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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Felt Like Heart Attack, Squeeze Feeling In Chest, Back Pain, Trouble In Breathing. Is It Gas?

Went to the Er tonight bc I swear it felt like I was having a heart attack . Squeeze like feeling around my chest, upper back pain , trouble breathing . Came quickly. Waves of pain after 30 minutes. 1 hour layer a d it s gone. EKG normal, blood work normal and chest X-ray good. He said gas? I have never felt anything like this b4 in my life. Could it really just be gas?
Fri, 4 Jan 2013
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Cardiologist 's  Response
Hi friend,
Welcome to Health Care Magic

It could be ‘gas’ - but it is a vague term and has different meanings to different people.

A normal EKG is reassuring...
You should go for further investigations –

     The next step is stress test. TMT (Treadmill Exercise ECG) / preferably with thallium isotope – will be the ideal way to evaluate ischemia. This is to assess the physiology (function).

     If there is a suggestion, the next step is to see the anatomy. You may need catheterisation and coronary angiography with a view for possible intervention. Coronary arteriography is invasive but it is the gold standard for this.

Better be safe than sorry - treated if a problem is found / Happy, if it turns out otherwise

Take care
Wishing speedy recovery
God bless
Good luck
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Felt Like Heart Attack, Squeeze Feeling In Chest, Back Pain, Trouble In Breathing. Is It Gas?

Hi friend, Welcome to Health Care Magic It could be ‘gas’ - but it is a vague term and has different meanings to different people. A normal EKG is reassuring... You should go for further investigations – The next step is stress test. TMT (Treadmill Exercise ECG) / preferably with thallium isotope – will be the ideal way to evaluate ischemia. This is to assess the physiology (function). If there is a suggestion, the next step is to see the anatomy. You may need catheterisation and coronary angiography with a view for possible intervention. Coronary arteriography is invasive but it is the gold standard for this. Better be safe than sorry - treated if a problem is found / Happy, if it turns out otherwise Take care Wishing speedy recovery God bless Good luck