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Vertigo and anxiety, had an episode of pressure in chest area, shortness of breath followed by light headedness. Precursor to heart attack?

Hi, I am a 41 year old male that had a complete physical workup over the past year, and everything is fine except for vertigo and severe anxiety . This morning, I was laying down watching TV on my left side, feeling totally fine. Had a sudden feeling of loss of breath and started coughing a little, then it all stopped very quickly. There was a VERY slight pressure in the chest, slightly left of center and slightly lower than the general breast area. Overall, the whole thing lasted maybe half a second to one second max. My heart raced for a few minutes then returned to normal. Now I feel a lot of pressure in my head (more on the top) and I generally feel light headed. I should also mention that I suffer from sinus/ allergy issues, and migraines. Not sure if this is related, but I have been feeling mild spasms in my left temple area for a few days now also. They don t hurt, but they are noticeable. I am worried that this episode from this morning might be serious. But again, now all I feel is a lot of sinus like pressure in my head. Overall, this happens to me about every 1-2 months, but today s was the most intense. Is this a precursor to a heart attack or stroke? In 2011, I had 4 EKGs, an echo test, and then a stress echo test in November 2011, but all came back completely normal. I am also currently not on any medications other than vitamins and the occasional ibuprofen . Thanks
Asked On : Thu, 27 Dec 2012
Answers:  1 Views:  29
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Cardiologist 's  Response
Hi friend,
Welcome to Health Care Magic

This could mean an irregular rhythm...
HOLTER (24 to 48 hour ambulatory monitoring) or event monitoring is necessary to analyse and plan for further management, if a routine ECG does not show. It may also detect silent (no symptom) ischemia.
TMT – Treadmill exercise ECG; may be with thallium isotope – is necessary to evaluate ischemia (reduced blood flow / Coronary Artery Disease)

The body's balancing mechanism is in the inner ear. An ENT (Ear Nose Throat) specialist is the one to see for vertigo. They have special tests to confirm or exclude the contribution of the ear - which probably is the case with you.
If there are no clues, you have to be followed up by a neurologist.

Discuss with your doctor...

Take care
Wishing speedy recovery
God bless
Good luck
Answered: Sun, 16 Jun 2013
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