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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chest Pain And Fatigue?

hi ive had some chest pain and left arm pain ive had two ecg come that are normal normal chest xray and a ct scan after d dimer results were slight raised but everything is coming back normal and they say they THINK I have paricardioitis but if everything is normal would this be right, still have chest pains but more of a che now and feel very tired and energy levels are low.
Thu, 26 Feb 2015
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Pulmonologist,  's  Response
Thanks for your question on HCM.
I can understand your situation and problem.
Pericarditis is less likely in your case. Because your ecg , d dimer and CT scan is normal.
Pericarditis if present, you must have elevated d dimer, characteristic ECG abnormality and CT scan positivity.
So no need to worry much for Pericarditis.
In my opinion you are having anxiety and related symptoms.
So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution.
Avoid stress and tension. Be relax and calm.
Don't worry, you will be alright.
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What Causes Chest Pain And Fatigue?

Thanks for your question on HCM. I can understand your situation and problem. Pericarditis is less likely in your case. Because your ecg , d dimer and CT scan is normal. Pericarditis if present, you must have elevated d dimer, characteristic ECG abnormality and CT scan positivity. So no need to worry much for Pericarditis. In my opinion you are having anxiety and related symptoms. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. Avoid stress and tension. Be relax and calm. Don t worry, you will be alright.