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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Discomfort In Chest

what is wrong with me , i suddenly felt discomfort in my chest as if my heart pause for few seconds and i felt my heart is heavy and cold its like my heart is like metal i was sweating heavily and my heart beat became strong and so fast that visibly you can see the beat of my heart in my blouse when my husband took my blood pressure it was 167/107 and going up . i took my meds vastarel 35 it took an hour before my diastolic 98 . what medicine should i take if i have that type of episode again
Fri, 26 Aug 2016
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General & Family Physician 's  Response
Hello,
Thank you for your query.

Ideally, an immediate visit to the ER is mandatory based on your symptoms.
These symptoms usually occur when the heart is experiencing some problem, either with electrical or mechanical activity (most likely the latter)

Would you please clarify a few things for me?
- how old are you?
- what is your height and weight?
- do you have any medical issues or take any medications?

I recommend :
- a physician and cardiologist consult.
- an electrocardiogram and echocardiogram
- Holter monitoring for 24 hrs to check for heart rhythm disturbances.
-blood pressure monitoring (ideally below 130/85)
-adjustment of medications to keep blood pressure and heart rate under good Control.
- an angiography if any blocks in the coronary artery is suspected.
-blood tests (complete blood count, TSH, kidney and liver function tests, lipid profile, blood glucose panel, cardiac enzymes to check for heart muscle damage).
- urine analysis

I urge you to seek medical attention right away as a diastolic of 98 is still way too high.
You may be experiencing a cardiovascular event right now and the sooner it is diagnosed the better the chances of complete recovery with appropriate treatment.

Hope this helps. Please let me know if there is anything else I can help you with.
Wish you good health
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Suggest Treatment For Discomfort In Chest

Hello, Thank you for your query. Ideally, an immediate visit to the ER is mandatory based on your symptoms. These symptoms usually occur when the heart is experiencing some problem, either with electrical or mechanical activity (most likely the latter) Would you please clarify a few things for me? - how old are you? - what is your height and weight? - do you have any medical issues or take any medications? I recommend : - a physician and cardiologist consult. - an electrocardiogram and echocardiogram - Holter monitoring for 24 hrs to check for heart rhythm disturbances. -blood pressure monitoring (ideally below 130/85) -adjustment of medications to keep blood pressure and heart rate under good Control. - an angiography if any blocks in the coronary artery is suspected. -blood tests (complete blood count, TSH, kidney and liver function tests, lipid profile, blood glucose panel, cardiac enzymes to check for heart muscle damage). - urine analysis I urge you to seek medical attention right away as a diastolic of 98 is still way too high. You may be experiencing a cardiovascular event right now and the sooner it is diagnosed the better the chances of complete recovery with appropriate treatment. Hope this helps. Please let me know if there is anything else I can help you with. Wish you good health