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    Gerd vs. Cardiac?
    Worrywart911 posted:
    I have been diagnosed with a severe case of Gerd, a tiny hiatel hernia, gastroparasis and possible esophogeal spasms. However the continued chest pain and pains in my left arm continually worry me that I have a heart problem. I have had 2 cardiac stress tests and sonogram of the heart to check my heart valves and blood flow. All were ok. My total cholesterol is 166 and I do not have high blood pressure. I am overweight and my mother just had one stint put in her main left artery at age 62. Other than that I have no family history. I would like to have a heart cath just to put my mind at ease, but my cardiologist will not give me one as his is sure I do not have a heart problem. My question is, is it still possible to have a heart attack if you do not have high cholesterol or blood pressure?
    CardiostarUSA1 responded:
    Hi: b "Chest pain and pains in my left arm continually worry me that I have a....." Chest area (left, right, upper, lower, center, side) pain, stationary or radiating elsewhere, with or without accompanying symptoms, has various causes, cardiac and non-cardiac, which includes, but is not limited to, pulmonary, gastrointestinal, musculoskeletal, and psychological/psychogenic. Additionally, of the various kinds of heart conditions, some which may/can occur at any age, symptoms may/can be acute (occurring suddenly), be chronic (occurring over a long period of time), come and go (be transient, fleeting or episodic) or even be silent. b "Is it still possible to have a heart attack if you do not have......" Yes. Lose weight sensibly, and keep ALL other known modifiable risk factors closely in-check. ALWAYS be proactive in your health care and treatment. Take care CardioStar* WebMD community member (8/99) - - b Be well-informed i Heartburn or heart pain? WebMD Health/Healthwise b Gastroesophageal Reflux Disease (GERD) [Heartburn> b GERD Information Resource Center b . . . b Heartburn vs. Angina Pectoris How do you know if chest pain is heartburn or angina pectoris, chest pain related to the heart? IT'S WISE TO let your doctor decide. b . . . MedlinePlus b Chest pain CNN/Mayo Clinic b Chest pain eMedicine Health b Chest pain - b Good to Know, for the primary/secondary prevention of heart attack/brain attack Epidemiologic studies have revealed risk factors for atherosclerosis (typically affecting the coronary, carotid and peripheral arteries), which includes age, gender, genetics (gene deletion, malfunction or mutation), diabetes (considered as being the highest risk factor), smoking (includes secondhand), inactivity, obesity (a global epideic, "globesity"), high blood pressure (hypertension), diet high in fat, saturated fat and cholesterol, high LDL, high Lp(a), high ApoB, high Lp-PLA2, high triglycerides, LOW HDL (less than 40 mg/dL, an HDL level of 60/65 mg/dL or more is considered protective against dreaded coronary artery disease), high homocysteine, and high C-reactive protein (CRP/hs-CRP). - WebMD b Heart Disease TYPES i Acquired in life or congenital b SYMPTOMS Mayo Clinic b Cardiovascular disease 101 Understanding all the different types of cardiovascular disease can be confusing. Get a basic overview of cardiovascular disease and the..... b Heart disease prevention: 5 strategies keep your heart healthy - - Health A to Z b Making the Most of Your Doctor Visits HealingWell b You and Your Doctor: It Takes Two to Tango Your medical care is a TWO WAY street...... i Quote "Be a questioning patient. Talk to your doctor and ask questions. Studies show that patients who ask the most questions, and are most assertive, get the best results. Be vigilant and speak up!" - Charles Inlander, People's Medical Society . It's your there. :-) . . b WebMD/WebMD message boards does not provide medical advice, diagnosis, or treatment. b WebMD does not endorse any specific product, service, or treatment.
    tbond007 responded:
    my husband, 51 yrs. did not have high bp or high cholesterol when he had bypass surgery. the cholesterol test was fine according to our doctor, but when he started having shortness of breath, fatigue and chest pain our doctor sent us straight to a cardioligist. he had single bypass surgery the next day. The main artery (called the widow maker) was 99% blocked. See another cardioligist, get a second opinion. Demand an agiogram.
    James_Beckerman_MD responded:
    Yes, it is still possible to have a heart attack without having high blood pressure or high cholesterol. However, the risk of this occurring is low, and is further mitigated by your two normal stress tests and echocardiogram.
    carlin109 responded:
    I just experienced the exact same thing and i finally went for a cardiac cath and a 99% occlusion was found in my rt coronary artery! It took my PCP to set up the appointment with another cardiologist and he said no doubt it was cardiac in spite of the test results. He immediately sent me to the hospital and did a cath and stinted the occluded area. Actually there were 2 areas - one 99% blocked and the other 90% blocked. The GERD and esophageal spasms may be there too (as it was in my case too) but the pain you are experiencing is cardiac! Find another cardiologist and demand something be done now. It is your health! Please do not wait.

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