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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Acute Periodic Chest Pain?

Possible causes of chest pain - left side , acute periodic pain level 2 (out of 10)....rest, breathing, exertion does not affect either duration or level of pain. No known heart disease in my family history. General health is good, HWP, 60 years old, social smoker, light drinker, mild exerciser, contrlled hypertension for 20 years....lotrel2/20
posted on Sun, 19 Oct 2014
Twitter Thu, 6 Nov 2014 Answered on
Twitter Thu, 6 Nov 2014 Last reviewed on
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Pulmonologist,  's  Response
Thanks for your question on HCM.
In my opinion you should first rule out cardiac cause for your chest pain.
Risk factors in your case are
1. Smoking
2. Blood pressure
3. Old age
So you are at high risk of cardiac disease.
Better to get done ECG, 2D ECHO and TMT (Trade Mill Test) to rule out cardiac cause.
If any doubt in above test than go for coronary angiography.
If everything is normal than you may have bronchitis. As you are smoker, chances of bronchitis are there.
So get done chest x ray and PFT (Pulmonary Function Test).
Quit smoking and drinking. Start regular exercise.
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What Causes Acute Periodic Chest Pain?

Thanks for your question on HCM. In my opinion you should first rule out cardiac cause for your chest pain. Risk factors in your case are 1. Smoking 2. Blood pressure 3. Old age So you are at high risk of cardiac disease. Better to get done ECG, 2D ECHO and TMT (Trade Mill Test) to rule out cardiac cause. If any doubt in above test than go for coronary angiography. If everything is normal than you may have bronchitis. As you are smoker, chances of bronchitis are there. So get done chest x ray and PFT (Pulmonary Function Test). Quit smoking and drinking. Start regular exercise.