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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chest Pain, Elevated BP, Abdominal Pain. History Of High BP. Taking Lisinopril And Crestor

I am 55 year old female, 5ft 9, 260lbs in relatively good health-had been bike riding 18miles/day until May when 90 year old father got ill and I took care of him. When he was sick I had 2 bouts of chest pain -on the 2nd one we called paramedic- my BP was like 200/100 and they took me to ER then to hospital overnight- had all cardiac enzymes checked and nuclear stress , ekg , etc. All were normal and no sign of heart attack-this was end of June. Had had nothing since until last night when lying watching TV, extreme pain all around chest/upper abdomen, sharp pains changed my breathing- bp was elevated to like 165/90- last about 5 minutes and then all subsided and was fine- same thing today- just sitting up, had been busy all day cooking and then same thing, not as severe- bp again elevated and then back to normal as soon as pain subsided. Also feels like upper abdominal area gets hard/rigid during this. History of high blood pressure, meds 20mg lisinipril, 10mg Crestor- have just had bunch of blood work done, but don t see doctor until next week
Thu, 12 Sep 2013
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Cardiologist 's  Response
Hi friend,
Welcome to Health Care Magic

You need more investigations –
      TMT – Treadmill exercise ECG; may be with thallium isotope – is necessary to evaluate ischemia (reduced blood flow / Coronary Artery Disease)
     ECHOcardiogram is necessary to see the heart valves (Mitral Valve Prolapse) / heart muscle (Cardiomyopathy) and heart function (Ejection fraction, wall motion abnormality) / clots...
     HOLTER (24 to 48 hour ambulatory monitoring) is done to analyse any arrhythmia.
     Lab tests like (urine VMA and serum catechols) are done to exclude Pheochromocytoma – which could cause episodic rise of pressure


In the mean time,
Low dose aspirin (75 mg) can help to reduce clotting from platelet aggression
Sublingual nitroglycerine may be tried in emergency

Take care     
Wishing speedy recovery
God bless
Good luck
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Chest Pain, Elevated BP, Abdominal Pain. History Of High BP. Taking Lisinopril And Crestor

Hi friend, Welcome to Health Care Magic You need more investigations – TMT – Treadmill exercise ECG; may be with thallium isotope – is necessary to evaluate ischemia (reduced blood flow / Coronary Artery Disease) ECHOcardiogram is necessary to see the heart valves (Mitral Valve Prolapse) / heart muscle (Cardiomyopathy) and heart function (Ejection fraction, wall motion abnormality) / clots... HOLTER (24 to 48 hour ambulatory monitoring) is done to analyse any arrhythmia. Lab tests like (urine VMA and serum catechols) are done to exclude Pheochromocytoma – which could cause episodic rise of pressure In the mean time, Low dose aspirin (75 mg) can help to reduce clotting from platelet aggression Sublingual nitroglycerine may be tried in emergency Take care Wishing speedy recovery God bless Good luck