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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Extreme Chest Pain, Nausea And High Blood Pressure?

Dr. Andrew Rynne, My wife went to the ER on the 1st. She was suffering from extreme chest pain, feeling like vomiting and her bp was 189/110. The ER administered bolus blood thinner, nitroglycerin tablets and patch, aspirin, morphinex2 and ekg, saline, oxygen, metoprolol, heparin drip 25000 units, troponin test, anticoagulant and a venus doplar of her left leg, ibuprofen 800 mg, adavan, tylenon 975 mg, Zofran, heparinsodium, porcine, heparin dextrose x3 . The first troponin test came back positive 0.15 others 0.1. She was informed she had a heart attack. However, the next day they said she hadn t. This sounds totally bizarre. All these medications to save someone s life just to tell you. You experienced acid reflux. Sounds like bullshit to me. Then around 12:00 noon the next day, they administered a nuclear heart test. During, this test she was experiencing similar conditions. After the test, she felt weak. I believe, this test was taken to soon. Also, they claimed in the records to have given her milk of magnesia and miconazole 2 percent topical powder, bisacodyl sup, polyethylene glycol. Which she never received. What do you make of all of this?
Mon, 10 Jul 2017
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Internal Medicine Specialist 's  Response
Hello Dr. Andrew
Went through your post, your wife came with chest pain and a positive Trop T but you haven't mentioned ECG findings, anyway if two out of three are present amoung chest pain, ECG changes, and Trop T, the Doctor in ER is supposed to manage as acute MI because MI is more and more dreadful than side effects of these drugs, in addition blood pressure lowering drugs are also needed as she had high BP and same drug decreased chest pain.
I don't know why she received laxatives I can't say anything about that,
The good thing is that she didn't had MI, I would suggest an angiography which will look into her coronaries because for me she had what we call unstable angina and may cause obstructive ACS in future.
Regards.
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What Causes Extreme Chest Pain, Nausea And High Blood Pressure?

Hello Dr. Andrew Went through your post, your wife came with chest pain and a positive Trop T but you haven t mentioned ECG findings, anyway if two out of three are present amoung chest pain, ECG changes, and Trop T, the Doctor in ER is supposed to manage as acute MI because MI is more and more dreadful than side effects of these drugs, in addition blood pressure lowering drugs are also needed as she had high BP and same drug decreased chest pain. I don t know why she received laxatives I can t say anything about that, The good thing is that she didn t had MI, I would suggest an angiography which will look into her coronaries because for me she had what we call unstable angina and may cause obstructive ACS in future. Regards.