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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 Palpitations?

Hi, I have visited my Gp atleast thrice since last month, the first visit was on march 6th 2014, reason for visit was waking up every night after couple of hours of sleep and couldn t go back to sleep with fast heart beat and chest discomfort, very rapid chest pain, raising and racing heartbeat, whole body shivering, heavy sweating from all over body in sleep, feeling week and drained of energy, was passing out almost and my Bp was 120/70 heart and pulse over 90 and Gp thinks its anxiety and prescribed 10 tablets of trizolam 125mcg but that couldnt help me in any way, so after using them without any good outcome, I re-visited to my Gp s clinic, this time got checked up by another Doctor, This time my bp was 130/60 and doctor said I am mild anxiety patient and said no need for any medication but just need to go on google and look for tips to get rid of anxiety. Today visited the same doctor again and he checked my bp it was 120/86 and he was concerned with my heart beat, he didnt tell me how much but he said its quiet abnormal, so he prescribed me 15 tablets of zopiclone and 14 tablets of bosvate 2.5mg, i feel like no one is sure whats my condition as i ended up in emergency 6 times in 5 months with heavy chest pains and rapid heart beats, all this while they couldnt find any particular reason behind my issues.Sorry forgot to mention first time i ended up in emergency in november with chest pain my bp was 170/130 continuously for 7 hours and they asked my to see my GP as my blood pressure, my blood sugar levels and my cholesterol were too high, my Gp did blood test twice and results cholesterol 6.2mmol/l and HbA1c was 56mmol/mol and i was put on 500mg metformin daily two tablets with food and one Atorvastatin 20 mg daily one after dinner, 10 days back my Gp did my blood test again and my results were total cholesterol 2.5mmol/l and my HbA1c was 47 mmol/mol . my Gp not really impressed with my HbA1c as he said I should be at 41 mmol/mol by now as i have given up drinking since november and stopped smoking since over a month and have been eating healthy since 5 months and lost nearly 10kgs, so my question to the doctor over here on this site is why am I going thru so many complications with my heart and sleep and chest
Mon, 31 Aug 2015
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General & Family Physician 's  Response
Hi Sir,

Welcome to HCM,

I understand your concern.

Your symptoms are suggestive of Ongoing Myocardial ischemia.

So I advise you to get an ECG,2D Echo of your heart immediately to confirm the diagnosis.

Drugs like Antiplatelets, beta blockers and Antihypertensives will be helpful.

Coronary angiogram followed by angioplasty will be the procedure of choice.

Avoid stress and anxiety.

Consult your cardiologist for expert management.

Post your further queries if any,

Thank you.
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What Causes Chest Pain And Palpitations?

Hi Sir, Welcome to HCM, I understand your concern. Your symptoms are suggestive of Ongoing Myocardial ischemia. So I advise you to get an ECG,2D Echo of your heart immediately to confirm the diagnosis. Drugs like Antiplatelets, beta blockers and Antihypertensives will be helpful. Coronary angiogram followed by angioplasty will be the procedure of choice. Avoid stress and anxiety. Consult your cardiologist for expert management. Post your further queries if any, Thank you.