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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Chest Pain With HDL 39?

Hi doctor, My age is 23. I am suffering from chest pain on the left side from last 12 to 15 days. The pain is like as if anyone is pressing my chest or sometime it is like burning sensation. Also my back on the left side have same sensations and my left hand also have certain discomfort. I did Ecg, 2D Echo and Stress test all of them are normal. Also lipid profile was done , everything except HDL is normal. My HDL is 39 which is slight below borderline and is undesirable. But my Doctor said that it is normal and will raise automatically, just eat healthy. I am really anxious about it as my chest pains are persistent. Please suggest me what I should do? Whether further testing is necessary? I dont smoke and consume beer very rarely, once in a month or two...
Tue, 14 Oct 2014
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Pulmonologist,  's  Response
Thanks for your question on HCM. Since your cardiac work up is normal, I advice youto get done chest x ray and pulmonary function test (PFT). This will help you in rule out lung causes.
Since you are young I also advice you to get done CBC to rule out anaemia. As anemia can also cause chest pain.
Thyroid abnormalities can also cause this. So get done thyroid levels.
If all of the above are normal than it must be anxiety related. So be calm and relax.
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What Causes Persistent Chest Pain With HDL 39?

Thanks for your question on HCM. Since your cardiac work up is normal, I advice youto get done chest x ray and pulmonary function test (PFT). This will help you in rule out lung causes. Since you are young I also advice you to get done CBC to rule out anaemia. As anemia can also cause chest pain. Thyroid abnormalities can also cause this. So get done thyroid levels. If all of the above are normal than it must be anxiety related. So be calm and relax.