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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Chest Pain And Heart Palpitations

I have a base line blood pressure of 110/70.. I do however have been suffering from chest pains, and I ll wake up every night with fast heart rate and shaking that last couple seconds ! I ve had ekg . 2 echo, and multiple visit to the er and holter for 24 hrs all of which is normal yet I can t get over these chest pains that comes on ! I do suffer from anxiety but I thought it was gone! My cholesterol is 73 and all my blood work is perfect ! I don t know what to do anymore but pray .. just wanted a doc opinion
Tue, 29 Jan 2019
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General & Family Physician 's  Response
Hello,

Chest pain at night can be due to anxiety or might be also from prizmental angina which is a kind of chest pain from spasms in the blood vessels of the heart especially at night and especially in anxious patients. All the tests come out normal in this case. You might talk this with your doctor and consider taking calcium channel blockers (like amlodipine) which are generally given in this case.

Sometimes the spasms of the esophagus especially due to chronic acid reflux or sometimes without a specific cause can cause pain that might be at night as well and calcium channel blockers are found to help with esophageal spasms as well.

I hope I have answered your query. Let me know if I can assist you further.

Regards,
Antoneta Zotaj,
General & Family Physician
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Suggest Treatment For Severe Chest Pain And Heart Palpitations

Hello, Chest pain at night can be due to anxiety or might be also from prizmental angina which is a kind of chest pain from spasms in the blood vessels of the heart especially at night and especially in anxious patients. All the tests come out normal in this case. You might talk this with your doctor and consider taking calcium channel blockers (like amlodipine) which are generally given in this case. Sometimes the spasms of the esophagus especially due to chronic acid reflux or sometimes without a specific cause can cause pain that might be at night as well and calcium channel blockers are found to help with esophageal spasms as well. I hope I have answered your query. Let me know if I can assist you further. Regards, Antoneta Zotaj, General & Family Physician