Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
171 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What causes sudden chest tightness while playing?

Answered by
Dr. Sameer Maheshwari


Practicing since :2010

Answered : 814 Questions

Posted on Fri, 4 May 2018 in Hypertension and Heart Disease
Question: i had chest tightness when playing tennis. went to e.r . ekg and echo results were normal/ bp was 150 /85 and troponin was 0.4 then .14 and 8 . ct calcium score is 1, please advice my next steps
Answered by Dr. Sameer Maheshwari 23 minutes later
Brief Answer:
Can do stress tests

Detailed Answer:
This is Dr Sameer cardiologist.
As your echo, ECG and cardiac enzymes are normal & CT calcium score is low your chances of having a coronary blockage is low.
Still i will recommend you to have a stress echo done to rule out possibility of having a future cardiac event. It is a good test with normal report means 85-90% chance that you do not have any blockage and risk of getting it in future is low.
So you can go for that test.
I will be here if you need any further assistance.
Thanks and take care.
Above answer was peer-reviewed by : Dr. Kampana
Follow up: Dr. Sameer Maheshwari 23 minutes later

' As your echo, ECG and cardiac enzymes are normal'

just to clarify cardiac enymes ( tropponin ) was high ( .4 . then .53 and 8.0 ) Please advice. Thanks
Answered by Dr. Sameer Maheshwari 23 hours later
Brief Answer:
You have a rising Troponin trend

Detailed Answer:
Welcome back.
The Troponin results you have quoted is in rising trend ( I am sorry I didn't see that 8 in last).

So Chest pain with positive Trop I is considered as a cardiac event. Echo and ECG can be normal.
Further investigation needed is Coronary Angiography because stress testing is contraindicated in patients with positive Trop I.

Coronary Angiography is a day care procedure and is 100% sensitive for diagnosing any blockage.
Hope this helped.
Thanks & take care
Above answer was peer-reviewed by : Dr. Kampana

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  
Medical Procedures
Medical Topics

Recent questions on  Chest pain

doctor1 MD

I was recently diagnosed with hypertension and perscribed lopressor for my meds. I am wondering if this medicine is doing more harm than good. I...

doctor1 MD

I have chest pain in my upper right side, around my breast, THERE BUT not over powering, I am 64 yrs, male and have had three heart attacts and...

doctor1 MD

I am a 23 year old female who has been experiencing headaches for several months now. I went to the clinic and found out it was due to tension...

doctor1 MD

Last night, my husband was awakened by a severe shooting pain that went up the left side of his neck and down his right arm. He got up and went to...

doctor1 MD

getting pain in some parts of chest in random time any type of injections for D3 and B12 and dose for same as per reports

doctor1 MD

I started having symptoms about 7 weeks ago. Head congestion, then chest congestion, some fever, a cough, shortness of breath , and now pain in my...

doctor1 MD

i. I am 30 year old obese when I tried to laugh too hard had strange feeling in head for a second.later next day I laughed even harder this time...