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What causes recurrent chest discomfort in a heart patient?

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Posted on Mon, 16 May 2016
Question: I have been having some discomfort in my chest off and on throughout the day, on the right side of my chest, its a dull ache, mostly when I take a deep breath, also Im very chilled, I already have 3 cardiac stents in my heart from previous episodes with my heart and I have been fine for the past 3 years, should I be concerned about being checked immediatly? I have not seen my cardiologist for about 3 months, but see my PCP monthly
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Answered by Dr. Muhammad Sareer Khalil (2 hours later)
Brief Answer:
Chest discomfort

Detailed Answer:
Hello and Welcome

I appreciate your concern

As its the first episode of such chest discomfort , it should not be taken lightly. An EKG can be done/advised to look for any acute changes. Troponins (cardiac enzymes) can also be checked to look for a significant rise in levels/titers. Chest x ray and echocardiogram may also be advised. CK MB and LDH as adjuvant evidence can also help. If the investigations are clear and no such abnormality is found then GERD/ GI cause should be treated empirically as its one of the most common cause for non cardiac chest pain and discomfort. If your doctor/cardiologist is still concerned then he may advise a repeat angiography especially if the pain/discomfort persists or worsens.


Wishing you best of health

Thanks

Let me know if you have any query

Please consult your doctor before deciding on any further course of action.

For future follow up / correspondence you may ask me directly at the link given below

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Dr. M.S. Khalil
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Muhammad Sareer Khalil

General & Family Physician

Practicing since :2012

Answered : 2909 Questions

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What causes recurrent chest discomfort in a heart patient?

Brief Answer: Chest discomfort Detailed Answer: Hello and Welcome I appreciate your concern As its the first episode of such chest discomfort , it should not be taken lightly. An EKG can be done/advised to look for any acute changes. Troponins (cardiac enzymes) can also be checked to look for a significant rise in levels/titers. Chest x ray and echocardiogram may also be advised. CK MB and LDH as adjuvant evidence can also help. If the investigations are clear and no such abnormality is found then GERD/ GI cause should be treated empirically as its one of the most common cause for non cardiac chest pain and discomfort. If your doctor/cardiologist is still concerned then he may advise a repeat angiography especially if the pain/discomfort persists or worsens. Wishing you best of health Thanks Let me know if you have any query Please consult your doctor before deciding on any further course of action. For future follow up / correspondence you may ask me directly at the link given below http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107 Dr. M.S. Khalil