would you like to chat on this?
when did you do the angiogram?
Well as the angiogram was normal you have very little cause for worry
since you were already having chest pain at that time the angiogram indicates that this chest pain was not due to coronary artery causes
ie, not due to heart causes
yes thats right, i was just going to add that that is the established wisdom
but it is now well known that coronary chest pain can occur with normal angiogram also
an angiogram checks for decrease in lumen of arteries below 50%
so if your lumen is decreased by only 60% say, you would still have a normal angiogram
i mean lumen or diameter of the coronary arteries, the arteries that supply the heart
it is this diameter that is studied by angiogram
so even if the arterial diameter is slightly decreased you would have a normal angiogram but continue to have chest pain
the locum may have been right in calling it coronary vascular dysfunction
Coronoary Vascular Dysfunction is a possibility in your case
the examination that you need is called SPECT
askyour doctor about doing SPECT
it is non-invasive and not like an angiogram
yes thats right
here's an article that I would like you to read later and perhaps take a printout to your doctor
ask your doctor about doing SPECT
Discuss this with your treating doctor. You will get more attention when you are able to ask informed questions. Ask about this Coronary Artery Dysfunction and whether it is likely for you, and if so, what further investigations need to be done to confirm the diagnosis.
it would be a further confirmation
Take care - wish you good health and a quick recovery.
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is always welcome Thank you.Dr. P. Jyoti
any further questions?
glad to help