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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chest Pain That Radiates To The Back?

I woke up at 3:30 in the mroorning with chest pain runing into upper part of my back. I took a nitroglycerin pill at it relieved my pain within minutes. I have a repaired Atrial Septal defeat. What could be causing the pain. What worries me is that the nitro took the pain away. I have had these boudt many other time before and sometimes thinking if the boudt didnt go away I would have to go to the er.
Wed, 10 Dec 2014
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Pain Medicine & Palliative Care Specialist 's  Response
hi
this pain could be cardiac related or can be stress induced gastritis.
if lt is relieved by vaso-dilatory effect of nitroglycerine it is relative cardiac pain most probably oesophageal induced coronary vasospasm.
uncorrected Atrial septal defect can many times cause chest pain,but not likely in case
i still suggest you to go to the ER or your cardiologist to get evaluated, with an ECG, ECHO-CARDIOGRAPHY, if required further evaluation
all the best
take care
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What Causes Chest Pain That Radiates To The Back?

hi this pain could be cardiac related or can be stress induced gastritis. if lt is relieved by vaso-dilatory effect of nitroglycerine it is relative cardiac pain most probably oesophageal induced coronary vasospasm. uncorrected Atrial septal defect can many times cause chest pain,but not likely in case i still suggest you to go to the ER or your cardiologist to get evaluated, with an ECG, ECHO-CARDIOGRAPHY, if required further evaluation all the best take care