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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Severe Pain In Chest, Upper Abdomen And Lower Back Suggestive Of Heart Attack?

I had a bad pain in my chest n upper stomach.. and lower back.. the pain was excrutiating and i cudnt breathe properly n it was intolerable. It lasted 15 to 20 minutes n then subsided as quickly as it came. I suffer from indigestion alot n get alot of pain of i eat 2 late. But dis was bad.. this happened yestesterday 21th july at 4 am. I was fine after n went 2 work. 2day i have loose motions..so in wonderin if dis was a mild heart attack. I havent gone 2 d doctor.. please advise
Mon, 29 Aug 2016
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General & Family Physician,  's  Response
Hi welcome to HCM...

You have severe chest pain and difficult breathing at that time ...

So yes ischemic heart should have to be ruled out ....

I would like to suggest you to consult cardiologist or near by Pulmonologist for your work up with .....
1.Auscultation
2.Blood pressure measurement
3.EKG
4.Echo if needed
5.cardiac troponin if needed
6.If needed chest x ray

According to cause further management guided ...
Aspirin like antithrombotic drug nedeed if ischemic heart disease there ...
If echo shows thrombus than thrombolytic therapy needed

Take care

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Is Severe Pain In Chest, Upper Abdomen And Lower Back Suggestive Of Heart Attack?

Hi welcome to HCM... You have severe chest pain and difficult breathing at that time ... So yes ischemic heart should have to be ruled out .... I would like to suggest you to consult cardiologist or near by Pulmonologist for your work up with ..... 1.Auscultation 2.Blood pressure measurement 3.EKG 4.Echo if needed 5.cardiac troponin if needed 6.If needed chest x ray According to cause further management guided ... Aspirin like antithrombotic drug nedeed if ischemic heart disease there ... If echo shows thrombus than thrombolytic therapy needed Take care