems to agree.
    Anyways that's my experience,and it may be something for you to check out.
    Yeah, that's something I've considered. I may have some stress producing issues in my life but I don't feel stressed. I'm pretty easy going. Anxiety may be a factor. I'm a little susceptible to the power of suggestion. When my kids are throwing up, I get nausias too. When my buddy had heart bypass surgery at age 30 I started feeling chest pains, etc.


    That may be all it is and that's why I put off getting it checked for so long, but it wasn't going away and it was starting to encroach on my riding enjoyement worrying about it, so I figured I better go get it checked.

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