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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chest Pain And Increased Bp While Having Diabetes?

Hi...My dad is 65 years old..He has diabetes and hypertension ..Both are under control.... Last week he had a sudden excruciating pain on the right side of the chest while lying down ..the bp also increased to 90/180 while he was having the pain...it reduced in half an hour and the bp also reduced to normal.. Again when he lay down the same episode repeated.It had gotten severe so he rushed to the hospital...a couple of ecgs were done... It turned out to be normal...He was given a antacid injection and a tablet in mouth to reduce bp...the pain subsided...The docter had suggested him to take pan 40 for 10 days...and also a cardiac health check up....Everything was normal...(chest xray,ECG,echo,treadmill test and all the other tests in the master health check)Today my dad had exactly the same natured episode..thrice in 4 hours...(severe right chest crushing pain with shooting of bp to 90/180)both pain and bp back to normal in half an hour each time...He is going to meet the cardiologist tomorrow.. But I am really worried...What exactly is my dad experiencing... Is it a heart attack or what is it?..is it pulmonary hypertension.. I m very worried...please reply as soon as possible
Mon, 15 Dec 2014
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Pain Medicine & Palliative Care Specialist 's  Response
hi
with cardiac check up, being normal it is less likely that he might have suffered a heart attack.
i suggest you to meet the cardiologist to plan for an angiogram more specifically to rule out for any aneurysms recently developed also with a lipid profile.
pulmonary hypertension should be ruled out with the echocardiogram.
the other possibility can be radiating pain due to pancreatitis,which can be ruled out with serum amylase & CT abdomen & chest.
all the best
take care
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What Causes Chest Pain And Increased Bp While Having Diabetes?

hi with cardiac check up, being normal it is less likely that he might have suffered a heart attack. i suggest you to meet the cardiologist to plan for an angiogram more specifically to rule out for any aneurysms recently developed also with a lipid profile. pulmonary hypertension should be ruled out with the echocardiogram. the other possibility can be radiating pain due to pancreatitis,which can be ruled out with serum amylase & CT abdomen & chest. all the best take care