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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In Chest?

my blood pressure is 120/84 rate 85
I just experienced some sharp pain lasting about 3 minutes in my chest, I have a history of heart failure, I am 36, now the pain is not there, but I am dizzy and lightheaded. When the pain occured my bp was 122/83 h rate 98, that is after I have been sitting at my desk for 2 hours.DO I need to go to Er or can i wait and talk to cardiologist in the am?
Mon, 22 May 2017
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Cardiologist 's  Response
Hello!

Welcome and thank you for asking on HCM!

I passed carefully through your question and would explain that your symptoms are not typical of a cardiac disease (including myocardial ischemia).

Was the pain triggered by deep breathing or body movements? This would indicate possible musculo-skeletal pain.

Anyway, considering your past medical history for heart failure, I would recommend going to the ER if the pain persists, in order to perform a careful physical exam and some tests:

- a resting ECG and cardiac enzymes
- a chest X ray study
- complete blood count, PCR, ESR for inflammation
- arterial blood gas analysis.

Hope you will find this answer helpful!

Kind regards,

Dr. Iliri
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What Causes Pain In Chest?

Hello! Welcome and thank you for asking on HCM! I passed carefully through your question and would explain that your symptoms are not typical of a cardiac disease (including myocardial ischemia). Was the pain triggered by deep breathing or body movements? This would indicate possible musculo-skeletal pain. Anyway, considering your past medical history for heart failure, I would recommend going to the ER if the pain persists, in order to perform a careful physical exam and some tests: - a resting ECG and cardiac enzymes - a chest X ray study - complete blood count, PCR, ESR for inflammation - arterial blood gas analysis. Hope you will find this answer helpful! Kind regards, Dr. Iliri