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Conditions and Diseases > Chest Pain Forum > Causes of chest spasms & twitching
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Q: Causes of chest spasms & twitching
asked by: DoctorQuestion on March 28th, 2009
I would like to know what could be causing these chest spasms/twitching. The Procardia does not seem to be helping. Do I have actually have coronary artery spasms or could this be another problem? Since I have had all tests except angiogram completed, not sure where to go next to find answers.


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Dr. Goce Aleksovski , MD
replied on March 29th, 2009
Heart Disease and Heart Attack Answer A6167



The intensity of the pain would have been helpful. if the pain was stabbing, then it might have been related to heart issues. Angina pectoris is a condition in which the heart muscle is not supplied with oxygen enough. This condition can be caused by clogged coronary artery or coronary artery spasm or both. If only coronary artery spasm was present, then the heart might have not been damaged and some of the tests you mentioned would have been within normal limits. The problem is that if there is no damage, the ECG can register angina pectoris causing pain only at the exact time when it appears. Any previous damage would have been registered with certain laboratory tests (Lactate Dehidrogenase, Creatine Kinase-MB) and the Stress test. Since the latter showed normal results, you might consult with neurologist if the problem is neurologic affecting some of the nerves in that area.




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