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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chest Pain?

I am a 42 yr old female w history of high b/p and migraines. I ve been Having intermittent chest pain that is sharp at times taking my breath away. Went to ER two days ago and was told I have hypokalemia. My first EKG was abnormal (something about the T waves?)finally after my last EKG showed up normal, I was discharged after taking 6 Potassium pills which I later threw up. I ve been taking 2 Potassium tabs daily until I see my primary next week. I m still so afraid of these chest pains and not sure if I should head back to the ER? Please advise...
Fri, 23 Jan 2015
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Pulmonologist,  's  Response
Thanks for your question on HCM.
I can understand your situation and problem.
In my opinion you are having Angina due to either
1. Coronary blockage
2. Coronary spasm.
T wave abnormality means blood supply to the heart is reduced and caused ischaemia in heart.
But your T wave abnormalities are relieved on discharge which suggest reversible obstruction or coronary spasm.
You are also having chest pain after discharge, which suggest you need further investigation to diagnose properly.
So better to consult cardiologist and get done
1. 2d echo
2. Coronary angiography to rule out coronary spasm and blockage.
You may have non critical narrowing of coronary arteries. So consult cardiologist and discuss all these.
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What Causes Chest Pain?

Thanks for your question on HCM. I can understand your situation and problem. In my opinion you are having Angina due to either 1. Coronary blockage 2. Coronary spasm. T wave abnormality means blood supply to the heart is reduced and caused ischaemia in heart. But your T wave abnormalities are relieved on discharge which suggest reversible obstruction or coronary spasm. You are also having chest pain after discharge, which suggest you need further investigation to diagnose properly. So better to consult cardiologist and get done 1. 2d echo 2. Coronary angiography to rule out coronary spasm and blockage. You may have non critical narrowing of coronary arteries. So consult cardiologist and discuss all these.