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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for pain in sternum area with lightheadedness

Answered by
Dr.
Dr. Kaushal Bhavsar

Pulmonologist

Practicing since :2008

Answered : 14575 Questions

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Posted on Wed, 8 Jun 2016 in Lung and Chest disorders
Question: I have chest pain at the sternum which is painful. Catches me by XXXXXXX taking my breath away and feel a little lightheaded. This all goes away in a few seconds and I feel OK. I never know when it will happen.

Has my question been answered?
doctor
Answered by Dr. Kaushal Bhavsar 41 minutes later
Brief Answer:
Get done ecg first.

Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
At your age of 58 years, we should first rule out heart related diseases for your chest pain.
So first get done ecg.
Please let me know
1. Do you smoke?
2. Do you have hypertension or diabetes?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 2 hours later
No I do not smoke.
Yes, I have hypertension and use Altace 10mg twice a day. BP is 130/75 and Heart rate is 72.
Yes, my glucose levels are 110 t0 120 and I am taking metformin for this. With metformin during the day my rate is 80.
doctor
Answered by Dr. Kaushal Bhavsar 3 minutes later
Brief Answer:
Get done ecg first.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Since you are hypertensive and diabetic, we should definitely rule out heart diseases for your chest pain.
So get done first ecg.
Please let me know
1. Have you ever undergone ecg?
2. Have you ever undergone 2d echo?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 3 minutes later
Yes, my EKG six months ago was fine. No, I have not had an echo.
doctor
Answered by Dr. Kaushal Bhavsar 1 minute later
Brief Answer:
Is this your first attack?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.. Please let me know
1. Is this your first attack of chest pain?
2. At present, do you have chest discomfort on climbing stairs or on heavy exertion?. Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 25 minutes later
I do have some chest discomfort but only at rest. I use to take Crestor but found out I am allergic to it which caused severe chest pain. In 2010 I had a stent medicated put in the obtuse marginal artery at the back of the heart. I have no issues with it.
doctor
Answered by Dr. Kaushal Bhavsar 8 minutes later
Brief Answer:
You should definitely get done ecg first.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Now, you are opening your file fully.
You are hypertensive, diabetic and had Coronary stenting 6 years ago. All these are major risk factors for cardiac diseases.
So possibility of heart related event is more likely in your case.
So first investigation should be ecg.
And if there is little change or abnormality then you should definitely get done coronary angiography to rule out coronary artery blockage.
Hope I have solved your query.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar.
Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 1 hour later
Thank you very much.
doctor
Answered by Dr. Kaushal Bhavsar 2 minutes later
Brief Answer:
Please close the conversation and rate my answer.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
Thanks for your kind words.
Hope I have solved your query. If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar.
Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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