Can something still be wrong?

[fuzzyandfogged]

A hypothetical question in a clinical setting, relating to a close friend.

Chest pain on exertion for last 2 years. Palpitations whilst resting. Occasional dizzy spells.

Tests performed:
7 ECG's, all reported as normal, bar one which showed a possible ectopic
Echo-cardiogram, reported as normal
ECG treadmill test, reported as normal
Coronary CT Angiogram, reported as normal

Patient is 23, male, no known health problems. Resting 57bpm, BP 130/80

Is it possible for all of the above tests to still be missing something cardiac...

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[siliso]

Something can be wrong, but probably not with the coronary arteries or valves or cardiac ventricular function give all the above testing in a person without specific risk factors. The problem could in fact be anxiety or panic disorder or somatization - or much less likely an arrhythmia not caught during testing that longer term event monitor could pick up. It could be a lot of things. The person should continue to work with his primary care physician regarding his symptoms and be open to their suggestions regarding evaluation and management. This is not medical advice excepting the advice to work with and accept the guidance of a qualified physician.

 

[gutonc]

SDN is not for medical advice.

Closing.