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What Causes Intermittent Chest Pain, Weakness And High BP?

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Posted on Mon, 5 Oct 2015
Question: My husband says he is experiencing pain that comes and goes in the middle of his chest. The pain does not stay long. Not sure how severe it is. He says he feels weak. Could this be the onset of a heart attack? He has high blood pressure but it is well controlled.
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Answered by Dr. Ilir Sharka (34 minutes later)
Brief Answer:
I would recommend as follows:

Detailed Answer:

Hello!

Welcome and thank you for asking on HCM!

Regarding your concern, I would like to explain that when dealing with a suspicious chest pain, the first thing to rule in/out is cardiac ischemia, or a possible acute aortic syndrome, or pulmonary embolism (which seems less likely in your husband case).

So, I recommend consulting the nearest ER doctor for a careful physical exam, coupled wit ha resting ECG, cardiac enzymes, chest X ray study.

If sufficient suspicions are raised, a cardiac ultrasound and other imagine modalities (such as chest angio CT or MRI) may be necessary for the differential diagnosis.

If the above possible options are excluded, other alternatives should be investigated as well.

So, my advice is to immediately consult the doctor.

Hope to have been helpful!

Feel free to ask me whenever you need! Greetings! Dr. Iliri


Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9535 Questions

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What Causes Intermittent Chest Pain, Weakness And High BP?

Brief Answer: I would recommend as follows: Detailed Answer: Hello! Welcome and thank you for asking on HCM! Regarding your concern, I would like to explain that when dealing with a suspicious chest pain, the first thing to rule in/out is cardiac ischemia, or a possible acute aortic syndrome, or pulmonary embolism (which seems less likely in your husband case). So, I recommend consulting the nearest ER doctor for a careful physical exam, coupled wit ha resting ECG, cardiac enzymes, chest X ray study. If sufficient suspicions are raised, a cardiac ultrasound and other imagine modalities (such as chest angio CT or MRI) may be necessary for the differential diagnosis. If the above possible options are excluded, other alternatives should be investigated as well. So, my advice is to immediately consult the doctor. Hope to have been helpful! Feel free to ask me whenever you need! Greetings! Dr. Iliri