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Suggest Remedies For Chest Pain While On Diazepam

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Posted on Tue, 17 Apr 2018
Question: Hi doctor,

I have small pain in around my chest and in my arms sometimes. This is scaring me... I went to the hospital few weeks ago for another reason (i felt like i was gonna faint) and they madr an ECG. The results were good.

They gave me some diazepam for 1 week but i did not take it.

if i was at risk to make a heart attack. would that ECG prevent it ?

should i worry ?

Thank you

i am 33 years old, i smoke and i work a lot..
doctor
Answered by Dr. Ilir Sharka (59 minutes later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

Regarding your concern, I would like to explain that in case of a heart attack, the resting ECG is the first test to rely upon for raising enough suspicion on its presence.

So, if you had a heart attack, your ECG could reflect it in some way.

Nevertheless, its sensibility is not 100%. So, there are some cases of heart attack that can be missed.

But, you should also know that a real heart attack is characterized by very strong chest pain and other associated symptoms and not by small pain like yours.

So, a heart attack would be quite unlikely considering your clinical symptomatology and your young age as well.

As you have risk factors like smoking, you have to be careful and for being completely relaxed, I would recommend you to perform a cardiac ultrasound and an exercise cardiac stress test, coupled with cardiac enzymes (CK-MB and Troponin).

If the above tests result normal, a cardiac cause would be excluded for sure and you would definitely put your mind to peace.

Hope you will find this answer helpful!

If you have any other questions, please don't hesitate to ask me again!

Kind regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (6 minutes later)
so in short. i am thinking too much bit if i really cant get this out of my head, then i should make a few more tests to make sure.

right ?
doctor
Answered by Dr. Ilir Sharka (8 minutes later)
Brief Answer:
They could increase diagnostic accuracy.

Detailed Answer:
Hello again!

You are right!

Those additional tests would help you being more clear about your complaints as they increase the sensitivity and diagnostic accuracy of just a single ECG.

Wishing you are having a pleasant weekend!

Regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (43 minutes later)
Last but not least. Sometimes my heart race at 86bpm when sometimes it can beat at 56 bpm or 74bpm. is it normal ? even on a short period of time ?
doctor
Answered by Dr. Ilir Sharka (7 hours later)
Brief Answer:
My opinion as follows:

Detailed Answer:
Hello again!

These heart rate values are within the normal ranges.

The fluctuations in heart rate are quite normal during physical activity or emotional stress. They are related to a normal physiological reaction, by the activation of the sympathetic or parasympathetic nervous system, depending on your physical or emotional activity.

There is nothing to worry about!

Hope you will find this answer helpful!

Wishing good health,

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

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9544 Questions

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Suggest Remedies For Chest Pain While On Diazepam

Brief Answer: I would explain as follows: Detailed Answer: Hello! Welcome and thank you for asking on HCM! Regarding your concern, I would like to explain that in case of a heart attack, the resting ECG is the first test to rely upon for raising enough suspicion on its presence. So, if you had a heart attack, your ECG could reflect it in some way. Nevertheless, its sensibility is not 100%. So, there are some cases of heart attack that can be missed. But, you should also know that a real heart attack is characterized by very strong chest pain and other associated symptoms and not by small pain like yours. So, a heart attack would be quite unlikely considering your clinical symptomatology and your young age as well. As you have risk factors like smoking, you have to be careful and for being completely relaxed, I would recommend you to perform a cardiac ultrasound and an exercise cardiac stress test, coupled with cardiac enzymes (CK-MB and Troponin). If the above tests result normal, a cardiac cause would be excluded for sure and you would definitely put your mind to peace. Hope you will find this answer helpful! If you have any other questions, please don't hesitate to ask me again! Kind regards, Dr. Iliri