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How Are Heart Attacks Detected ?

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Posted on Sun, 15 Apr 2012
Question: Hello I have 26 anuses and am suffering a pain in the chest of the side of the heart q it covers the whole left arm sometimes even wakes the pain up my weight is 155 pounds and I measure 1.55 cm and my pressure is normal
doctor
Answered by Dr. Dr. Rakhi Tayal (13 minutes later)
Hello,

Thanks for writing to us.

Having pain in the left side of your chest covering the left arm can be due to cardiac problem like ischemia even if your blood pressure and other parameters are normal.

The symptoms of heart attack include squeezing type of chest pain with sweating and nausea/vomiting. The predisposing factors include smoking, stress, obesity, hypertension, diabetes, increased cholesterol, etc.

Heart attack is unlikely to develop at a young age like yours.

Still it would be better to get the following investigations done to rule out cardiac related problems.
1. Troponin -T and CPK-MB
2. ECG in all leads with a rhythm strip in lead 2
3. Echocardiography
4. Tread mill test
5. Thallium scan (Myocardial perfusion scintigraphy)

The other possibilities that need to be ruled out with the help of your physician are muscular pain, GERD, Pleuritis, etc.

The pain also could be due to musculoskeletal inflammation - This can be diagnosed if the pain increases on specific movements or on direct pressure on the affected area. Such pain can respond to medications like Ibuprofen 400 mg taken three times a day. This generally resolves within a week. ‎

Pneumonitis Or Pleuritis : Here the pain increases on XXXXXXX breaths and is associated with symptoms like cough, expectoration of mucus or purulent sputum, etc.

GERD: This condition too presents with the similar symptoms as described by you and usually subsides after taking Antacids or proton pump inhibitors group of drugs.

It is important to rule out the exact cause after physical examination and investigations. Hence, please see your Primary Doctor for complete examination and the treatment would follow according.

I hope my answer and recommendations are adequate and helpful. Waiting for your further follow up queries if any.

Wishing you good health.

Regards.
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
Answered by
Dr.
Dr. Dr. Rakhi Tayal

OBGYN

Practicing since :2001

Answered : 14047 Questions

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How Are Heart Attacks Detected ?

Hello,

Thanks for writing to us.

Having pain in the left side of your chest covering the left arm can be due to cardiac problem like ischemia even if your blood pressure and other parameters are normal.

The symptoms of heart attack include squeezing type of chest pain with sweating and nausea/vomiting. The predisposing factors include smoking, stress, obesity, hypertension, diabetes, increased cholesterol, etc.

Heart attack is unlikely to develop at a young age like yours.

Still it would be better to get the following investigations done to rule out cardiac related problems.
1. Troponin -T and CPK-MB
2. ECG in all leads with a rhythm strip in lead 2
3. Echocardiography
4. Tread mill test
5. Thallium scan (Myocardial perfusion scintigraphy)

The other possibilities that need to be ruled out with the help of your physician are muscular pain, GERD, Pleuritis, etc.

The pain also could be due to musculoskeletal inflammation - This can be diagnosed if the pain increases on specific movements or on direct pressure on the affected area. Such pain can respond to medications like Ibuprofen 400 mg taken three times a day. This generally resolves within a week. ‎

Pneumonitis Or Pleuritis : Here the pain increases on XXXXXXX breaths and is associated with symptoms like cough, expectoration of mucus or purulent sputum, etc.

GERD: This condition too presents with the similar symptoms as described by you and usually subsides after taking Antacids or proton pump inhibitors group of drugs.

It is important to rule out the exact cause after physical examination and investigations. Hence, please see your Primary Doctor for complete examination and the treatment would follow according.

I hope my answer and recommendations are adequate and helpful. Waiting for your further follow up queries if any.

Wishing you good health.

Regards.