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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes tightness in the chest and nausea in an elderly person?

Answered by
Dr. Ilir Sharka


Practicing since :2001

Answered : 6982 Questions

Posted on Mon, 6 Jun 2016 in Hypertension and Heart Disease
Question: My bp is 101/56 pulse 77 I woke up this morning feeling like I was so hot I was on fire and a wave of Nasua hit me with a tight feeling in my chest it went away but I feel light headed and sluggish I have two stints in my heart my bp a couple hours ago was 109/62 pulse rate 56 I have a dull feeling in my face
Answered by Dr. Ilir Sharka 21 minutes later
Brief Answer:
I would recommend as follows:

Detailed Answer:

Welcome and thank your for asking on HCM!

I carefully passed through your question and would explain that it is important performing a comprehensive differential diagnosis between different causes that may lead to this physical scenario:

- an infection
- myocardial ischemia

Have you measured your body temperature?

I recommend going to the ER for a careful physical exam and some tests:

- a resting ECG and cardiac enzymes (Troponin and CKMB)
- a chest X ray study
- some blood lab tests (complete blood count, PCR, sedimentation rate, blood electrolytes, fasting glucose, kidney and liver function tests).

Hope you will find this answer helpful!

Kind regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

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