Suggest Treatment For Acute Chest Pain

Posted on Tue, 17 Apr 2018

Question: I just had an acute center chest level 7 pain (cramp ?) followed by a hot flash but no sweating followed by an elevated heart rate - high 80's since the event. Have had two heart attacks, 2002 and 2011 with four stents. 77 years old. No return of the pain yet.

Answered by Dr. Ilir Sharka (1 hour later)

Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

Considering your past medical history, I would recommend going to the ER for a physical exam, a resting ECG and cardiac enzymes to exclude possible myocardial ischemia.

Hope you will find this answer helpful!

Kind regards,

Dr.Iliri

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Ilir Sharka (10 minutes later)

Thanks, addedto the above - no fever, dehydrated and a home test BP of 167/85, pulse down to high 70's. Does that chance anything in you recommendation? Thanks

Answered by Dr. Ilir Sharka (21 minutes later)

Brief Answer:
My opinion as follows:

Detailed Answer:
Hello again!

Thank you for the additional information!

Nevertheless, I would still recommend going to the ER and perform those tests, just to be sure that everything is OK.

Hope you will find this answer helpful!

Let me know about everything!

Best wishes,

Dr.Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ilir Sharka (3 hours later)

Thanks. Initial tests all negative. Troponin below reference number. Will stay the night for observation. Better safe than sorry. Thanks again.

Answered by Dr. Ilir Sharka (4 hours later)

Brief Answer:
You are welcome!

Detailed Answer:
Hello again!

I am glad that everything seems to be OK!

I agree with you that when considering the fact that you have stents, in cases of moderate chest pain, it is better to exclude any serious medical condition first.

Hope to have been helpful to you!

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