What heart checks should I be asking for?

[Funkymonkey02725]

Ive been suffering from on off chest pains and Palpitations for a while now. Not severe enough that I felt it warranted a&e . But its been going on a while now and I've decided I want it looking into.
I went to the GP last week. She told me off for not going to a&e and said next time I need to go.
She sent me for a blood test which measured heart strain , that's come back ok although I've researched and it said if your obese which I am, it can lower your results inaccurately .
She also sent me for a chest x ray which is clear and im having an ecg with the nurse on Tuesday which im expecting to be clear as I have a Kardia device at home I use.

She wants to see me again this week to discuss the results. I think she is going to say as they are clear no further action but I should go to a&e next time .

Even though they are clear I do think something is wrong. My husband had one episode of chest pain, went to the GP and ws sent for an angiogram. So was my fil. Can I ask for this?

I would also like an echoca/stress tests etc. Am I within my rights to insist i want these if she doesnt refer?

Did your husband and FIL present at the GP whilst having chest pain? If so then it isn't surprising they were sent to hospital- as you were not currently experiencing the pain it wouldn't be necessary to do that.

Have the ECG done and if it comes back normal you could ask for a 24/48 hour monitor to see if it captures anything over a longer time period. You could request an echo if nothing comes back from the longer term monitor to check for anything structurally or a stress test yes.

As well as the bloods for heart strain, I'm hoping they did a full blood count to check for anaemia, electrolytes and checked thyroid?

Hope you can get to the bottom of it all soon!

Start taking magnesium every evening before bed. You are likely deficient as most people are, and it can cause arrthymias. Try and find one that is the full RDA and has a combination of several magnesium types

Yes she did full blood count all normal, magnesium normal, urea , electrolytes, creatinine normal, thyroid normal, hba1c normal, bone profile normal, liver function normal and the heart one Se N-term pro BNP
Normal.
Husband and fil went to gp after the event and was referred for an angiogram. They didn't attend a&e.

Im just worried she will say thats it for now whilst I've still got the issue. I dont really want to go to a&e with the huge wait times etc and many poorly people, I just want some referrals for checks .
Everything I've read seems to be pointing to angina but how is that diagnosed?

I have a Kardia as I have Afib and I thought it only showed Afib and wouldn't detect any other heart rhythm issues. An ECG will detect other issues.

Have you had full bloods done? If so are the results optimal - not just ok according to nhs guidelines? There's quite a few things that can cause chest pain/palpitations that aren't cardiac events.

Angina is diagnosed with a stress test. It can sometimes be seen on an ECG, but not often.

Kardias are fairly rubish, if you have AF your pulse will give you as much information.

you need to go to ED when you're having chest pain or palpitations so they can do an ECG (which will show acute ischaemia or a dysrhythmia if they're the issue) and think about doing serial troponin tests if it looks appropriate - if you won't go in during an episode then you're limiting the amount of information available to make/exclude any diagnoses. A standard 12 lead ECG will also often give clues as to whether there is anything unusual going on even in the absence of symptoms too and is more useful than a Kardia device. The GP could refer you to see a cardiologist but not directly for an angiogram/stress test.