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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Recurring Episodes Of Intense Pain In Chest With Dilated Pupils?

man in mid 30s, periodic feeling of intense sternal chest pain, like squeezing
when this occurs his pupils dialate with each heartbeat
began appx 2-3 months ago
went to ER on one occasion but by the time he got there the episode was over
he related his symptoms but was given something for gastritis
none of the symptoms were evident at time he was seen

episodes continue to occur intermittantly, seemingly randomly
Thu, 3 Sep 2015
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Pulmonologist 's  Response
Thanks for your question on Health Care Magic.
I can understand your concern.
We should first rule out valvular heart diseases like aortic stenosis and aortic regurgitation because both of them causes intermittent severe chest pain and dilatation of pupils with heart beat.
So first get done ecg, 2d echo to rule out these valvular heart diseases.
If any of these is present than he needs surgical correction of valvular defect.
If these reports are normal than sometimes stress and anxiety can cause similar symptoms.
So ask him to avoid stress and tension.
Don't worry, he will be alright but first rule out valvular heart diseases.
Hope I have solved your query.
Wishing him good health.
Thanks.
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What Causes Recurring Episodes Of Intense Pain In Chest With Dilated Pupils?

Thanks for your question on Health Care Magic. I can understand your concern. We should first rule out valvular heart diseases like aortic stenosis and aortic regurgitation because both of them causes intermittent severe chest pain and dilatation of pupils with heart beat. So first get done ecg, 2d echo to rule out these valvular heart diseases. If any of these is present than he needs surgical correction of valvular defect. If these reports are normal than sometimes stress and anxiety can cause similar symptoms. So ask him to avoid stress and tension. Don t worry, he will be alright but first rule out valvular heart diseases. Hope I have solved your query. Wishing him good health. Thanks.