" pains have not abated and have recently been coming on while sitting or standing and doing nothing "
You mentioned this initially, then not again until this last post. You last have been writing about self-induced chest pain while exercising. Obviously easily controlled and prevented.
Meanwhile, without reading through everything again, I don't recall you mentioning "non-degenerative musculoskeletal congenital myopathy". I just did a Google search on that. You should. Unless you put in a typo, that name does not exist as condition. The only internet references, are in your post. There are orphan diseases, but they are known, and can be found on the internet. I know someone who has one. I Googled it, and there it was.
Creating a condition name makes you sound like a hypochondriac. Doctors eventually catch on and refuse to talk to people like that, or if they make an appointment, give them minimal time.
Unstable angina has a cause, partial blockages and spasms, or it doesn't. Don't do exercise beyond walking. If you had a heart attack and it was not diagnosed, then you have dead tissue in the heart muscle. You are not the first, and won't be the last. Life goes on. You still have lifestyle changes to make to have a better.
Worrying is not a plan. Eating right, exercising properly for your fitness level, meditation exercises, and daily flossing are a plan.
Go do the right things. You can find those out over the internet, and you have. Without symptoms they can make sense of, doctors can't treat you. Invent names for things, and they won't want to treat you.
Even if the pains are in your heart muscle, it can simply be you are pushing yourself too hard, and experiencing typical over anerobic threshold pains in the heart. Don't do that to yourself. It means you can not get enough oxygen that your heart demands, which may be a warm-up issue. And it means you are then circulating additional CO2 which is acidic and NOT good for the arteries, and could cause minor arterial damage that over many years might lead to actual heart disease such as I have.
I have severe heart disease, train regularly, always have, and have not had such pain as you now get since pushing too hard while training in high school and college.
Now go be smart, train right, no self-induced chest pain during exercise, and eat healthy. Pistachios and green tea, lots of fruit, etc, as I have recommended.View Thread
The next step in your exercise routine, which you do need to continue, is no over exertion.
Warm-up first with lighter aerobics such as walking. You need never be breathing hard or fast. The need to breathe hard is a sign of lack of fitness, or lack of thorough warm-up for the level of exercise you are attempting.
Seven is a lot of pain to force yourself to endure. Back off and train at a more gradual pace. You will get so you can run easily, just as I can row hard or play basketball.View Thread
This is not humoring you. If you have serious heart disease, it should not be overlooked because of your age. Statistically, your pains are likely anxiety. But if they are not anxiety related, there is a physical cause. With a truly horrible diet since childhood, or including it, you could have serious heart disease.
You get exercise induced pain, and it stops only when you cease exercise after the pain is there. Some chest pain can occur just from over doing exercise, and is simply getting your heart past its anaerobic threshold. I recall a "lung burning" feeling in high school when pushing myself hard in exercise.
Now that you are keeping this journal, you have something serious to discuss with your doctor. Continue to monitor and write everything.
A dull achy pain behind your sternum. That's the area of the heart. On a scale of 1 to 10, what level is the worst pain ? Can you induce it even stronger, or have you ? My very strong angina, I will say was a 10 all over my chest, not just the heart, and came from doing almost nothing.
Now that you know you can induce it, DON'T. You should feel no pain in your chest, or anywhere else really, during exercise. Find a pace just below the pain threshold, and try maintaining that, when any hint of pain comes, slow down below the pain threshold immediately. If the pain subsides right away, this might simply be normal with exercise. When pain comes, if dull, it may simply be your exercise limit. The durations you speak of do not sound beyond the norm of experience of exercise for people just beginning an exercise program.
Its less than a week. Continue monitoring and exercising. Try to stay BELOW a pain threshold. Each week, try pushing your exercise just a little further. If exercise related, you'll grow fitter, and the pain threshold will be more difficult to achieve, and may just be a normal exercise anaerobic threshold. If over weeks, it does not change, or slowly get easier to induce, then it seems more likely it may be indicative of a problem. Then you want to present and discuss this journal with your doctor.
Meanwhile, low salt, low fat diet. Reduced protein and increased fruit and vegetables. Less creamy sauces.
An MI, is pain that does not go away, and could involve partial heart muscle death as a result of an unrelieved blockage.
