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Pain in upper part of chest, near to heart. Test to check for blockage?

Hi Doc, I am feeling small pain in upper part of chest , very near to heart . My query is: What test I can go for to check the blockage in my arteries closer to heart. Can I go for the test without consulting a doctor and based on result, I can consult a doctor. My age is 36 and I am bit overwieght (122 Kgs and Height: 5 11 )
Asked On : Mon, 25 Feb 2013
Answers:  1 Views:  23
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General & Family Physician 's  Response
Dear customer,

The pain can be caused by almost every structure in the chest.The following causes are:

1) Broken or bruised ribs
2) Pleuritis or pleurisy
3) Pneumothorax
4) Shingles
5) Pneumonia
6) Pulmonary embolus
7) Angina
8) Heart attack (myocardial infarction)
9) Pericarditis
10) The aorta and aortic dissection
11) The esophagus and reflux esophagitis
12) Referred abdominal pain, etc

You should have the relevant investigations done like chest x-ray, blood counts, coronary angiography, ekg etc after consulting your doctor.

The coronary artery blockage can be found out with the help of the coronary angiography.

You should have the cardiologist consultation done and aslo have the 2d echo of heart, EKG, stress treadmill test to know any underlying heart pathology.

The treatment depends on the underlying cause.

Thank you!
Answered: Tue, 26 Feb 2013
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