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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Left Arm Pain, Chest Pain And Spasms?

Good day Doc. my husband 44 years, experienced chest pains,pain on left arm, spasms on chest.these started while on trip abroad where was working extensively to reach tight deadlines.been working a lot for almost a month whn these started. The pains started 2 to 3 days prior to departure back and got worse on the overnight flight. He saw the doctor in the late afternoon of arrival(wednesday) and cardiac enzymes tests and full blood were suggested. The tests could only be done the next day (thursday around 10am) as the doctor wanted them to be done before he had eaten.the lab report show dared Thursday time 1530PM show CK-M mass deter at 1.5 and CPK 660 U/L HI.doctor say everything else in bio chemistry is fine and tht retest to be done after a month.what do you think of this Doc.Thanking you in advance
Tue, 21 Apr 2020
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General Surgeon,  's  Response
Hi,

Noted the history about your husband having had strenuous work, developed chest pain on left side, left arm and chest spasms, traveled back, did tests of CK-M mass which came to be 1.5 and CPK came about 660.
All this indicates that the cardiac cause has to be ruled out immediately.
I would advise him the following in such a situation:
Go to ER urgently to have an ECG, Echo-cardiagraphy and get an appointment with a Cardiologist for further clinical evaluation, examination and further investigations like stress tests and whichever will be advised.
Take strict rest.
No stress or anxiety.
No physical exertion.
Continue the medications as would be prescription based only.
Once the full cardiac check up is done the diagnosis will be final and treated accordingly.
Even if all the tests are normal, it is better to get a repeat ECG.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T. Chandrakant, ENT and General Surgeon
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What Causes Left Arm Pain, Chest Pain And Spasms?

Hi, Noted the history about your husband having had strenuous work, developed chest pain on left side, left arm and chest spasms, traveled back, did tests of CK-M mass which came to be 1.5 and CPK came about 660. All this indicates that the cardiac cause has to be ruled out immediately. I would advise him the following in such a situation: Go to ER urgently to have an ECG, Echo-cardiagraphy and get an appointment with a Cardiologist for further clinical evaluation, examination and further investigations like stress tests and whichever will be advised. Take strict rest. No stress or anxiety. No physical exertion. Continue the medications as would be prescription based only. Once the full cardiac check up is done the diagnosis will be final and treated accordingly. Even if all the tests are normal, it is better to get a repeat ECG. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, ENT and General Surgeon