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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Shortness Of Breath, Lightheadedness, Tiredness, Thirsty. Have First Stage Heart Block, Chest Pain. What Could It Be?

I am short of breath, light headed, v tired and thirsty. Tested positive in d dimer test but doctor says bloods and ECG fine so thinks unlikely to be PE. Have got first stage heart block and had echo and stress test which were unremarkable. Some mild chest pain too. The lightheaded and breathlessness are really getting to me. What could it be?
Wed, 6 Mar 2013
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Psychiatrist,  's  Response
Hello Naomi
Welcome to Health Care Magic

D-Dimer test is a test for Pulmonary Embolism, it is used to detect any thrombosis. When test comes negative it means that PE or thrombosis is ruled out, but a positive test does not mean that person is having PE, false positive results are there, so other tests and clinical evaluation is done to fix the diagnosis.
As your other tests like ECG, blood tests, ECHO, stress tests are normal so as per my opinion every thing is normal.
The mild pain, light headedness, shortness of breath etc may be due to Anxiety of having PE. Anxiety may present with sweating, chocking sensation in throat, chest, breathlessness, dizziness, butterfly sensation in stomach etc. and these symptoms are mistaken for any cardiac pathology. So most likely its Anxiety.
Both medical and non medicinal treatment are available for anxiety and with good results, kindly visit a good psychiatrist for expert opinion.

Thanks
Take Care
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Shortness Of Breath, Lightheadedness, Tiredness, Thirsty. Have First Stage Heart Block, Chest Pain. What Could It Be?

Hello Naomi Welcome to Health Care Magic D-Dimer test is a test for Pulmonary Embolism, it is used to detect any thrombosis. When test comes negative it means that PE or thrombosis is ruled out, but a positive test does not mean that person is having PE, false positive results are there, so other tests and clinical evaluation is done to fix the diagnosis. As your other tests like ECG, blood tests, ECHO, stress tests are normal so as per my opinion every thing is normal. The mild pain, light headedness, shortness of breath etc may be due to Anxiety of having PE. Anxiety may present with sweating, chocking sensation in throat, chest, breathlessness, dizziness, butterfly sensation in stomach etc. and these symptoms are mistaken for any cardiac pathology. So most likely its Anxiety. Both medical and non medicinal treatment are available for anxiety and with good results, kindly visit a good psychiatrist for expert opinion. Thanks Take Care