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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chest Pain While Lifting Objects, High BP, Shortness Of Breath. Family History Of Heart Disease. Advice?

Hello my name is john and I am 34 years old 5' 10" and 210 lbs. I have terrible chest pains when I work lifting anything, changing a tire ,pulling to crank a lawnmower ect. This started about three months ago and has progressed worst. I have high blood pressure and am not currently take my meds. My father and his before died before the age of 45 due to plaque build-up in the heart. I get short of breath and weak doing any strenuous activities. I do smoke and drink and feel like crap 90% of the time. The pain starts in the middle of my chest and works to both sides as long as I stop it will go away but come right back as I work. It has made me non functional. Please your advice my save me. Sincerely john
Fri, 27 Sep 2013
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General & Family Physician,  's  Response
Hello, Mr. John
Thanks for the query to H.C.M. Forum.
Since your weight is 210 lbs , height 5'10" . Father and uncle both died due to heart disease.
Smoking , drinking , over weight, family history , exertion breathlessness , mild chest pain , high blood pressure all these are predisposing factor of heart disease ( coronary artery disease) .
You are very prone to this disease.
1 May be angina pectoris ( precursor of heart attack) , diagnosis can be confirmed by E C HO , treadmill test, angiography . consult a cardiologist and take treatment .
2 Lack of stamina due to overweight , so get in blood for hemoglobin and protein level ,
3 Acute gastritis , again due to hyper acidity , diagnosis can be confirmed by upper G I endoscopy .
In my opinion at once try reduce weight , control your diet ( avoid spicy , greasy food, smoking, alcohol).
Cardiologist consultation will help.
Good luck. Dr. HET
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Chest Pain While Lifting Objects, High BP, Shortness Of Breath. Family History Of Heart Disease. Advice?

Hello, Mr. John Thanks for the query to H.C.M. Forum. Since your weight is 210 lbs , height 5 10 . Father and uncle both died due to heart disease. Smoking , drinking , over weight, family history , exertion breathlessness , mild chest pain , high blood pressure all these are predisposing factor of heart disease ( coronary artery disease) . You are very prone to this disease. 1 May be angina pectoris ( precursor of heart attack) , diagnosis can be confirmed by E C HO , treadmill test, angiography . consult a cardiologist and take treatment . 2 Lack of stamina due to overweight , so get in blood for hemoglobin and protein level , 3 Acute gastritis , again due to hyper acidity , diagnosis can be confirmed by upper G I endoscopy . In my opinion at once try reduce weight , control your diet ( avoid spicy , greasy food, smoking, alcohol). Cardiologist consultation will help. Good luck. Dr. HET