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    What causes sharp chest pain and anxiety?

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Posted on Wed, 26 Jul 2017 in Lung and Chest disorders
Question: Hi Doctor:

I get intermittent sharp chest pain, which is sharp, causes me to stop what I am doing but only lasts for seconds, less that a minute. The pain is in the center of the chest, substernal. It does not last long but scares me and then I can't catch my breath. No other symptoms but anxiety when this happens. I think it's cardiac, like my heart. I was told I have severe osteoporosis in the spine and both hips. Could this pain stem from osteoporosis or could it be cardiac? I did have an echocardiogram about 4-5 months ago which was normal; also a normal ekg around that time. I am small framed and do lift heavy objects on my job with a lot of bending.
doctor
Answered by Dr. Jnikolla 1 hour later
Brief Answer:
its probably the heart

Detailed Answer:
Hello and welcome in HCM

I can understand your concern

According to the history you explain its not osteoporosis causing this pain.

There are three organs that you have to control .

First the heart with the following tests:

Repeat ECG, and the ULTRASOUND
Cardiac enzymes Troponin,CK-MB

Lipidogram

If they come normal than you should continue with the lungs with:

D dimer
Chest x Ray

If they are normal too than it might be the stomach and a gastroscopy need to be done

After having the results the relevant specialists will advise you further for the treatment.

In my opinion with the most probability is the heart the cause
Please discuss with your doctor for the above

Take care and feel free to ask me again

Dr.Jolanda



Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
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Dr. Jnikolla

Pulmonologist

Practicing since :2003

Answered : 1522 Questions

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