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Brandon Oto 09-01-2007 04:46 AM

Moderate angina in heavy running
Hi all,

This is sort of a passing "should I be worried?" question. For a very long time (long as I can remember), when I run hard for distance -- 5k or 10k, sure, but even a good mile -- I've often found that I experience some left chest pain. It's heavy, maybe 2/10, non-radiating, and seems unaffected by my breathing, though it's only there when I'm still hauling off (usually fades within a few minutes if I stop or slow).

I never gave this much mind, especially because it only occurs in these occasional situations and it's not impinging at all. But I don't want to keel over dead one day, either. Should I be worried?

Susie Rosenberg 09-01-2007 04:56 AM

Re: Moderate angina in heavy running
You shouldn't be worried, but you should check it out. The differential diagnosis is long, and most of that list is basically nothing or benign conditions requiring no treatment, but there are a couple of relatively rare conditions that would require monitoring or modifications.

It's a risk/benefit analysis: what do you risk by going to see a doctor? Not much. You potentially gain peace of mind or necessary information about a condition. What do you risk by not going? Continuing concern about potentially nothing, or missing a real problem.

Go for an exam.


Brandon Oto 09-01-2007 11:08 AM

Re: Moderate angina in heavy running
Thanks Susie. I have a passing knowledge of (and experence with hypertrophic cardiomyopathy and didn't want to become a statistic.

I'll try and get in.

Craig Van De Walker 09-01-2007 03:50 PM

Re: Moderate angina in heavy running
One more vote for what Susie said.

Max stress test with Dr. standing by to reproduce symptoms. If nothing else you get some piece of mind.

Kevin King 09-04-2007 10:17 PM

Re: Moderate angina in heavy running
I'll third that motion.

The only caveat is that if you have had a change in your symptoms recently (worse, quicker onset, different associated symptoms) get to your doc more quickly.

The odds are this is nothing, but I see significant heart disease in the young and old alike.

(By the way, the same thing happens to me, especially with a max effort.)

-- KK

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