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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having ASV Defect And Severe Chest Pain

My 13 year old daughter was born with ASV defect, it was repaired when she was 7 months old. She has had a few times in her life, when she was running or exercising, when she has experienced chest pain. But, after she walks it off she is fine and the pain goes away after a few minutes. Tonight, she was playing soccer and started experiencing a sharp pain in her chest. It has been an hour and the pain has minimized some but she is feeling the urge to cough. She says that it feels like there is something stuck in her throat and she cannot get it out. She has no other symptoms. Should I be worried.
Thu, 16 Jul 2015
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Cardiologist,  's  Response

Hello!

Thank you for asking on HCM!

Regarding you concern, I would like to explain that a careful physical exam, resting ECG and a trans-thoracic cardiac ultrasound, are necessary to investigate cardiac structures (possible heart chamber dilation, valvular incompetence, etc), as well as to review cardiac performance and what is very important to investigate for abnormally increased pulmonary artery hypertension, which may be the source of your daughter's complains (chest pain, coughing).

In addition some blood tests, like complete blood count (rule out secondary polyglobulia), an arterial blood gas analysis (for possible acid-base disorders) should be checked too.

If the above tests are inconclusive regarding increased pulmonary artery hypertension, then additional cardiac tests are necessary (for example: exercise cardiac stress test coupled with stress cardiac ultrasound).

Hope to have been helpful! Greetings! Dr. Iliri





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Having ASV Defect And Severe Chest Pain

Hello! Thank you for asking on HCM! Regarding you concern, I would like to explain that a careful physical exam, resting ECG and a trans-thoracic cardiac ultrasound, are necessary to investigate cardiac structures (possible heart chamber dilation, valvular incompetence, etc), as well as to review cardiac performance and what is very important to investigate for abnormally increased pulmonary artery hypertension, which may be the source of your daughter s complains (chest pain, coughing). In addition some blood tests, like complete blood count (rule out secondary polyglobulia), an arterial blood gas analysis (for possible acid-base disorders) should be checked too. If the above tests are inconclusive regarding increased pulmonary artery hypertension, then additional cardiac tests are necessary (for example: exercise cardiac stress test coupled with stress cardiac ultrasound). Hope to have been helpful! Greetings! Dr. Iliri