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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should I Be Concerned For The Cough, Tightness In Chest And Numbness In Forearm And Hand?

I am 40 yrs old and a white male. I don't smoke or drink. I had a pain for several weeks in my back near the shoulder blades...thought it was the way I sleep as I spend a lot of nights in hotels with my travel schedule. Anyway, lately I have been coughing and when I do my chest is tight and my right forearm and hand becomes numb. Is this serious? Should I be concerned?
Thu, 26 Dec 2013
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Diabetologist,  's  Response
yes
you should be definitely concerned

chest tightness and involvement of the arm are definitive features of impending heart attack
you should absolutely get a ct angiography, if not a full angiography
till you get to that, a dobutamine stress echo, lipid profile ,and fbs ppbs should be tested too

i would suggest you to start ecosprin and atorvastatin immediately
unless you are proven not to have coronary disease

having said that
the alternative options you might have are
cervical spondylosis,
severe gastritis
undiagnosed diabetes
but i think you should rule out the coronary disease urgently

best of luck
please meet a cardiologist at the earliest
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Should I Be Concerned For The Cough, Tightness In Chest And Numbness In Forearm And Hand?

yes you should be definitely concerned chest tightness and involvement of the arm are definitive features of impending heart attack you should absolutely get a ct angiography, if not a full angiography till you get to that, a dobutamine stress echo, lipid profile ,and fbs ppbs should be tested too i would suggest you to start ecosprin and atorvastatin immediately unless you are proven not to have coronary disease having said that the alternative options you might have are cervical spondylosis, severe gastritis undiagnosed diabetes but i think you should rule out the coronary disease urgently best of luck please meet a cardiologist at the earliest