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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chest Pressure And Palpitations?

I am a 55 yo African American woman with normal to low blood pressure (90/47 to 106/50) with a history of two unruptured cerebral anuerysms (one coiled to prevent rupture) and history of demyelinating neuropathy in my arms and legs due to an autoimmune disorder, currently having very slight squeezing/pressure in my chest, mild palpitations, and at times sharp pain near collar bone, neck, shoulder and jaw. Occassional and brief periods of dizziness/light headedness. EKG and enzyme tests were normal at ER a few days ago. Symptoms still come and go.
posted on Wed, 4 Jul 2018
Twitter Thu, 19 Jul 2018 Answered on
Twitter Mon, 23 Jul 2018 Last reviewed on
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Pulmonologist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

First of all no need to worry for heart diseases because your ekg and enzymes are normal. Since you are having history of aneurysm, better to get done CT angiography of neck to rule out ascending aorta aneurysm. If this is also normal then possibility of stress and anxiety related symptoms is more likely. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic drugs (propranolol and flunarizine combination) too. Don't worry, you will be alright with all these. Avoid stress and tension, be relax and calm.

Hope I have answered your query. Let me know if I can assist you further.
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What Causes Chest Pressure And Palpitations?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. First of all no need to worry for heart diseases because your ekg and enzymes are normal. Since you are having history of aneurysm, better to get done CT angiography of neck to rule out ascending aorta aneurysm. If this is also normal then possibility of stress and anxiety related symptoms is more likely. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic drugs (propranolol and flunarizine combination) too. Don t worry, you will be alright with all these. Avoid stress and tension, be relax and calm. Hope I have answered your query. Let me know if I can assist you further.