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Angina pectoris detection and treatment - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Heart Attack
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   Hi about 3 weeks ago I had dull pressure in my chest in the center and then about a minute or two later my shoulder had severe strong (not sharp) pain. After about 2 hours of rest the chest pain eased up but the shoulder pain continued less severely until early that evening. I started thinking angina with the chest pain, but the shoulder pain was so severe it through me off. Does this sound like I might have had a heart attack? Now that its weeks later I still get out of breath and fatigued with exertion. Should I still see my Dr or has too much time passed?
Doctor :   Hi
Doctor :   May I know your age and gender?
Doctor :   Did you develop this pain while resting?
User :   Does this sound like angina or another problem? Im worried that it might have been a heart attack. I am a cancer survivor. I received chemo (Rituxan) weekly for 8 yrs ive had kidney failure and i have svt and afib. I am 36 year old female. The pain occured while i was driving home from my sisters house
Doctor :   Ok
Doctor :   Did you have have associated symptoms such as nausea, vomiting, shortness of breathe during pain?
User :   I wound up vomiting and i was in a cold sweat
Doctor :   Ok
Doctor :   Let me explain to you.
Doctor :   Sitting at one end of the computer, without physically examining you,
Doctor :   I am unable to pinpoint the exact cause why you had such pain,
Doctor :   however based on your description,
Doctor :   I can think of the following 2 possibilties
Doctor :   1. An angina pectoris
Doctor :   2. Reflex gastritis.
Doctor :   These can be completely prevented with few lifestyle and dietary modifications.
Doctor :   However since you report of severe chest pain,
Doctor :   you will definitely need a cardiac examination, EKG,
Doctor :   stress EKG, TMT,
Doctor :   and echocardiogram along with blood work up.
User :   I actually am on verapamil, lopressor, and 80mg of nexium
Doctor :   Hence I suggest you to consider consulting a cardiologist who can guide you through all these tests,
Doctor :   Continue with antianxiety medication and nexium.
Doctor :   Restrict caffeine, spicy food.
User :   Thank you
Doctor :   Regular sleep and adequate destressing measures are also necessary.
Doctor :   Have you followed what I have suggested?
Doctor :   Do you have any other query?
User :   No thank you
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