Angina Heartburn Symptoms

Q: I have had a severe pain in the middle of my chest when I went on a run, I wear a chest monitor and the pain started at 130bpm, I stopped and it went away, thinking it might of been a trapped thingy I started to run again and no pain even when running at a sustained 164bpm. The pain came on a few more runs to the point I stopped running, then I went on holiday for two weeks, on my return I had a cycle ride for about 1.5 hours average 145bpm and a max of 170bpm not a bit of pain. The question is this: can this pain be some type of Angina or should I be looking elsewhere.

A:As I understand it (as a sufferer, NOT a doctor) Angina falls into two camps - that which is brought on by exercise and goes away when you stop, and that which starts for no good reason and goes away. (There is, of course, the third sort, which ends up as a heart attack However, it seems to me from your description that what you suffered was probably a trapped thingy of some sort or another. I can say from direct experience that effort-related angina is predictable and the discomfort it causes is in direct proportion to the effort expended. It certainly would not be hit and miss as described by you. There may be many other things it might be and, to put your mind at rest, you ought to get it checked out. However, I think you can be optimistic about the outcome.

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