Need advice - PCP says I have an issue, Cardiologist says no

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Date Joined Aug 2017
Total Posts : 1
   Posted 8/31/2017 8:28 AM (GMT -6)   
Back in Mid-May, I began having bothersome pains in my right arm and right chest area. I put it off, until May 18th, when I awoke with a numb right third finger and mild pain on the right side of my chest.

I went to the ER, my heart rate was 140 and my BP was high. They took me to a room right away, did some visual tests for stroke, hooked up an IV to draw blood, and did an EKG. They then sent the labs off and sent me for a chest xray.

The pain and numbness began to subside while I waited. The doctor came in about an hour later and told me all the tests seemed fine, but my EKG showed I had a little larger heart and that was normal because I am overweight. She sent me home with BP medication. Before she came in my BP was 170/85. When she came in I could feel my BP rising and when they checked me before discharge, it was 210/92. They gave me an Atenolol tab and sent me home.

I got my refill and found a new PCP, as my previous PCP had left state and network.

When I saw my PCP she wanted my full history. She tested my lung strength because she stated they sounded "soft." I was at 600 on the spirometer, should be 640 for my age.

I left that appointment with: Atenolol at 50MG once daily, albuterol, another breathing med, a nebulizer, and an inhaler. Also an order for an echocardiogram and blood work.

I had a bought of tachycardia about two weeks later that left me scared and sleepless that night. I went to an immediate care center the next morning and they did an EKG. My BP was 170/82 (with atenolol usage). This doctor prescribed me Norvasc at 5mg in addition to the Atenolol. He also prescribed me Buspirone, stating he felt it was anxiety because the EKG looked fine, no bad signs.

After my echocardiogram and bloodwork, I saw her again. My echocardiogram showed slight left ventricular hytropohy and slight right ventricular enlargement.

Bloodwork showed I was fine, cholestorol 128. But my CRP-HS was a 5. She stated that was high.

She said we would take the CRP-HS test in a couple months and go from there.

I went and saw a cardiologist recently, because I still felt off and don't fully trust my PCP.

The cardiologist looked at my echocardiogram and my record and stated he didn't see anything on the echo to be worried about. He sent me for some blood work.

After his blood results, he asked I take vitamin D3 at 2000 international units, vitamin k2mk7 at 100mg, and vitamin co-x10?

I am lost now. Because I still feel off and I now have conflicting diagnosis'. Where do I go from here?

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Date Joined Feb 2003
Total Posts : 16417
   Posted 8/31/2017 1:32 PM (GMT -6)   
My thoughts are since the echo results did not reveal anything that would warrant any intervention, this is why he made that statement. Had he felt you had something going on that warranted treatment it would have been discussed. I would trust his judgment over a PCP, dealing with heart issue is his specialty.

I would work on getting the blood pressure down to a decent level. It can take the meds a couple of weeks to be fully effective. Watch your diet, get some exercise even if it is just walking every day for 30 minutes at least. Also, try to get some of the weight off, but do so in a healthy way.

If anxiety has been an issue for you in the past work on getting it under control. Anxiety can cause many of the symptoms you have described. It is hard when we have to see a new dr been there & done that. I suggest seeing the new dr a time or two more, then if you feel like it is not going to work look for another new dr.

Take care.
Moderator in Chronic Pain & Psoriasis Forums

Elite Member

Date Joined Mar 2009
Total Posts : 20227
   Posted 8/31/2017 9:29 PM (GMT -6)   
listen to the cardiologist. they do the ticker! welcome 2 the forum.
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