How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Dr. Phil, MD Your Own Question
Dr. Phil, MD
Dr. Phil, MD, Medical Doctor
Category: Cardiology
Satisfied Customers: 56506
Experience:  Cardiology Expert
55099014
Type Your Cardiology Question Here...
Dr. Phil, MD is online now

I recently experienced chest pains whilst doing Insanity (extreme

Resolved Question:

I recently experienced chest pains whilst doing Insanity (extreme circuit training). I went for an exercise ECG yesterday which showed my heart to be working fine, other than my pulse is slow at rest, about 45bpm. I was sent for the test because of the following risk indicators:
I suffer from Ankylosing Spondylitis.
Paternal granfather died of heart failure aged 67.
My cholesterol is 5.8
I smoke occasionally (5 per week).
I have leakage in the bicuspic valve.
I am 42 years old, married with 2 kids, exercise regularly and eat a balanced diet. The cardiologist now wants to do a myoscan. What could they be looking for? What are the possible diagnoses?
Submitted: 2 years ago.
Category: Cardiology
Expert:  Dr. Phil, MD replied 2 years ago.
Is this a stress test?
Customer: replied 2 years ago.


  1. The MyoScan is a pre-amplifier of surface electromyography (sEMG). Surface EMG measures muscle activity by detecting and amplifying tiny electrical impulses generated by muscle fibers when they contract.


Expert:  Dr. Phil, MD replied 2 years ago.
OK. Your doctor thinks its muscularI agree
Customer: replied 2 years ago.

So if it's a muscular issue what in laymans terms are the possible conclusions? And what would be the cures or preventative measures?

Expert:  Dr. Phil, MD replied 2 years ago.
It is just that. Muscle strain firom exerciseCures would be rest and ibuprofen Prevention of exacerbating activities
Customer: replied 2 years ago.

When you mention muscles I think I wrongly assumed you were referring to the heart as a muscle.

Maybe I misled you by posting the definition of Myoscan, but from what I understand the test involves injecting me with some radioactive dye to show (I guess) how the blood is flowing through my heart.

Expert:  Dr. Phil, MD replied 2 years ago.
OK. So they are getting a stress test?That is a good idea but I bet it's normal
Customer: replied 2 years ago.

Can you elaborate on what you mean by 'stress test? And what could the results prove and possible treatments be?

Expert:  Dr. Phil, MD replied 2 years ago.
Basically they are gonna stress your heart and see if it works OK This will rule out blockages or a heart attackIf its abnormal you need a catheterization
Dr. Phil, MD and other Cardiology Specialists are ready to help you
Expert:  Dr. Phil, MD replied 2 years ago.
I appreciate the good rating.

I would be happy to help you in the future. Just ask for feedback. Thank you. :) Dr. Phil in your question opening or bookmark this page http://www.justanswer.co.uk/medical/expert-irondoc/

I greatly appreciate a positive rating in the customer satisfaction survey that you will receive via email. It is important for me to get your feedback. Thank you. :)