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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Left Sided Chest Pain?

Hi, my dad is not feeling good. He has chest pains and the pain is coming from left side of his chest. He feels that his left hand is warming up alot and alot of pressure and even his left side of his chest he feels like it is swelling. What do you think he has? Does he need to go to the hospital?
Wed, 5 Aug 2015
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Cardiologist,  's  Response
Hello. Thank you for your question and welcome to HCM. I understand your concern.

I think that if this is a pain that started while resting, he should go to the hospital. There an EKG should be performed and blood tests should be run, such as troponin and creatine phosphokinase (CK) - MB fraction. If they result all normal, then a cardiac stress test, 48 hours after he has been without pain, should be performed, to check if there is an indication of a coronary artery narrowing or blockage. If there is a positive finding, then a coronary angiography would be the reasonable approach.

I hope I was helpful with my answer. Take care.
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What Causes Left Sided Chest Pain?

Hello. Thank you for your question and welcome to HCM. I understand your concern. I think that if this is a pain that started while resting, he should go to the hospital. There an EKG should be performed and blood tests should be run, such as troponin and creatine phosphokinase (CK) - MB fraction. If they result all normal, then a cardiac stress test, 48 hours after he has been without pain, should be performed, to check if there is an indication of a coronary artery narrowing or blockage. If there is a positive finding, then a coronary angiography would be the reasonable approach. I hope I was helpful with my answer. Take care.