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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Sharp Chest Pain

I'm a female 37 yrs. old, probably about 10 lbs overweight, and I am active. I have been having chest pains about 4 wks. now. I am an everyday smoker bout 1/2 pk a day. Went to doctor last week (family physican) & they did an ekg, chest xray & blood work. All of that was fine. He referred me to a cardiologists in the event I went home & I had a heart attack. That doctor was out of my network, so I didn't see him. I have family history of coronary artery disease, primary cause factors being non-essential hypertension & smoking. Father had first heart attack @ 39, That's why I was so worried. Long story short if possible, is that I havent had the pains since last Monday until last night. I had gotten my temper up some, not in a raging shouting match or anything, but had a massive sharp pain in chest & it then went away. The pain seems like it's behind my left breast bone. When I was having the pains before, same thing sharp pain (not as bad as last night) but then I'd have a dull pain that lingered. So, I guess my question is, should I really go see the cardiologist & have a stress test?? I'm worried. I think it's stress related, but I really don't know how normal those pains are?? The family physican I saw gave me something for heart burn because I had started experiencing heart burn for a few days. I don't think this is heartburn related....
Wed, 26 Apr 2017
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Pulmonologist,  's  Response
Hello
Thanks for posting here.
I have gone through your description.
You have a strong family history of premature heart disease, smoking habit, overweight. Also you have said that you have suffered a heart attack. So what you are suffering is called post infarct angina.
I suggest that you must immediately see a cardiologist; get a ECG , 2 D Echo done initally and then proceed for a stress test if 2 D echo is normal. Stress test is not indicated in a recent case of heart attack.
Also you need to be started on blood thinners, anti angina medications, anti cholesterol medications.
If your 2 d echo comes abnormal and suggests that you had suffered a heart attack, then you should undergo a coronary angiography which is a procedure to evaluate the arteries supplying blood to the heart. On basis of the angiography results you will be adviced further management in terms of medical management or angioplasty or bypass surgery. I dont want to scare you will all this, but please understand that it is necessary to get evaluated or you will have problems as you grow older. So i am trting here to explain to you all the probabilities so that you can take a sound decision.
Also please try to quit your smoking habit.
wishing you good health.
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Suggest Treatment For Sharp Chest Pain

Hello Thanks for posting here. I have gone through your description. You have a strong family history of premature heart disease, smoking habit, overweight. Also you have said that you have suffered a heart attack. So what you are suffering is called post infarct angina. I suggest that you must immediately see a cardiologist; get a ECG , 2 D Echo done initally and then proceed for a stress test if 2 D echo is normal. Stress test is not indicated in a recent case of heart attack. Also you need to be started on blood thinners, anti angina medications, anti cholesterol medications. If your 2 d echo comes abnormal and suggests that you had suffered a heart attack, then you should undergo a coronary angiography which is a procedure to evaluate the arteries supplying blood to the heart. On basis of the angiography results you will be adviced further management in terms of medical management or angioplasty or bypass surgery. I dont want to scare you will all this, but please understand that it is necessary to get evaluated or you will have problems as you grow older. So i am trting here to explain to you all the probabilities so that you can take a sound decision. Also please try to quit your smoking habit. wishing you good health.