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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Do I Have Possible Heart Attack Or Panic ?

33 year old female, weight 220 pounds, daily smoker, history of high triglycerides and anxiety attacks. Have been having very sharp, knifelike pain in center of chest for past 5 minutes. It doesnt change with movement or lessen. I had similar pain but not as sharp about 2 months ago. I went to the ER and no tests were done and was told I was having a panic attack, to take a few aspirin if it would calm me down and go home. So needless to say I am worried about going back to this same ER. I have had panic disorder for 16 years and I know the symptoms well and they have never felt like this. I am wondering, is the ER right from before, the pain Im having now is just new anxiety symptoms or do my symptoms sound like they should be checked out. I am afraid to go to the ER here since they will dismiss it as panic. FYI, have never gone to ER with panic attack, only when I first had them as a kid.

Mon, 19 Dec 2011
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  Anonymous's Response
's  Response

Hi.. The symptoms of panic attacks can vary.. Your symptoms though could be psychogenic, in view of risk factors, you can consider getting a cardiac evaluation to look for signs of angina.. Hence visit a cardiologist and if needed a stress test would be needed.. This would make things clear to you then.. Avoid spicy diet, regular sleep and dietary habits...  All the best...

Cardiologist, Interventional Dr. (Prof.) Subroto Mandal's  Response
Hello,
as per your history its less likely to be a case of heart attack or heart problem.
But as per your risk factor like obesity, smoker, high cholesterol my advice you can go for a cardiac check up done by a cardiologist.
wish you a good health
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Do I Have Possible Heart Attack Or Panic ?

Hi.. The symptoms of panic attacks can vary.. Your symptoms though could be psychogenic, in view of risk factors, you can consider getting a cardiac evaluation to look for signs of angina.. Hence visit a cardiologist and if needed a stress test would be needed.. This would make things clear to you then.. Avoid spicy diet, regular sleep and dietary habits... All the best...