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JohnPiscoti, January 6,  2019  12:09am EST

Heart issue without diagnosis

Hi all,

I am 54 years old and I have a critical health condition that I need some help and advice. I had multiple visits, 5 times total, in the last couple weeks to the emergency room with very severe chest pain and a level of troponin reaching each time reaching 70ng/L. The chest pain last only 5 to 10 min but leave me so tired and exhausted the whole day. At the emergency room they did CT scan, X-ray, Echocardiogram, and even catheterization and they all came negative with normal heart physiology. All my blood work didn’t show anything and I have done many. I have been tested on everything and even on my thyroid and many cardiologists couldn’t find what wrong with me. I don’t think I am stressed more than usual and my health is in general fine. I stopped drinking coffee and tea and I don’t drink alcohol or take Viagra or any other drug. Seems doctors don’t know what to do on my case and I am scared that the next attack will finish me. Any advice and help will be grateful.

Thank you in advance

I Appreciate very much foryour help or advice

5 Replies
  • AHAASAKatie
    AHAASAKatie, January 7,  2019  9:48am EST

    I am so sorry that you are having to experience this! It is great that you have had your thyroid checked and that the medical profession is taking this seriously. What does your GP say? Please know, even without a diagnosis, we are here to help support you. Best Katie 

  • JamesPL
    JamesPL, January 7,  2019  7:42pm EST

    Hi John,

    Does the exhaustion extend into the next day or do you feel better the next day? I'm asking this because I've had a similar experience a couple of times. Both times I felt exhausted but my energy returned the next day. In both cases I was concerned it was my heart because I had bypass surgery but I was given stress tests both times and they both produced excellent results. It's encouraging that the tests conducted on your heart have all been positive but I would persist in questioning your doctor so that you might have other testing done in order to find the root cause.

    Best of luck.


  • BL1970
    BL1970, January 17,  2019  5:08pm EST


    That is quite odd that you have these symptoms yet everything comes back positive. And rightfully, your feeling anxious and afraid is justifyable.

    I have had three open heart surgeries for an aortic stenosis, all within 14 years when I was a youngster. I never received a smidge of counselling, support, or therapy before, during, and after surgery. So, I am new on this wonderful site as well, and it is comforting reading and replying to members of the "zipper club." In this media I have made myself a sort of ambasador, (I know I spelled that wrong, but its part of me, lately.) for ppeople, young and older to self-advocate for asking for a cousellor, or therapist to help you along. Most people, statisticaly suffer from PTSD, Panic disorder and depression. I am 61 years old and thank goodness things are going well.

    Having briefly shared my story, I am glad you are keeping up with the doctors who are trying to help. One thought I had is wondering if wearing a heart monitor device might be helpful. (you just wear a device on your belt, with a few monitor patches on your chest for 24 hours. This way, the doctors can monitor your heart better, I believe.

    Many years ago my cardiologist had me wear a monitor for 24 hours. I live in Vermont, so earth quakes are rare, so while wearing the monitor, we had a 4.4 earth quake in the middle of the night. Fight or flight kicked in and ZOOOM my heart rate skyrocketed! But the next day my doctor queried, "was this during the quake?" I said yep it was.

    After a few days of reading the results of the monitor he laughed and said, ''Ken, your heart is doing great!"

    The lord sure does work in mysterious ways!

    So John, that's my unprofessional yet hopefully helpful advice. I think you will get this resolved. Breathe deep, you sound like one who NEVER gives up, and you have inspired me today!



  • NurseTessa
    NurseTessa, January 31,  2019  2:35pm EST

    Hi John,

    Have you had a stress test, either chemical or exercise?  It is possible to have spasams in the coronary arteries that cause transient or temporary narrowing which would explain the pain and elevated troponin.  During a stress test you would walk/run on a treadmill or be administered medication to put stress on your heart and they would watch you ECG and/or echocardiogram.  This would be the best way to see if they could repeat your signs/symptoms and monitor what's happening during your experience.  The good news is that if it's a spasm, you don't need a stent or surgery, but there are medications your docotor could consider that would help alliviate your symptoms.  Best wishes! 

  • DolphinWrite
    DolphinWrite, February 15,  2019  2:25am EST

    One thing I know after years in a stressful occupation is how it affects your health.  I could tell, with time that stress led to upper back and shoulder/neck pain, abdominal discomfort, chest tightness, and more.  At times, I would take a day off, hit the beach, or reduce workload for a time.  Should have taken more steps. What I want to say is stress, recognized or unrecognized, creates all kinds of physiological reactions, and over time, complications build.  Mine led to my heart attack.  No family history.  I just took on a career no one in my family would try except for my sister, and she quit it as she found how stressful it was.  I was too stubborn.  But I plan to go back in a few months.  I hope I've learned what not to stress about, but I don't want to stop a carwet I understand and feel is important.  Take care.  God bless.

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