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Suffering from high BP and chest pain - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2009
Answered : 547 Questions
User :   Hi, may I answer your health queries right now ?
User :   hello doctor
Doctor :   hi
Doctor :   How can I help you to day?
User :   yesterday afternoon my brother felt dizinness and sqeezing effect in the chest
User :   this happend 3 times when he was at office
User :   we went to doctor and did ECG and tested BP
User :   BP was high 160/80
Doctor :   How old is he?
User :   ECG came normal, we did it in 2 places
User :   he is 30 years pld
Doctor :   Does he has any other medical problem?
User :   no
Doctor :   Does he has hgh BP
User :   he dont have any other medical problems
Doctor :   How long ?
User :   no this is the first time his BP was high
Doctor :   Ok
Doctor :   I think when he become dizzi, had chest tight ness u went to ER?
Doctor :   or clinic?
User :   in both the place ECG came normal
Doctor :   soo there in the clinic Bp was high
User :   yes in clinic BP was high
Doctor :   Ok
User :   they gave give him a table to called ANXIT
Doctor :   that is for anxiety
Doctor :   Is he still using the medicnei
User :   no
User :   today he has not taken any medicince
User :   mornig also we checked the BP
User :   it is normal today
Doctor :   Cool
Doctor :   So why he had dizziness and chest tightness while working ?
User :   that is what we too dont know
Doctor :   Does he any anxiety problems?
User :   so far no
Doctor :   Does he feel relaxed?
User :   he is very cool natured person
User :   so we are bit worried
Doctor :   Does he any time complained of any sadness, depression, crying, loss of interest
Doctor :   Do you Panic Attackes
User :   some times, he is trying for job change
User :   he gets upset
Doctor :   Does he panic abt jon lss?
User :   no
Doctor :   what job is that?
User :   he is a mechanical design engineer/software engineer
Doctor :   So u say he can get another job easily
User :   he can get not a problem
Doctor :   what?
User :   What I wanted to know is if ECG is enough or do we need to perform some other tests?
Doctor :   And not worried abt the job
Doctor :   OK
Doctor :   see why Iam asking allthese : here is Psychological problems which is called Panic attack
User :   ok
Doctor :   Pateints suddenly become anic, anxiys, feel they dying , they have usual fear
User :   no probs I understand, yesterday he was also telling the same thing
Doctor :   That time they have chest tightness, BP goes high, hgeart become high, sweats
User :   ok
Doctor :   Onhe same token I can not attribute all the symptoms to Panic attacks , because if has any heart problems and if we think all due to panic attack he will be in danger in future
Doctor :   Do you follow me
Doctor :   So follow my advise
User :   ok
Doctor :   1. EKG normal
Doctor :   2. Go for Echocardiogram to look for any valvular and fucntional problems
Doctor :   DO yo follow me?
User :   ok
User :   yes
Doctor :   3. He can even gon for TMT treadMllTest
User :   ok
Doctor :   Treadmill test look whether he has any Ischemic heart related problems
User :   this week end i am planning to take him for full body checkup also
Doctor :   Ischemic Heart Disease + coronary Heaert disease >>> later presents as Heart atccck
User :   ok
Doctor :   It is nothing but narrowing of blood vessel supplying hear muscles
User :   ok
Doctor :   4. Also ge lipid profile
Doctor :   That is et
Doctor :   If every thgingf is normal
Doctor :   Take low dose antidepressant medications work great
User :   ok
Doctor :   Do you follow me?
User :   yes
Doctor :   Do you have any other Q?
User :   no sir
User :   thank you very much
Doctor :   ALso get TSH , CBC, BUN, Cr , Blood Sugar\
User :   ok
Doctor :   Bye
User :   thank you
Doctor :   thank you
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