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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Sharp Chest Pains, Fluttering Heart, Light Headed, Metallic Taste In Moth. Heart Attack Or Panic Attack?

I have been having sharp chest pains and then my heart flutters a little bit. Then my left arm starts to get warm and tingling moving into my fingers, then ice cold. If I take deep breaths in I get really lightheaded. Last night I had a strong metallic taste in my mouth similar to blood. I have also been a little shaky today. Is this a panic attack or a heart attack?
Thu, 9 May 2013
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Cardiologist 's  Response
Dear Sir

Thanks for writing to us.

A pain which comes on sitting and not present otherwise, especially on exercise/ walking/ using stairs/ running, which is transient, less than a minute is less likely to be anginal. (
A transient heart flutter (which may be rhythm disturbance) without any symptoms can be totally benign or normal but an underlying structural heart disease should be ruled out.

From your description it will not be feasible to tell exactly if it is a heart attack or a panic attack. i would like you to see your physician for same.

Feel free to discuss further.

sincerely

sukhvinder singh
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General & Family Physician Dr. Het Ram Bishnoi 's  Response
Hello, thanks for the query to H.C.M. Forum
If there is pain in the chest,
Age around 40 yrs,
Radiating towards left side of neck, jaw,hand,
Pain is more than 30 seconds,
Chronic hypertensive.

All these above symptoms are suggestive of angina pectoris which is a precursor of heart attack.

So please be careful about these thing.
2 nd reason may be acute gastritis (heart burn)
3. Over feeding is another cause
When take deep breath than you feel relax it means there was oxygen insufficiency.
Due to deep breaths you inhaled more oxygen hence relaxation was there.
Now consult a physician and get in blood examination for lipid profile,sugar,SGOT,SGPT E C G, ECHO.
Good luck. Dr. HET
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Sharp Chest Pains, Fluttering Heart, Light Headed, Metallic Taste In Moth. Heart Attack Or Panic Attack?

Dear Sir Thanks for writing to us. A pain which comes on sitting and not present otherwise, especially on exercise/ walking/ using stairs/ running, which is transient, less than a minute is less likely to be anginal. ( A transient heart flutter (which may be rhythm disturbance) without any symptoms can be totally benign or normal but an underlying structural heart disease should be ruled out. From your description it will not be feasible to tell exactly if it is a heart attack or a panic attack. i would like you to see your physician for same. Feel free to discuss further. sincerely sukhvinder singh