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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chest Discomfort And Shoulder Pain

I am 49 years old and had a heart cath when I was 42 for a branch blockage. Other than that I have been pretty healthy. I have hypothyroidism but it is under control. A few days ago, I began having chest discomfort and left shoulder pain that has not let up. My pressure seems to be up. Should I go to ER?
Wed, 1 Mar 2017
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Pulmonologist,  's  Response
Hello!

Thank you for asking in HCM.
I can understand your concern.

According to your history about your heart problems it would be better for you to go to ER.If i was your doctor i will firstly exclude cardiac problems by doing :

EKG
Cardiac enzymes
Cardiac ultrasound

If these test are negative,then i do not think that this pain is related to the thyroid glands and the next step it would be:

A CHEST X Ray to rule out lung diseases .
If it comes negative too may this pain can be due to stomach discomfort.
The ER doctor will advice you further after he has the above results.
I wish you a good health

Thank you
Dr Jolanda Nikolla
Pulmonologist
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Suggest Treatment For Chest Discomfort And Shoulder Pain

Hello! Thank you for asking in HCM. I can understand your concern. According to your history about your heart problems it would be better for you to go to ER.If i was your doctor i will firstly exclude cardiac problems by doing : EKG Cardiac enzymes Cardiac ultrasound If these test are negative,then i do not think that this pain is related to the thyroid glands and the next step it would be: A CHEST X Ray to rule out lung diseases . If it comes negative too may this pain can be due to stomach discomfort. The ER doctor will advice you further after he has the above results. I wish you a good health Thank you Dr Jolanda Nikolla Pulmonologist