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Suggest treatment for severe chest pain and chills

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Posted on Wed, 2 Nov 2016
Question: Had severe chest pains in the middle of the night, sweating then chills, couldn't stand or lie down. Lasted 15- 20 minutes, felt like I was going to pass out. Finally got better, then had another episode about 15 minutes after the first. Was alone so I could not go to the ER. Should I go to ER or wait until tomorrow?
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Answered by Dr. Ilir Sharka (44 minutes later)
Brief Answer:
I would recommend going to the ER for some tests.

Detailed Answer:
Hello!

Thank you for asking on HCM!

I carefully passed through your question and would explain that your symptoms could be related to different causes:

- a gastro-esophageal reflux or esophageal spasms
- cardiac ischemia
- an aortic aneurysm
- anxiety could also trigger all this clinical situation.

Coming to this point, I would recommend going to the ER today for a physical exam and some tests:

- a chest X ray study
- a resting ECG and cardiac enzymes for possible cardiac ischemia (cardiac enzymes can remain elevated even days after cardiac ischemia in your blood)
- some other blood lab tests (complete blood count for anemia or an infection, PCR and sedimentation rate for inflammation, blood electrolytes).

It is necessary performing these tests to be sure that the episode is not going to repeat again.

Hope to have been helpful!

Kind regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 4681 Questions

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Suggest treatment for severe chest pain and chills

Brief Answer: I would recommend going to the ER for some tests. Detailed Answer: Hello! Thank you for asking on HCM! I carefully passed through your question and would explain that your symptoms could be related to different causes: - a gastro-esophageal reflux or esophageal spasms - cardiac ischemia - an aortic aneurysm - anxiety could also trigger all this clinical situation. Coming to this point, I would recommend going to the ER today for a physical exam and some tests: - a chest X ray study - a resting ECG and cardiac enzymes for possible cardiac ischemia (cardiac enzymes can remain elevated even days after cardiac ischemia in your blood) - some other blood lab tests (complete blood count for anemia or an infection, PCR and sedimentation rate for inflammation, blood electrolytes). It is necessary performing these tests to be sure that the episode is not going to repeat again. Hope to have been helpful! Kind regards, Dr. Iliri