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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain In Chest, Inability To Breathe, Burning Sensation. Heart Attack? Will I Be Okay?

hi there,
my husband yesterday is concerned he had a heart attack, he is 27 and has always been healthy, other then the occasional unexplained pain in the chest, which i also have had myself.. but yesterday he was on the ground rolling in pain and could hardly breathe we rushed him to hospital, it lasted for approx 20mins then he came right. any thoughts on this matter? it feels like your chest is going to expode, he felt a burning pain, i thought we may possibly have a heart mumour or something else as the conditon doesnt come often and is only for a fairy short period of time.
regards bridget
Fri, 12 Apr 2013
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Cardiologist,  's  Response
Dear Ms. Bridget
Thanks for writing to HCmagic
The kind of description of pain you are giving is less likely to be a heart attack in a 27 years old male. The diagnosis of heart attack is based upon the typical pain, ECG findings, Cardiac enzymes and ECHO findings. if he has been sent back by the hospital , then in all probability he might not have suffered one.
this pain could be due to GERD (where acid refluxs into the upper food pipe and cause burning and at times causes severe pain) or there are many more causes of chest pain other than heart attack. However the best way to know the exact cause is to show your physician and discuss.
i would recommend you to see your physician first. if there is any other query after that please feel free to write to us.
sincerely
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Cardiologist,  Dr. Anantharamakrishnan's  Response
Hi friend,
Welcome to Health Care Magic

It is rather unusual (not unknown) to have an attack at this age...
The description of pain does not suggest an attack...
There are several other causes that can cause pain in and around that area...
He should be investigated...

EKG / HOLTER (24 to 48 hour ambulatory monitoring) / ECHOcardiogram / TMT (Treadmill exercise ECG) / LABORATORY work-up – may all be necessary for further assessment and assistance.
Mostly to exclude and reassure / rather than to rule in!
The treating doctor may suggest them depending on need, based on his assessment of the situation.

Take care
Wishing speedy recovery
God bless
Good luck
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Pain In Chest, Inability To Breathe, Burning Sensation. Heart Attack? Will I Be Okay?

Dear Ms. Bridget Thanks for writing to HCmagic The kind of description of pain you are giving is less likely to be a heart attack in a 27 years old male. The diagnosis of heart attack is based upon the typical pain, ECG findings, Cardiac enzymes and ECHO findings. if he has been sent back by the hospital , then in all probability he might not have suffered one. this pain could be due to GERD (where acid refluxs into the upper food pipe and cause burning and at times causes severe pain) or there are many more causes of chest pain other than heart attack. However the best way to know the exact cause is to show your physician and discuss. i would recommend you to see your physician first. if there is any other query after that please feel free to write to us. sincerely