History
coronary angiogram is the gold standard test for diagnosis of coronary artery disease with a sensitivity level as high as 99.9% .so the chest pain and burning sensation is not because of cardiac cause. There are some other causes which can present with the same symptoms and can mimic pain of cardiac origin few of them are gastritis heart burn acid peptic disorders you say, you have acid reflux for several years, you were diagnosed with duodenal ulcer, ATT therapy also increases formation of acid and causes severe gastritis, most likely cause of your chest heaviness and pain is HERD(Castro esophageal reflux disease). Gastroesophageal reflux disease (HERD), Also known as acid reflux. HERD occurs when stomach contents move back into the throat. This may cause a burning sensation in the chest known as heartburn. Once cardiac condition has been excluded, the most common cause of chest pain is HERD. I would like to say that treatment of HERD is done according to the following guidelinesPatients are often prescribed a proton pump inhibitor (PPI) also called a PPI trial(e.g. omeprazole). They must be taken at least 30-60 minutes before breakfast. If the patient responds, the treatment can be continued for at least 8 weeks. For patients not responding to a PPI(as in your case) alone a combination of PPI with Levosulpiride should be tried for 4 weeks. Low doses from the class of Chat Doctor. These medications are felt to produce their favorable effect by reducing pain transmission from the esophagus to the brain. The two most commonly used agents are migraine and trazodone. For patients not responding to either acid inhibition trial or TCA, esophageal motility testing (a study done to evaluate the muscle contractions of the swallowing pipe) may be done to look for other uncommon causes of chest pain such as Andalusia. Esophageal Andalusia is an esophageal motility disorder involving the smooth muscle layer of the esophagus and the lower esophageal sphincter (LES), Andalusia is characterized by difficulty in swallowing, regurgitation, and sometimes severe chest pain and burning sensation. A peptic ulcer is one of the most important cause of dizziness, chest heaviness and explains all your symptoms.it's not your heart it's because of gastritis and ATT increases it