If I have ongoing chest pressure spreading to my left arm and neck that gets worse with activity, and Dilzem 90 mg lowered my blood pressure but did not relieve the pain, should I get a heart MRI or a heart artery CT scan to check for conditions like heart artery spasms, disease of the tiny heart blood vessels, or slow blood flow?
I hear your concern, and I want to support you. Because your chest pressure spreads to your arm and neck and gets worse with activity, it is very important that you seek immediate medical evaluation, such as going to an emergency room, rather than waiting for an outpatient scan. Regarding your question, a heart artery CT scan is excellent for checking blockages, while specialized tests or a cardiac MRI can evaluate spasms or microvascular disease. Since Dilzem (diltiazem) hasn't fully relieved your pain, please let a doctor evaluate these symptoms right away to keep you safe.