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What Causes Intermittent Pain In Chest?
Question: I've been having sub sternal intermittent discomfort on and off all day, it 's like a quick pulsating pain that comes and goes. I also had a few episodes yesterday but today it hasn't stopped. I am 80 yrs old and had a heart attack several years ago. I'm on metropolol for BP well controlled. Any ideas?
Brief Answer:
Need to look for myocardial infarction or aortic aneurysm
Detailed Answer:
Hi,
Thanks for asking.
I am Dr. Prakash HM and I will be answering your query.
Based on your query, my opinion is as follows:
1. If its a burning pain, antacids should help with gastritis. If you take antacids, or cold milk and pain is not reducing, we need to look for cardiovascular causes.
2. At present, need to look into myocardial infarction or dissecting aortic aneurysm. Need to go to ER to get an ECG to rule out myocardial infarction. If ECG is presently not indicating a new infarction, any aortic aneurysm requires evaluation.
Go to ER immediately. At this age, intermittent discomfort, substernal - myocardial infarction is a primary suspect especially if you rule out gastritis.
Hope it helps.
Any further queries, here to help again.
Dr. Prakash HM
Need to look for myocardial infarction or aortic aneurysm
Detailed Answer:
Hi,
Thanks for asking.
I am Dr. Prakash HM and I will be answering your query.
Based on your query, my opinion is as follows:
1. If its a burning pain, antacids should help with gastritis. If you take antacids, or cold milk and pain is not reducing, we need to look for cardiovascular causes.
2. At present, need to look into myocardial infarction or dissecting aortic aneurysm. Need to go to ER to get an ECG to rule out myocardial infarction. If ECG is presently not indicating a new infarction, any aortic aneurysm requires evaluation.
Go to ER immediately. At this age, intermittent discomfort, substernal - myocardial infarction is a primary suspect especially if you rule out gastritis.
Hope it helps.
Any further queries, here to help again.
Dr. Prakash HM
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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