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Having problem during taking breath

hi, my father has has a problem while he is taking breath ,he say that something choked his neck and he cant take breath,his ECG is not also normal ,my father age is 53 ,medical history: he is suffering from anginal equivalent,he is taking medicine also what should we do?
Asked On : Thu, 13 Jan 2011
Answers:  4 Views:  327
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Thoracic Surgeon 's  Response
get 2d echo and coronary angiography done at earliest.Angina, or angina pectoris, is the medical term used to describe the temporary chest discomfort that occurs when the heart is not getting enough blood.
The heart is a muscle (myocardium) and gets its blood supply from the coronary arteries. Blood carries the oxygen and nutrients the heart muscle needs to keep pumping.When the heart does not get enough blood, it can no longer function at its full capacity. When physical exertion, strong emotions, extreme temperatures, or eating increase the demand on the heart, a person with angina feels temporary pain, pressure, fullness, or squeezing in the center of the chest or in the neck, shoulder, jaw, upper arm, or upper back. This is angina, especially if the discomfort is relieved by removing the stressor and/or taking sublingual (under the tongue) nitroglycerin.
The discomfort of angina is temporary, meaning a few seconds or minutes, not lasting hours or all day.An episode of angina is not a heart attack. Having angina means you have an increased risk of having a heart attack.A heart attack is when the blood supply to part of the heart is cut off and that part of the muscle dies (infarction).
Angina can be a helpful warning sign if it makes the patient seek timely medical help and avoid a heart attack. Prolonged or unchecked angina can lead to a heart attack or increase the risk of having a heart rhythm abnormality. Either of those could lead to sudden death.Time is very important in angina.The more time the heart is deprived of adequate blood flow (ischemia), and thus oxygen, the more the heart muscle is at risk of heart attack or heart rhythm abnormalities. The longer the patient experiences chest pain from angina, the more the heart muscle is at risk of dying or malfunctioning.
Not all chest pain is angina. Pain in the chest can come from a number of causes, which range from not serious to very serious.For example, chest pain can be caused by:acid reflux (gastroesophageal reflux disease, GERD), upper respiratory infection,
asthma, or sore muscles and ligaments in the chest (chest wall pain)
If chest pain is severe and/or recurrent, the patient should see a healthcare provider.
Go to a hospital emergency department if the patient has any of the following with chest pain: Other symptoms such as:sweating,weakness,faintness, numbness or tingling, or nausea ,Pain that does not go away after a few minutes ,Pain that is of concern in any way
Answered: Fri, 14 Jan 2011
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General & Family Physician Dr. Swapan Kumar Das's  Response
Dear Concern,

As you have not mentioned about other vital signs such as his BP, Pulse, ECG findings, etc, nor his few important laboratory findings (sugar, lipid or cholesterol, the last cardiac enzyme test, if any, chest x-ray findings, etc). Now, your father definitely need Angiography and or 2D Echo at the earliest to rule out any evolving underlying cardiac ischemia or Congestive Cardiac Failure (CCF).

kindly check if your father is a known case of following cardiac complications such as Unstable Angina, Ischemic Heart Disease (IHD), Hypertension, Dyslipidemia, Diabetes or any other Coronary Artery Disease (CAD). If yes, weather or not he is regular in taking his medicines. It seems that your father has got Angina with effort with other cardiac complications such as Hypertension with Left Ventricular Hypertrophy (LVH). Kindly see a Cardiologist to rule out any such probability. Thanks.


Swapan Kumar das
Answered: Tue, 18 Jan 2011
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  User's Response
thank you sir for your concern my father BP is in control ,his echo test is also normal ,heart is pumping normally ,there is no pain in the chest but my father said after eating he feel that the neck is choked and he feel difficulty in breathing .there are eight types of medicines which he used to eat ,he allways remain in tension ,he get very scared due to this , do u think its a kind of hypertension?
Answered: Wed, 19 Jan 2011
  Anonymous's Response
i have probkem
Answered: Fri, 24 Jun 2011
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