Lung resection and symptoms with CHD in family

Resolved question:
In 2006 I had my left lung removed because of a carcinoid tumor. Since the removal of my lung I sometimes experience weird sensations in my left chest, including pressure, mild pain, burning sensations as well as other sensations that are hard to describe.

In the fall of 2011 I had a sudden increase in the intensity and duration of the sensations as well as experiencing sensations I had never felt before. After several visits to the doctor, a stress test and a cardiac catheterization, it was determined that my heart was okay and not the cause and that most likely caused by nerve damage from my surgery. A couple of weeks later my symptoms subsided.

For two years everything has been normal with the occasional weird feeling in my chest that would go away after a few moments. A couple of weeks ago the sensations increased their frequency and intensity, similar to what I experienced in 2011. My question is since I had a cardiac catheterization two years ago that came back negative, can I assume my heart and arteries are still in good shape? Or is there a possibility that my symptoms are a result of CHD which runs in my family?

I'm 49, 6'-3", weigh 220 lbs, get some exercise every day, eat reasonably well, I have never smoked. My last physical in August was good. (Total Cholesterol 126, LDL 75, HDL 36, Triglycerides 76, Glucose 93, BMI 28.5

Submitted: 4 Days
Category: Cardiologist

Expert:  Dr. Vivek Mahajan replied 4 Days.

Hello
Thank you for your query at DoctorSpring.com.

Please help me with your history -
Do the symptoms that you have presently match the symptoms that you had 2 years ago exactly?
Do you have chest discomfort when you walk around or climb stairs or is it predominantly at rest?

For the majority of the population new blockages dont appear within 2 years of a previously normal angiography. But there could be exceptions.

If you have chest discomfort on exertion or heavy work and if the sensation is different from what you had previously you may undergo a stress test, and if it shows any abnormality you may then consider angiography. But if there is no significant fnding on a stress ecg coronary angiography is not advisable.

Hope this helps, please feel free to discuss further.
Regards
Dr Vivek Mahajan
DM Cardiology

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