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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Intermittent Chest Pressure Due To Anxiety?

I WENT TO THE ER A COUPLE DAYS AGO WITH C/O OF CHEST FULLNESS OR PRESSURE,NON RADIATING WITH THE FEELING OF AIR HUNGER, SUDDEN ONSET, NO N/V/PALPITATIONS. MY 12 LEAD SHOWED T WAVE ABN. AND THE ONLY LAB THAT WAS ABN, WAS MY BNP... UNFORTUNATELY, I WAS SURPRISED THAT I FORGOT TO TELL THE ER MD THAT THE DAYS PRIOR TO THIS MY FEET AND HANDS WERE EDEMATOUS THAT RESOLVED ON ITS OWN. I AM 44 YEARS OLD, NON SMOKER, NORMAL WEIGHT. THE ONLY HX I HAVE IS OF ASTHMA, HYPOTHYROID,AND EXTENSIVE CERVICAL POST./ANT. RECONSTRUCTION, I WAS TX AND RELEASED TO HOME? THE CHEST PRESSURE HAS BEEN ON AND OFF AGAIN IN THE LAST 2 DAYS. IS THIS SOMETHING TO PUSH FOR ADMISSION OR FURTHER TESTING. I FEEL LIKE BECAUSE I AM A WOMAN THAT THE ER MD LABELED ME AS A ANXIETY ATTACK AND SET ME FREE....R THE THINGS THAT PROVED TO BE ABN. CAUSE FOR ALARM
Fri, 29 Mar 2019
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Cardiologist 's  Response
Hi,

Abnormal ECG and high BNP are signs of cardiac abnormality. As you had a history of swelling of feets the suspicion becomes even high.

You definitely need further evaluation.

I'll suggest you to immediately get an Echo done to rule out any structural abnormality.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Sameer Maheshwari, Cardiologist
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How To Treat Intermittent Chest Pressure Due To Anxiety?

Hi, Abnormal ECG and high BNP are signs of cardiac abnormality. As you had a history of swelling of feets the suspicion becomes even high. You definitely need further evaluation. I ll suggest you to immediately get an Echo done to rule out any structural abnormality. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sameer Maheshwari, Cardiologist