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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Overweight, Thyroid Problem, High Cholesterol. Wake Up From Sleep With Pounding Heart, Chest Tightness, Shortness Of Breath. Reason?

Why do I wake from sleep with pounding heart, SOB, and chest tightness. This is a recent occurrence. I am a 66 yrs old, female in good health. Only negative is overweight , but not morbidly obese. Take 10 mg of Lipitor for cholesterol , but have had no high blood pressure, and my fasting blood sugar is below 90. I take one .100 mcg tablet daily for a thyroid condition.
posted on Thu, 8 Nov 2012
Twitter Thu, 8 Nov 2012 Answered on
Twitter Fri, 9 Nov 2012 Last reviewed on
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Cardiologist,  's  Response
Hi friend
Welcome to Health Care Magic

This is highly suggestive of heart failure. And the most likely cause is Coronary Artery Disease.
You must SEE A CARDIOLOGIST IMMEDIATELY.

You have to be investigated.
A thorough history and physical examination is the first step -
     Routine 12-lead Electrocardiogram (ECG) is part of clinical examination.
     ECHOcardiogram is necessary to see the heart valves (Mitral Valve Prolapse) / heart muscle (Cardiomyopathy) and heart function (Ejection fraction, wall motion abnormality) – Have you done it?
     Treadmill exercise ECG (TMT) may be necessary to exclude Ischemia (reduced blood flow)
     Laboratory work-up is routine - like blood counts, sugar, urea, electrolytes etc.
The treating doctor will suggest based on the situation.


Take care
Wishing speedy recovery
God bless
Good luck
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General & Family Physician,  Dr. Pradipta Ghosh's  Response
hi.good morning.i have gone through your problem.you are taking medicines for hyperlipidemia and hypothyroidism.but your condition says that at your age it may be due to cardiac problem.so my advice is to do an ecg test and echocardiography for evaluation of cardiac problem.you may consult a cardiologist.do blood test for free t3,free t4,tsh and lipid profile once to monitor the effect of medicines.i hope you understand my point.bye.inform me in future
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Overweight, Thyroid Problem, High Cholesterol. Wake Up From Sleep With Pounding Heart, Chest Tightness, Shortness Of Breath. Reason?

Hi friend Welcome to Health Care Magic This is highly suggestive of heart failure. And the most likely cause is Coronary Artery Disease. You must SEE A CARDIOLOGIST IMMEDIATELY. You have to be investigated. A thorough history and physical examination is the first step - Routine 12-lead Electrocardiogram (ECG) is part of clinical examination. ECHOcardiogram is necessary to see the heart valves (Mitral Valve Prolapse) / heart muscle (Cardiomyopathy) and heart function (Ejection fraction, wall motion abnormality) – Have you done it? Treadmill exercise ECG (TMT) may be necessary to exclude Ischemia (reduced blood flow) Laboratory work-up is routine - like blood counts, sugar, urea, electrolytes etc. The treating doctor will suggest based on the situation. Take care Wishing speedy recovery God bless Good luck