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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In Left Arm, Radiating To Chest In A BP Patient?

Hi!, Writing on behalf of my mom....she has blood pressure & takes Diovan. Recently for about 2 months now her left arm up to her chest have been hurting anytime she walks or does any regular activity. She was prescribed Cyclobenzaprine for this but it hasn't worked & pain is still there. Any thoughts about why this is happening? Also, she did an EKG & everything is normal.
Mon, 4 Jan 2016
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Pulmonologist,  's  Response
Thanks for your question on Health Care Magic.
I can understand your concern.
Her symptoms are suggestive of either uncontrolled hypertension or coronary artery disease (CAD) or heart failure, because all these cause chest pain with radiation to arm.
Ecg can be normal even with the disease in some patients.
So better to consult cardiologist and get done
1. Blood pressure monitoring to rule out high BP.
2. Trade mill test (stress test) to rule out CAD.
3. 2d echo to rule out heart failure.
4. Coronary angiography if required to rule out CAD.
So consult cardiologist and discuss all these.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks.
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What Causes Pain In Left Arm, Radiating To Chest In A BP Patient?

Thanks for your question on Health Care Magic. I can understand your concern. Her symptoms are suggestive of either uncontrolled hypertension or coronary artery disease (CAD) or heart failure, because all these cause chest pain with radiation to arm. Ecg can be normal even with the disease in some patients. So better to consult cardiologist and get done 1. Blood pressure monitoring to rule out high BP. 2. Trade mill test (stress test) to rule out CAD. 3. 2d echo to rule out heart failure. 4. Coronary angiography if required to rule out CAD. So consult cardiologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks.