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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Mid Chest Pressure With Hypertension?

I had a bout of mid chest pressure associated with nausea, pressure into neck and hypertension (150's/110). Initial EKG reportedly normal, enzymes normal. Pressure resolved at 6 hours (1 hour after presentation to ER). EKG 24 hours later showed "borderline inferior Q waves". Enzymes still normal. No more pressure. Doc unsure what to make of it. Cardiolyte stress test this week. Is this important?
Wed, 9 Mar 2016
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Cardiologist,  's  Response
Hello and thank you for using HCM.
I carefully read your question and I understand your concern.
As you explained you had an episode with chest pressure and hypertension.
The main thing to resolve in this cases is the chest pain. The fact that you had normal cardiac enzymes reassures us and excludes an acute coronary heart disease or a heart attack. But we still have to explain the chest pain. Sometimes, the elevated blood pressure values might cause this chest discomfort. But this is nothing to worry because you can treat and menage your blood pressure.
Sometimes the cause of chest pain is ischemic heart disease. This means having problems or blockage in the arteries that supply the heart.This is why your doctors has decided to do a stress test. There you would do phisical stress in a bicycle or a treadmill and the doctors will monitor your electrocardiogram to see if there is any problem.
After this we can be able to say something for your episode with chest pain.
It might just be the hypertension but it is mandatory to exclude ischemic heart disease and than just treat your blood pressure.
Hope I was helpful. Wish you good health.
Best regards.

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What Causes Mid Chest Pressure With Hypertension?

Hello and thank you for using HCM. I carefully read your question and I understand your concern. As you explained you had an episode with chest pressure and hypertension. The main thing to resolve in this cases is the chest pain. The fact that you had normal cardiac enzymes reassures us and excludes an acute coronary heart disease or a heart attack. But we still have to explain the chest pain. Sometimes, the elevated blood pressure values might cause this chest discomfort. But this is nothing to worry because you can treat and menage your blood pressure. Sometimes the cause of chest pain is ischemic heart disease. This means having problems or blockage in the arteries that supply the heart.This is why your doctors has decided to do a stress test. There you would do phisical stress in a bicycle or a treadmill and the doctors will monitor your electrocardiogram to see if there is any problem. After this we can be able to say something for your episode with chest pain. It might just be the hypertension but it is mandatory to exclude ischemic heart disease and than just treat your blood pressure. Hope I was helpful. Wish you good health. Best regards.