HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Causes Recurrent Chest Pain, Sweating And Chills?

default
Posted on Sat, 12 Mar 2016
Question: I have been having chest pains off and on always deemed not cardiac. Today I was cleaning when my chest pain started then moved under my left arm, involved my jaw, neck. I became sweaty,and cold and shakes. It lasted 2 hours and I slept the rest of day. Cold and clammy.
doctor
Answered by Dr. Anantharamakrishnan (13 minutes later)
Brief Answer:
Go to ER / Get investigated

Detailed Answer:
Hi friend
Welcome to Health Care Magic

The description – but for the duration – does suggest cardiac… Relation to work, radiation, sweating etc…

The appropriate action now is to go to the ER – they will do an EKG and also blood tests (cardiac markers), to evaluate acute injury from Coronary Artery Disease.

If everything is normal, the next step is further evaluation / you need to be investigated further for Coronary Artery Disease.
     You need a TMT (Treadmill Exercise ECG) / may be with thallium isotope. It is the ideal non-invasive way to evaluate ischemia / to assess the PHYSIOLOGY (function) – to see whether the blood arriving at the heart muscle.
     If there is any suggestion in TMT, the next step is to see the ANATOMY (structure) – CT angio is non-invasive study for the anatomy. Catheterisation and coronary angiography with a view for possible intervention is the only way to directly ‘see’ the block, if any – and its location, extent, severity and so on, but is invasive and hence not routinely done

Good luck
God bless you
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. Anantharamakrishnan

Cardiologist

Practicing since :1966

Answered : 4505 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Causes Recurrent Chest Pain, Sweating And Chills?

Brief Answer: Go to ER / Get investigated Detailed Answer: Hi friend Welcome to Health Care Magic The description – but for the duration – does suggest cardiac… Relation to work, radiation, sweating etc… The appropriate action now is to go to the ER – they will do an EKG and also blood tests (cardiac markers), to evaluate acute injury from Coronary Artery Disease. If everything is normal, the next step is further evaluation / you need to be investigated further for Coronary Artery Disease. You need a TMT (Treadmill Exercise ECG) / may be with thallium isotope. It is the ideal non-invasive way to evaluate ischemia / to assess the PHYSIOLOGY (function) – to see whether the blood arriving at the heart muscle. If there is any suggestion in TMT, the next step is to see the ANATOMY (structure) – CT angio is non-invasive study for the anatomy. Catheterisation and coronary angiography with a view for possible intervention is the only way to directly ‘see’ the block, if any – and its location, extent, severity and so on, but is invasive and hence not routinely done Good luck God bless you