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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Treatment To Be Taken For The Chest Pain And Weak Feeling?

I'm 33 male I'm having chest problems that's why I'm taking cardicore 5mg and ramipril 2.5mg I not over weight and height is. 5 foot 10. done ecg heart was fine and lately still have chest pains and now I also starting to feel weak in my legs is it the medications I taking causing it



Tue, 14 Jul 2015
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Cardiologist 's  Response
Hello. Thank you for your question and welcome to HCM. I carefully read your concern.

According to your age and the medication you are on, I'm assuming they were started for high blood pressure, I would say that this weak feeling could come from the blood pressure-lowering effect of the drugs. I recommend you to be put on a 24-hour blood pressure monitor, while on these drugs, so we can see if the drugs are needed or not. As for the chest pain, and from information you provided, my opinion is that this is not a pain originated from the heart, with a high probability and a low index of suspicion. However, I would recommend you to go through a cardiac and blood check-up, so we can exclude the cardiac origin with even higher, almost certain, probability: EKG, echocardiogram, cardiac stress test, plain chest X-ray and complete blood workup. Remember, pain in the chest can also come from other origins, such as lungs or muscles and skeleton. While at it, I would suggest you to start on a healthy diet:
- green leafy vegetables and fruit
- alcohol up to a maximum of 30 g ethanol a day (one beer or one glass of wine)
- quit smoking
- more chicken and fish, less red and raw meat
- 60-minute daily physical activity (walking, swimming).

I hope I was helpful with my answer. Best regards.
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What Treatment To Be Taken For The Chest Pain And Weak Feeling?

Hello. Thank you for your question and welcome to HCM. I carefully read your concern. According to your age and the medication you are on, I m assuming they were started for high blood pressure, I would say that this weak feeling could come from the blood pressure-lowering effect of the drugs. I recommend you to be put on a 24-hour blood pressure monitor, while on these drugs, so we can see if the drugs are needed or not. As for the chest pain, and from information you provided, my opinion is that this is not a pain originated from the heart, with a high probability and a low index of suspicion. However, I would recommend you to go through a cardiac and blood check-up, so we can exclude the cardiac origin with even higher, almost certain, probability: EKG, echocardiogram, cardiac stress test, plain chest X-ray and complete blood workup. Remember, pain in the chest can also come from other origins, such as lungs or muscles and skeleton. While at it, I would suggest you to start on a healthy diet: - green leafy vegetables and fruit - alcohol up to a maximum of 30 g ethanol a day (one beer or one glass of wine) - quit smoking - more chicken and fish, less red and raw meat - 60-minute daily physical activity (walking, swimming). I hope I was helpful with my answer. Best regards.