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Are Persistent Chest Pain, Hypertension And Stress Sings Of A Heart Attack?
Question: Is it possible to make a heart attack even if ecg, echo, holter 24hours just reveal a sinus tachycardia six month ago??i almost have all the time pain in my chest and small effort make me feel it, its not a big pain but like oppressing a bit...im 28 years old i smoke 10 cigarettes a day and i use to drink couple of beers at night...im also little bit hypertension like 14 /15 9 sometimes...im also anvious and stress people...
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome on HCM!
I read carefully your questions and would explain that the fact that your pain is a prolonged pain and all your performed cardiac tests have resulted normal, indicates a low probability for your symptoms to be cardiac related.
Nevertheless, a coronary artery disease can not be excluded based on your symptoms, even if those tests have resulted normal.
I would recommend consulting with your attending physician for a careful physical exam and perform cardiac enzymes and a cardiac stress test.
As you have different cardio-vascular risks (smoking, alcohol intake, hypertension), I would advise performing a coronary angio CT scan to evaluate your future risk for possible cardiac ischemic events.
You should discuss with your doctor on the above tests.
Hope to have been helpful!
Feel free to ask any other questions whenever you need!
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello!
Welcome on HCM!
I read carefully your questions and would explain that the fact that your pain is a prolonged pain and all your performed cardiac tests have resulted normal, indicates a low probability for your symptoms to be cardiac related.
Nevertheless, a coronary artery disease can not be excluded based on your symptoms, even if those tests have resulted normal.
I would recommend consulting with your attending physician for a careful physical exam and perform cardiac enzymes and a cardiac stress test.
As you have different cardio-vascular risks (smoking, alcohol intake, hypertension), I would advise performing a coronary angio CT scan to evaluate your future risk for possible cardiac ischemic events.
You should discuss with your doctor on the above tests.
Hope to have been helpful!
Feel free to ask any other questions whenever you need!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Ok thank you doctor, but same you say risk is weak right?? i have done already enzymes test and i have not at all, you are talking about d dimere right? you think its possible to have it only at 28 years old? most of the time i not have pain during effort i mean, its only during im resting, if i do exercice everything is fine...even during the echo its not possible to see, cause my cardiologist in france told me than i have good heart size, sinus rythm except some tachycardia, he listen my heart quite a while and told me everything was fine...
Brief Answer:
Opinion as follows:
Detailed Answer:
Hi again,
As I explained you above, your symptoms do not seem to be related to any obvious cardiac disorder (a prolonged chest pain when at rest, but not on exercise).
Cardiac enzymes (CK-MB and Troponin) would definitely exclude a myocardial injury (as a prolonged cardiac pain would commonly be associated with increased blood levels of these enzymes).
You are actually free of any cardiac disorders, BUT you should avoid those coronary risk factors (smoking, tendency of hypertension, excessive alcoholic beverages, a potential dyslipidemia), in order to prevent future coronary artery lesions.
As I explained you above in individuals with several coronary risk factors periodic screening tests should be done.
Coronary angio CT would be one of the recommended tests in helping to better predict future 5-10 years potential coronary events.
Regards,
Dr. Iliri
Opinion as follows:
Detailed Answer:
Hi again,
As I explained you above, your symptoms do not seem to be related to any obvious cardiac disorder (a prolonged chest pain when at rest, but not on exercise).
Cardiac enzymes (CK-MB and Troponin) would definitely exclude a myocardial injury (as a prolonged cardiac pain would commonly be associated with increased blood levels of these enzymes).
You are actually free of any cardiac disorders, BUT you should avoid those coronary risk factors (smoking, tendency of hypertension, excessive alcoholic beverages, a potential dyslipidemia), in order to prevent future coronary artery lesions.
As I explained you above in individuals with several coronary risk factors periodic screening tests should be done.
Coronary angio CT would be one of the recommended tests in helping to better predict future 5-10 years potential coronary events.
Regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you Doctor for your answer , i have a last question.I just have been to a pharmacy buy me some stuffs and talk about my problem with pharmacist.She recommend me to add some q10 to my meal , 100 mg per day, of course stop to smoke or reduce maximum i can ( im switching to electronic cigarettes, already go from a box a day to 6 per day but cannot stop all for now , lot of stress) and decide to not drink and make some exercices everyday.I take atenolol at 12,5mg per day (doctor say me to take 25mg but i found myself still young to take betablockers and that dosage look to work on me ) ... i check my blood pressure i was 141/82 , she told me not to worry about, just recommend me to take some q10...Are you agree with it as well?
Brief Answer:
My opinion as follows:
Detailed Answer:
Hello again,
- I agree with your doctor that you shouldn't worry about that hypertension trend, as it may be completely controlled by avoiding several triggering factors (cigarette smoking, sedentary life-style, possible overweight, alcohol intake, spicy and salty foods, etc.).
- Regarding smoking, I would explain that electronic cigarettes are harmful too.
When deciding on smoking quitting, it should be done completely, as a partial or gradual cigarette reduction could not be effective. Remember that only about 30% of individuals who try stopping, manage to complete successfully that process.
- I would not encourage you to continue on beta-blockers, especially increase the actual dosage, as it may affect your overall physical performance.
- Regarding CoQ10, it may be used in several health conditions like congestive heart failure, angina, diabetes mellitus, hypertension, several mitochondrial cytopathies and myopathies, etc.
As you are not experiencing obviously any of the above conditions, I am not sure you are going to obtain any substantial benefit.
Furthermore, additional studies are necessary before concluding clear recommendations on CoQ10 use in hypertension.
That's my opinion.
Hope it will be helpful to you.
Best wishes,
Dr. Iliri
My opinion as follows:
Detailed Answer:
Hello again,
- I agree with your doctor that you shouldn't worry about that hypertension trend, as it may be completely controlled by avoiding several triggering factors (cigarette smoking, sedentary life-style, possible overweight, alcohol intake, spicy and salty foods, etc.).
- Regarding smoking, I would explain that electronic cigarettes are harmful too.
When deciding on smoking quitting, it should be done completely, as a partial or gradual cigarette reduction could not be effective. Remember that only about 30% of individuals who try stopping, manage to complete successfully that process.
- I would not encourage you to continue on beta-blockers, especially increase the actual dosage, as it may affect your overall physical performance.
- Regarding CoQ10, it may be used in several health conditions like congestive heart failure, angina, diabetes mellitus, hypertension, several mitochondrial cytopathies and myopathies, etc.
As you are not experiencing obviously any of the above conditions, I am not sure you are going to obtain any substantial benefit.
Furthermore, additional studies are necessary before concluding clear recommendations on CoQ10 use in hypertension.
That's my opinion.
Hope it will be helpful to you.
Best wishes,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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