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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How to treat tightness and pain in chest due to ASD?

I am 44 and was recently diagnosed with a hole in my heart (ASD), I had an angiogram and my arteries are clear and saturation levels perfect. I was taken to hospital as I have been struggling to get a breath in, I had slight tightness in my chest and general odd feeling of unwell. After diagnosis I was told to make an appointment with the cardiologist in 4-6 weeks time. Since being home I still suffer tightening in my chest and sometimes sharp jabbing pains, when this happens to the left of middle chest it feels like it travels up through my neck into my jaw. I also occasionally get sharp pains in right shoulder blade towards the middle of my back. I left a message with the cardiologist last Tuesday to call last me, but he hasn t returned my call; all I want to know is this my new normal until the hole is fixed? Do I just put up with it? I am also extremely tired and become exhausted easily.
Thu, 22 Aug 2019
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Internal Medicine Specialist 's  Response
Hi,

Your symptoms is not due to coronary artery disease but due to right ventricular volume overload/paradoxical septal motion and possible tricuspid regurgitation. You require transesophageal echocardiography (TEE) for better visualization of the interatrial septum and measurement of the pulmonary artery pressure.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Tushar Kanti Biswas, Internal Medicine Specialist
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