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Overweight, thyroid problem, high cholesterol. Wake up from sleep with pounding heart, chest tightness, shortness of breath. Reason?

Why do I wake from sleep with pounding heart, SOB, and chest tightness. This is a recent occurrence. I am a 66 yrs old, female in good health. Only negative is overweight , but not morbidly obese. Take 10 mg of Lipitor for cholesterol , but have had no high blood pressure, and my fasting blood sugar is below 90. I take one .100 mcg tablet daily for a thyroid condition.
Asked On : Thu, 8 Nov 2012
Answers:  2 Views:  104
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Cardiologist 's  Response
Hi friend
Welcome to Health Care Magic

This is highly suggestive of heart failure. And the most likely cause is Coronary Artery Disease.

You have to be investigated.
A thorough history and physical examination is the first step -
     Routine 12-lead Electrocardiogram (ECG) is part of clinical examination.
     ECHOcardiogram is necessary to see the heart valves (Mitral Valve Prolapse) / heart muscle (Cardiomyopathy) and heart function (Ejection fraction, wall motion abnormality) – Have you done it?
     Treadmill exercise ECG (TMT) may be necessary to exclude Ischemia (reduced blood flow)
     Laboratory work-up is routine - like blood counts, sugar, urea, electrolytes etc.
The treating doctor will suggest based on the situation.

Take care
Wishing speedy recovery
God bless
Good luck
Answered: Thu, 8 Nov 2012
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General & Family Physician Dr. Pradipta Ghosh's  Response
hi.good morning.i have gone through your are taking medicines for hyperlipidemia and hypothyroidism.but your condition says that at your age it may be due to cardiac my advice is to do an ecg test and echocardiography for evaluation of cardiac may consult a blood test for free t3,free t4,tsh and lipid profile once to monitor the effect of medicines.i hope you understand my point.bye.inform me in future
Answered: Fri, 9 Nov 2012
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