Arlete..Is this Angina or Reflux??

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Arlete..Is this Angina or Reflux??

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10 Posts

yogesh
Forum Newbie

Topics: 5
Posts: 56

04/22/08 - 01:08 PM

Hi arlete (cardio.) & others off course..

40y M
Retrosternal Chest pain episodes sicne 6-8 wks- feels pressure-like
Sometimes while sleeping occasionaly while climbing stairs
No relation to other kind of exersions
ECG- normal
Smoker, obese, HTN +, Family history + for CAD

What is it?

Angina or Reflux

Edited by yogesh on 04/22/08 - 05:19 PM. Reason: Bad acronyms

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chemamr
Moderator and PGY1
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Topics: 703
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04/22/08 - 01:30 PM

to rule out angina

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arlete
Intern in 2009!!!!!
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Topics: 24
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04/22/08 - 03:45 PM

I wouldn't rest my case until I prove it's not angina. I would go for a stress test and holter 24 h(CP while sleeping could be spasm - Prinzmetal).

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yogesh
Forum Newbie

Topics: 5
Posts: 56

04/22/08 - 03:51 PM

Hi arlete
Thanks for taking time.
The next step surely would be stree test. What I was asked is the most likely diagnosis...

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Eagle_303
Forum Junior

Topics: 7
Posts: 38

04/22/08 - 04:07 PM

Incomplete case

BTW what is this F/H + ?? fetal heart sounds ? grin

yogesh
Forum Newbie

Topics: 5
Posts: 56

04/22/08 - 04:09 PM

Family history + (for Coronary heart disease) .. (Am I that confusing..?? Fetal heart confused

:eek

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yogesh
Forum Newbie

Topics: 5
Posts: 56

04/22/08 - 04:10 PM

Eagle_303 wrote:
Incomplete case

BTW what is this F/H + ?? fetal heart sounds ? grin

Sorry dear. This is it. what can be the MOST LIKELY problem?

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arlete
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04/22/08 - 04:14 PM

I would say angina.

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hero
Forum Senior

Topics: 22
Posts: 212

04/22/08 - 04:20 PM

"pressure like" vs burning - i guess this is the hint

Vietnamese
Forum Senior

Topics: 8
Posts: 149

04/29/08 - 07:54 AM

#10

Atypical angina but some risk of CAD -----> Threadmill : Diagnose and prognosis.

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