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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chest Pain On Left Side, Pain In Left Arm, Shoulder. Family History Of Hypertension. Emergency Condition?

I m having chest paint on the left side, right into my heart from yesterday and from today AM i m getting a pain sensation in my left arm , its in my left shoulder and biceps n kind of flows towards my hand making my left arm feel heavy and tingly sometimes. I checked my BP and its 135/90. I m 34 years old, non smoker non drinker with a family history of hypertension/heart ailments. Should I visit an emergency right away or wait till morning?
Mon, 28 Jan 2013
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Cardiologist 's  Response
Hi friend,
Welcome to Health Care Magic

You MUST GO THE EMERGENCY DEPARTMENT – IMMEDIATELY.
Your description is highly suggestive.
It should be investigated as HEART PAIN – UNLESS PROVED OTHERWISE – especially with a strong family history.

In suspected heart attack, TIME IS OF THE ESSENCE – if detected early, an attack may even be aborted / the amount of damage and complications can be reduced remarkably. The most important time is the first few hours.

Better be safe than sorry - treated if a problem is found / Happy, if it turns out otherwise
Go to ER / get yourself assessed / assured.

Take care
Wishing speedy recovery
God bless
Good luck
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Emergency Medicine Specialist Dr. Dr. R.A. SINGH's  Response
Hi Enigmatic,
Thanks for writing your query.

You should get yourself examined at the Emergency Department and get an ECG done.
Heart pain can radiate towards left arm. Since you have a family history of hypertension and cardiac ailments, you should be extra cautious.

You can take one tablet of isosorbide dinitrate 5 mg sublingually for immediate relief of pain along with one tablet of Aspirin 150 mg with an antacid like Omeprazole 20 mg.

Also get your blood tested for cardiac enzymes and lipid profile.
If the problem persists, get yourself examined by a cardiologist.

I hope this is helpful to you.
Thanks.
I find this answer helpful

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Chest Pain On Left Side, Pain In Left Arm, Shoulder. Family History Of Hypertension. Emergency Condition?

Hi friend, Welcome to Health Care Magic You MUST GO THE EMERGENCY DEPARTMENT – IMMEDIATELY. Your description is highly suggestive. It should be investigated as HEART PAIN – UNLESS PROVED OTHERWISE – especially with a strong family history. In suspected heart attack, TIME IS OF THE ESSENCE – if detected early, an attack may even be aborted / the amount of damage and complications can be reduced remarkably. The most important time is the first few hours. Better be safe than sorry - treated if a problem is found / Happy, if it turns out otherwise Go to ER / get yourself assessed / assured. Take care Wishing speedy recovery God bless Good luck