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Dr. Andrew Rynne

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Suggest treatment for high blood pressure and chest pain

my 22 yr. old son has been experiencing high blood pressure which according to charts he is in stage 1 hypertension. The latest reading was 151 over 93. The last 2 weeks he s experienced something not right in his upper left shoulder/chest area. (uncomfortable or light pain) He did see his doctor (a family physician) and had a EKG done. His doctor stated that he has some constriction going on therefore the blood flows back. she put him on some blood pressure pills (I don t recall the name) to calm the vessels. Our history is as follows: His great grandfather died of a heart attack at age 49, his great uncle who was in his sixties died of a heart attack, his grandmother had Chronic kidney disease in her fifties (she had to go on dialyis) and she did have a stroke. I am the mother and also have Kidney disease like my mother. I am concerned about my son. My son has to go back in two weeks to have some blood work done. I m just wondering if this is enough testing. Could there be a blockage? Should he see a cardiologist?
Mon, 20 May 2019
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Internal Medicine Specialist 's  Response
Hi,

Yes, it is better to see a cardiologist as this blocking could not be seen by normal blood tests and he should do ECHO imaging to the heart and stress ECG to be sure everything is going right.

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

Regards,
Dr. Salah Saad Shoman, Internal Medicine Specialist
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