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Is Chest Pain A Symptom Of Left Atrial Enlargement?
Question: Hello
I am back I am now waiting for my echo results I did. This test on Saturday last but haven't heard anything yet I am sure I will get a call soon but my question today is
How long can this take ?
What are the chances of something serious being wrong ? When performing the test the tech told me she was having a hard time getting a good pic bc my heart was behind my ribs and I am very ribby? She then told me she got good pictures
So if I have had ECG that said left aerial enlargement possible and then I have had echo if these test proves there is is nothing wrong with my heart then what should my next step be for these chest pains they tell me are costochondritis should I see a cardiologist are there other tests I can do to make sure nothing has been missed
I am back I am now waiting for my echo results I did. This test on Saturday last but haven't heard anything yet I am sure I will get a call soon but my question today is
How long can this take ?
What are the chances of something serious being wrong ? When performing the test the tech told me she was having a hard time getting a good pic bc my heart was behind my ribs and I am very ribby? She then told me she got good pictures
So if I have had ECG that said left aerial enlargement possible and then I have had echo if these test proves there is is nothing wrong with my heart then what should my next step be for these chest pains they tell me are costochondritis should I see a cardiologist are there other tests I can do to make sure nothing has been missed
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello,
Welcome back!
I hope you are not waiting too long for your echo result. As in our country cardiac echo is performed by cardiologists, the results and underlying explanations are given shortly after the exam. Probably you have to ask for an answer.
Regarding your chest pains, I would like to assure you that whichever be the results of cardiac echo (I wish nothing wrong about your cardiac structure and function), it has nothing to do with them.
You chest pain characteristics do not raise sufficient suspicions on a cardiac ischemia origin.
From the other part, even if left atrial enlargement be present it could not explain that pain (atrial enlargement is painless).
Though I personally don't think your pain symptomatology is cardiac related, a possible next step could be an exercise cardiac stress test.
After everything form the above confirmed normal, then other responsible causes should be sought (including also costochondritis).
A complete blood count and PCR could help to rule out/in inflammation.
A gallium scan could be helpful if your attending doctor has reasonable suspicions of an infection.
Meanwhile, I would recommend you relaxing, as no medical evidence of obvious cardiac disorders exist.
Just wait for your echo report, and when it's available try to upload it here for a direct review.
Wishing a pleasant weekend!
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello,
Welcome back!
I hope you are not waiting too long for your echo result. As in our country cardiac echo is performed by cardiologists, the results and underlying explanations are given shortly after the exam. Probably you have to ask for an answer.
Regarding your chest pains, I would like to assure you that whichever be the results of cardiac echo (I wish nothing wrong about your cardiac structure and function), it has nothing to do with them.
You chest pain characteristics do not raise sufficient suspicions on a cardiac ischemia origin.
From the other part, even if left atrial enlargement be present it could not explain that pain (atrial enlargement is painless).
Though I personally don't think your pain symptomatology is cardiac related, a possible next step could be an exercise cardiac stress test.
After everything form the above confirmed normal, then other responsible causes should be sought (including also costochondritis).
A complete blood count and PCR could help to rule out/in inflammation.
A gallium scan could be helpful if your attending doctor has reasonable suspicions of an infection.
Meanwhile, I would recommend you relaxing, as no medical evidence of obvious cardiac disorders exist.
Just wait for your echo report, and when it's available try to upload it here for a direct review.
Wishing a pleasant weekend!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello
Thank you I hope it is not cardiac related I notice today I have had a few ache sharp pain in the upper mid sturnum which I have had before
I will upload when I get echo
So my blood work u have seen previously seen came back normal as well as normal blood pressure only ECG was off so far
Thank you for your patience and again I will ask for a stress test also if all conforms normal what type of dr should I see for the pains a cardiologist
Thank you I hope it is not cardiac related I notice today I have had a few ache sharp pain in the upper mid sturnum which I have had before
I will upload when I get echo
So my blood work u have seen previously seen came back normal as well as normal blood pressure only ECG was off so far
Thank you for your patience and again I will ask for a stress test also if all conforms normal what type of dr should I see for the pains a cardiologist
Brief Answer:
Just relax, no dangerous complications seem to be obvious.
Detailed Answer:
Hi,
This kind of pain doesn’t seem to be cardiac ischemia, more likely costochondritis (it may hurt you on local palpation or when changing posture, coughing, etc).
Though I am not convinced of an acute cardiac disorder, an exercise stress test should be done.
I would like to review them both (echo and stress test).
If everything results normal, then a careful diagnostic work up by an internist should be the most rationale step to pursue.
Have a nice day,
Dr. Iliri
Just relax, no dangerous complications seem to be obvious.
Detailed Answer:
Hi,
This kind of pain doesn’t seem to be cardiac ischemia, more likely costochondritis (it may hurt you on local palpation or when changing posture, coughing, etc).
Though I am not convinced of an acute cardiac disorder, an exercise stress test should be done.
I would like to review them both (echo and stress test).
If everything results normal, then a careful diagnostic work up by an internist should be the most rationale step to pursue.
Have a nice day,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Great thanks
Can I take Advil for pain or tylnol or muscle relaxers I heard that Advil raises blood pressure and higher risk of heart issues for those that use them all the time
Can I take Advil for pain or tylnol or muscle relaxers I heard that Advil raises blood pressure and higher risk of heart issues for those that use them all the time
Brief Answer:
Advil seems to be safe.
Detailed Answer:
Hello again!
You can take advil of tylenol for the pain. Advil has a higher inflammatory effect compared to tylenol, but they are very helpful as painkillers.
If you experience any raise in your blood pressure after advil intake, I would recommend taking naproxen or tylenol, which do not affect your blood pressure.
Hope you will find this answer helpful!
Kind regards,
Dr. Iliri
Advil seems to be safe.
Detailed Answer:
Hello again!
You can take advil of tylenol for the pain. Advil has a higher inflammatory effect compared to tylenol, but they are very helpful as painkillers.
If you experience any raise in your blood pressure after advil intake, I would recommend taking naproxen or tylenol, which do not affect your blood pressure.
Hope you will find this answer helpful!
Kind regards,
Dr. Iliri
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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