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Molecular Biopsy of Human Tumors

- a resource for Precision Medicine *

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  • 1. Ask the doctor. A few years ago, I started getting a dull chest pain when I walked up hills. My doctor said it sounded like I had angina, so I had a stress test, which was read as positive. However, when I underwent a coronary angiogram, there was no evidence of any blockage in my coronary arteries. I continue to have chest pain, yet my doctors just tell me not to worry. What should I do?
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  • 2. I am 58 years old and told my doctor I wanted to start an exercise program. I have never had any chest pain, but she told me I should have an exercise test because I have hypertension and diabetes. I felt fine during the test, but after four minutes they stopped me and told me my results were very abnormal. They said my EKG showed 3 mm of change. Two days later, I had a coronary angiogram, and two days after that I had bypass surgery! Was all this necessary?
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  • 8. Ask the doctor. I frequently get a dull chest pain that goes on for hours at a time. My doctor tells me that it is not coming from my heart and that I shouldn't worry, but how can he be sure that such severe pain isn't dangerous to me?
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  • 10. Ask the doctor. I haven't had such good luck with my heart--a heart attack ten years ago and angioplasty with two stents inserted last year. Would it make sense for me to have a yearly stress test? If I had been doing that after my heart attack, maybe my doctor would have seen the blockage and we could have done something about it earlier.
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  • 12. Syndrome X: understanding and evaluating the patient with chest pain and normal coronary arteriograms.
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  • 13. Management of the patient with chest pain and a normal coronary angiogram.
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  • 15. Ask the doctor. I'm a 51-year-old man with no risk factors for heart disease other than being male. My blood pressure and cholesterol levels are fine. I exercise, and my diet is pretty good. I've never smoked. Yet I recently underwent a triple bypass for sudden chest pain. What could have caused this blockage and can I prevent future problems?
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  • 16. [Microvascular angina (syndrome X). Presentation of 4 cases].
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