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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain From Shoulder To Chest And Arms?

Hi my name is rachel and I got woke up last night at 3:00 in the morning with pains going across my shoulder and my chest and down my arms and my blood pressure last night was 155over107 and to day it s been going up and down it was 153over 103 then it went down to 110over76 what can cause that
Mon, 20 Apr 2015
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General & Family Physician,  's  Response
Hi
Thank you for asking HCM.
I have gone through your query. Pain on chest radiating to shoulder can be due to cardiac ischaemia. So an ECG should be taken to rule out the condition. If there is no signs in ECG then a tread mill test should be done to rule out exercise induced ischaemia. If your blood pressure is having variations like you measured Holter monitoring and ambulatory BP measurement should be taken also. A consultation with a cardiologist is well appreciated.
Hope this may help you. Let me know if anything not clear.
Thanks.
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What Causes Pain From Shoulder To Chest And Arms?

Hi Thank you for asking HCM. I have gone through your query. Pain on chest radiating to shoulder can be due to cardiac ischaemia. So an ECG should be taken to rule out the condition. If there is no signs in ECG then a tread mill test should be done to rule out exercise induced ischaemia. If your blood pressure is having variations like you measured Holter monitoring and ambulatory BP measurement should be taken also. A consultation with a cardiologist is well appreciated. Hope this may help you. Let me know if anything not clear. Thanks.