Unstable angina comes from no apparent reason, lasts from a few seconds to 10-15 minutes. Can be mild to as strong as a major heart attack. It is frequently a spasm in a partially blocked artery. Being able to breathe slowly and lie down can relieve it. Sometimes it goes away on its own. When frequent, it is serious cause for concern, as it may precede a total blockage causing a major heart attack.
A German research study found that fatal heart attacks are generally preceded by pain or discomfort for 2 to 10 hours, which the person ignored. The information was gathered from witnesses to the fatal heart attacks.View Thread
The doctor will argue age as making the heart cath 99% unlikely to find anything.
This is where you have to be really, really realistic, and totally honest about anxiety. My doctor also told me my two initial chest pain incidents were anxiety, without even trying to determine if I was concerned enough about anything to warrant anxiety. I asked him what I was anxious about, and he said, 'I don't know, its your anxiety." No basis what so ever. He might as well have said he thought I could learn to levitate and transport myself to other planets. Same level of accuracy. I had no anxiety at the time. Its still rare, and does not bring on any chest pain. My chest pain is almost ways totally random, unless I eat food with even a normal amount of fat. That will bring on strong chest pain within 24 hours, sometimes in as little as 4 hours. In one incident, the angina lasted two hours before subsiding.
So think about the incidents of chest pain, major and minor, you have had. As many as you can recall. Write down the day, date, and time of the incident, what you had been doing near that time, or what you had been watching, thinking, or worrying about. Events like this are traumatic, so they register more strongly in our memory.
Do the same for incidents of shortness of breath (SOB). My only incidents prior to bypass surgery occurred when I had a heart valve problem occur. With one, I was constantly short of breath if I even walked for about two weeks. With the other, if I did any exercise for more than a minute. That was from an infection, and took many months to heal. These were within four years of my emergency bypass surgery. I had echo stress tests with both, and the doctors saw no hint of blockages or abnormal heart performance.
So its no surprise they gave you essentially inappropriate tests to check for blockages. They did the same for me when I was 47, and 52.
Do your journalling and analysis. If the angina or SOB has an anxiety basis, you really will be able to figure it out. If the incidents came up out of the blue while asleep or exercising, doing physical work of some kind, or involved in an intense movie or video game, or argument with someone, then in my opinion, non-medical, but of my own experience, it is not stress.
Take a week or so to CALMLY assemble your history on this. Re-read it for accuracy, as if it is another person, not you.
There are alternatives to bypass surgery for most people. One, is one or more stents, but identifying locations still requires an angiogram. The non-medical alternative involves severe lifestyle and diet changes I have mentioned and I have been living SINCE bypass surgery. But if in a life threatening situation based on severity, it can be too little too late.
At this point you need determination, not anxiety. You are now your own dispassionate caretaker. If you will die soon, its what you set yourself up for, so no point being upset about it. If you won't die soon, don't be a baby crying about nothing, or Chicken Little saying the sky is falling when it is not.
Part of the lifestyle change, is to avoid things that bring on chest pain or shortness of breath. For the first YEAR or two, that would include action movies or thrillers, intense video games, active sports, even arguments with other people.
Eating an extremely health conscious diet, heavy on dark color fruits and berries, whole grain breads and cereals, non fatty fish, no red meat. No fat on poultry, no oils or mayonaise, pistachios as nuts, a few other nuts now and then. Dark chocolate is ok. No dairy, no ice cream.
Or try some of those things, maybe they will bring on chest pain. But they may also worsen your blockages if you have any, and you won't feel it for awhile.
Do ask your doctor about your HDL and LDL numbers. You have a target to bring the ratio of those as low as you can. Mine at time of surgery was 4 to 1. Now it is 1.7. It had been 1.2 for five years.
If gaining weight, you are taking in more calories than you are using. Might not be pedaling that bike as hard as you could.
Calories to reduce ? Best choice are those with few nutrients. And that would be the fats. Aim to eat more foods high in anti-oxidants. That's the best way to stop progression of artery disease.
Not eating that whole wheat bun ? Less calories there than the burger, and no fat. You are better of with the bun and no burger. Go for a grilled chicken sandwich instead on a wheat bun, with lettuce, tomato and onion. Mustard yes, hold the mayo. Eat the bun. Fiber and other nutrients.
DMW On a very low fat, very high anti-oxidant diet for 6 1/2 years since a Friday the 13th emergency triple bypass, January 2006. With trouble maintaining weight, and high fitness.View Thread