catheterization???????

[chevy man]

hey i'm a 36 yr. old 6'3  335lbs A lil over a year ago i had pain in the chest and left arm. I went to the e.r. and they did E.K.G. x-ray and things of that sort i have had small pains on and off since i have had 2 stress tests and they came out ok i had the ultra sound of the heart and thst was ok i was told i have an hiatal hernia but i keep having chest pains one week ago i got a very sharp pain in the chest and went to the e.r. they said after blood tests and an x-ray they saw nothing that says heart problem. I have gotten nauseous and loss of appetite what should i do HELP PLEASE!!!!!!!! sould i get the catheterization??????? if so i know there are risks but are they very very large or moderate or what????? Help please!!!!!!!!

[chevy man]

oh by the way is the catheterization the end all be all of heart testing?????

[chevy man]

thanks guys or all your help but its hard because i can't sleep i feel like a heart attack could happen at anytime(well i guess it could ) i still feel  nauseous and woosie sometimes and i feel like my throat is closing and i sometimes feel a lil discomfort in the glands area on my neck  and i wonder are these possible heart attack symptoms.

[Sweetwaterguy]

It is unlikely you could get a heart cath if you doctor does not think it is medically indicated.  They are very expensive.  An alternative might be a 64 slice ct scan which can image your heart arteries.  It is much less expensive, and should give you a good indication of developing arteries, if that is happening.  

[Jack54]

The hiatal hernia and the acid reflux it causes should be dealt with first. If you are taking medicine that stops all acid reflux and continue to have any chest pain, then hammer the doctors more.

Try to lose a pound or so. Good luck,

Jack

[johanni]

Your testing seems to indicate your heart is fine.Sharp pain is not generally associated with angina.The nausea and loss of appetite seem to indicate anxiety issues more than anything.
From what I have been told,and I have had a cath myself,. is that in the right hands a cath is very safe.Of course every invasive test does carry some risk.I would only do the cath if your cardiologist thinks that it may be warranted in your case.But first try and relax, since the testing so far has not indicated any heart trouble.
Regards,
Dimi.

[chevy man]

oh by the way i have never smoked or drank and no history of heart problems my mother is 57 and fine my father is 60 and doin fine also