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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Episode Of Passing Out, Had Chest Pain, Blurred Vision, Slurred Speech, Irregular ECG, Blood Flow. Have Continuous Headache Since. Cause?

Hi, I am a 16 year old, healthy girl. Ive never had any extreme medical problems until just recently out of the blue. I passed out in school, for no reason at all. When i came back to my senses like approximately 5 minutes later, my chest was hurting really bad and i couldnt see clearly nor could i talk clearly. My speech was slurred. It felt like a ton of bricks had been placed on my chest and they were just left there. I was rushed to the hospital and they ran all kinds of tests on me. My EKG came back irregular and my blood flow was irregular. It was really hot but i my body was freezing cold . They sent me home like 2 hours later. Everything was fine except for the horrible headache that i had. It was only on the right side of my head though. Now, almost a month later, i still have the same bad headache on the right side of my head. I get really dizzy sometimes and my chest tightens up all the time and it gets really hard to breathe. Its like excrutiating pain in my chest when it tightens up. What can this be? What can the cause be? Is there anything i can do to get rid of this and to prevent it?
Fri, 7 Sep 2012
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Emergency Medicine Specialist 's  Response
Hi
Any history of heart disease in the family?
Any recent stress?
Was there any convulsion during the passing out phase?
Well its difficult to point out the actual cause unless you get the following investigations done:
1. Complete blood count ( to rule out anemia)
2. ECG : 12 lead ECG plus a rhythm strip ( to look into any rate or rhythm disturbance)
3. 2 D Echocardiography : ( for proper cardiac evaluation as your initial ECG was also abnormal. It would also look into any regional wall motion abnormality and valvular function of the heart )
4. Chest X- Ray
5. C T Scan brain ( I suppose the right sided headache is a migraine headache. In that case the CT scan report would be normal but still passing out episodes followed by headache requires evaluation especially when followed by slurring of speech)
So once these investigations are done we can specify the cause.
Even the chest pain might be because of panic attack. Did you hurt yourself in the chest when had fainting episodes?
Also I presume you dont have any history of asthma.
Thanks.
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Episode Of Passing Out, Had Chest Pain, Blurred Vision, Slurred Speech, Irregular ECG, Blood Flow. Have Continuous Headache Since. Cause?

Hi Any history of heart disease in the family? Any recent stress? Was there any convulsion during the passing out phase? Well its difficult to point out the actual cause unless you get the following investigations done: 1. Complete blood count ( to rule out anemia) 2. ECG : 12 lead ECG plus a rhythm strip ( to look into any rate or rhythm disturbance) 3. 2 D Echocardiography : ( for proper cardiac evaluation as your initial ECG was also abnormal. It would also look into any regional wall motion abnormality and valvular function of the heart ) 4. Chest X- Ray 5. C T Scan brain ( I suppose the right sided headache is a migraine headache. In that case the CT scan report would be normal but still passing out episodes followed by headache requires evaluation especially when followed by slurring of speech) So once these investigations are done we can specify the cause. Even the chest pain might be because of panic attack. Did you hurt yourself in the chest when had fainting episodes? Also I presume you dont have any history of asthma. Thanks.