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What Causes Chest Pain Along With Breathlessness When Diagnosed With Sudden Stroke?

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Posted on Wed, 25 Oct 2017
Question: Hello
I am a little worried. Two weeks ago I had chest pain and went to hospital. I had an ECG, blood pressure taken, blood tests done and chest X-ray, The tests did seem to rule out Acute Coronary Syndrome and doctor thought it might be muscular problem. But since then I have been feeling quite unsteady and shaky. My chest feels tight and am getting breathless quite easily - do you think this could still be a artery or coronary problem that was not picked up? Do you think I am at risk of a sudden stroke or heart attach? Should I go back to hospital urgently?
doctor
Answered by Dr. Sameer Maheshwari (40 minutes later)
Brief Answer:
Should do additional tests

Detailed Answer:
Hi,
Welcome.
This is Dr Sameer, cardiologist.
Chest tightness after exertion or breathlessness after exertion can be a sign of underlying heart disease. The tests which were done at that time when you had that event, like ECG and blood tests, are just to rule out any acute event at that particular time period. It does not detect blockage other than period of acute heart event.
For that we have other tests like stress echo or Stress thallium which can rule out any possible blockage in the arteries of heart or possibility of having a heart attack in future. If that is normal, than chances are very very less
So you can go for that test to be sure.
Thanks & take care
Above answer was peer-reviewed by : Dr. Kampana
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Follow up: Dr. Sameer Maheshwari (30 hours later)
Can you get a shaky feeling if there are problems with the arteries
doctor
Answered by Dr. Sameer Maheshwari (10 hours later)
Brief Answer:
No you do not

Detailed Answer:
Hi,
Welcome back.
You do not get any shaky feeling because of arteries of heart. You just have chest pain on exertion or breathlessness on exertion.
Thanks
Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Sameer Maheshwari

Cardiologist

Practicing since :2010

Answered : 824 Questions

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What Causes Chest Pain Along With Breathlessness When Diagnosed With Sudden Stroke?

Brief Answer: Should do additional tests Detailed Answer: Hi, Welcome. This is Dr Sameer, cardiologist. Chest tightness after exertion or breathlessness after exertion can be a sign of underlying heart disease. The tests which were done at that time when you had that event, like ECG and blood tests, are just to rule out any acute event at that particular time period. It does not detect blockage other than period of acute heart event. For that we have other tests like stress echo or Stress thallium which can rule out any possible blockage in the arteries of heart or possibility of having a heart attack in future. If that is normal, than chances are very very less So you can go for that test to be sure. Thanks & take care