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What causes sudden pain in chest with increased BP and palpitations?

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Posted on Sat, 12 Jul 2014
Question: I am a 40 year old female. Every so often, while at rest, I experience a very quick and sharp pain in the center of my chest. It's very quick. Before you can react, it goes away. Each time, I check my blood pressure. Normal for me is the mid 110's to 120. Occasionally, it will hit 129 or 130. Out of caution, I always take an aspirin. I have had chest x-rays, assorted blood work, a nuclear stress test, and a 30 day event monitor. They all came back normal. I currently take Atenolol (150 mg) for blood pressure and palpitations. Lovastatin (40 mg) for cholesterol. Aspirin (325mg). I also have a pectus excavatum. I am also overweight, but am working on bringing that down. This is both annoying and concerning.
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Answered by Dr. Benard Shehu (4 hours later)
Brief Answer:
Please upload the requested results...

Detailed Answer:
Hi,

Based on your symptoms it looks like premature beats or panic attack.

First of all, I need to check by my self the results of your test in order to exclude premature beats. Can you upload them?

I'm waiting for the test results.

Best regards!
Dr.Benard
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Benard Shehu (5 minutes later)
Unfortunately, I do not have copies of any tests. Sorry.
doctor
Answered by Dr. Benard Shehu (38 hours later)
Brief Answer:
No problem...

Detailed Answer:
Hi back,

Ok, then.

If no extra systole is found in the reading of monthly Holter monitoring, then, what you experience are related to anxiety attack. For this, you should discuss it further with a psychologist.

All the best!
Dr.Benard
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Benard Shehu

Cardiologist

Practicing since :2004

Answered : 2257 Questions

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What causes sudden pain in chest with increased BP and palpitations?

Brief Answer: Please upload the requested results... Detailed Answer: Hi, Based on your symptoms it looks like premature beats or panic attack. First of all, I need to check by my self the results of your test in order to exclude premature beats. Can you upload them? I'm waiting for the test results. Best regards! Dr.Benard