Angina Pectoris, unspecified. What does this mean?

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PilotEnthusiast

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Recently went to cardiologist to rule out any issues. I was having heart palpitations. I did EKG, stress test, ultrasound, all came back normal. No ischemia found. Doctor said it's probably too much caffeine, so I cut back on caffeine and I stopped having the rapid heart rate. Since I'm applying for my first class medical and it asks for any providers I saw in the last three years, I get the medical records from my cardiologist just to see what was recorded. He put down tachycardia, palpitations, and angina pectoris, unspecified... I'm a bit confused because I never complained about chest pain? I thought I had nothing to worry about and I was just being precautious by going to the doctor.

Am I automatically disqualified then? It's heart-wrenching that it could simply be over too much caffeine. If I perform all the cardiovascular tests with an AME and it comes back normal (which I'm positive it will) do I even worry about this? Is this just a common note doctors write down when someone complains about any cardiovascular issue lol?
 
Odds are, he just put something on the record so that insurance would pay for the run.
Obtain his office visit record, and if the OFFICIAL interpretation of the stress run is negative, KEEP FLYING.
FAA will want all of that anyway so good you have obatined it.

Most critical: The formal report of the stress from the stress lab (not so much from your Cardiologist)
The actually assessment items toward the end of the report.
If there is any doubt ask someone who is knowledgable (Rarely, a report is negative but the doc actually think you are having angina). THen it's a very diffeent ball game- you'd need a stress nuke.


B
 
bbchien said:
Odds are, he just put something on the record so that insurance would pay for the run.
Obtain his office visit record, and if the OFFICIAL interpretation of the stress run is negative, KEEP FLYING.
FAA will want all of that anyway so good you have obatined it.

Most critical: The formal report of the stress from the stress lab (not so much from your Cardiologist)
The actually assessment items toward the end of the report.
If there is any doubt ask someone who is knowledgable (Rarely, a report is negative but the doc actually think you are having angina). THen it's a very diffeent ball game- you'd need a stress nuke.


B
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Thanks for responding, Doctor. I’m not sure I’m reading this right but on the follow-up visit after my stress test, he put assessment/plan: Angina Pectoris. Then in the stress test box: ecg normal, sinus tachycardia. Symptoms: no chest pain or dyspnea (isn’t that contradictory??) no arrhythmia, negative for ischemia.

I’m still confused, but with a stress nuke, can that be performed with the AME doctor? I’m not worried about clearing anything up if I have to.
 
Stress nuke = ordered by Cardiolgist or very interested PCP.
But beware of going dow tne rabbit hole- does the doc's document GIVE YOU coronary disease?
 

Angina Pectoris, unspecified. What does this mean?​


In my field (medical imaging), it means the referring physician didn't drill down on the ICD 10 code list and chose one of the first they saw ... which results in the insurance telling the imaging provider,"we don't pay for any ICD 10 diagnosis code containing the words UNSPECIFIED." Example: Breast mass unspecified - not paid. Breast mass, specific breast and quadrant or over-riding quadrant will be paid. Same works for abdomen pain, they have to put EXACT site location ....
 
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