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Hello there! I've had upper back and chest pain or a little over a year. I also have a little upper abdominal pain. I feel the most pain in my upper back, between the shoulder blades. The pain feels deep in nature. Squeezing between shoulder blades. It's constant. I've also had a few 'periods' with sharp chest pain on top of that. I have a lot of throbbing were I have pain. It feels somewhat like strong hearbeats. I don't think the pain is muscular in origin. I don't have any tenderness to touch. Pain is slightly worsened by certain positions, movements and respiration. One doctor suggested pericarditis and prinzmetal angina, I think because of my EKG changes and sharp chest pain on a few occasions. I have had transthoracic ultrasound which was normal. I have also had done a stress EKG which was normal a part from low endurance due to shortness of breath (70% of expected for age). What do you think the cause of my pain is? Could it be heart related? Would you recommend further testing?


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replied November 28th, 2018
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Heart Disease and Heart Attack Answer A64632
The exercise tolerance test or stress ekg would be important in this regard if there are significant changes that indicate ischaemia then angiography can be considered in consultation with your cardiologist. An echocardiogram should also be done to look for any regional wall motion abnormalities and a reduced ejection fraction.


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