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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Dizziness And Tightness In The Chest?

My husband is 59 years old and yesterday while working outside on a project, he had an overwhelming feeling of wellness. He said it felt like a rush, a little dizzy and almost like he was young again. He had no head ache or pain. Then later when I came home we came inside and his chest was tight he said but soon it went away. He took his blood pressure and it was normal. I wanted to take him in to ER or call our Dr. but being the man that he is, he refused. Is this something that is concerning or not. The feeling left after he was in the house for about 30 minutes but it seemed to have lasted a few hours. He said it was hard to explain how he felt. But that s as close as I can explain it.
Tue, 29 Sep 2015
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Cardiologist 's  Response
Hello!

Thank you for asking on HCM!

I understand your concern and would explain that his symptoms don't seem to be cardiac related.

I would recommend consulting with a neurologist for a careful physical examination, some lab blood tests (complete blood count, PCR, sedimentation rate, thyroid hormone levels, fasting glucose, kidney and liver function tests, blood electrolytes,etc.).

A brain EEG is needed to rule in/out possible partial seizures, which could mimic this symptomatology. (Although the duration of the symptoms is not very typical for seizures).

If the EEG results normal, it should be followed by a brain CT scan or MRI, to exclude a possible intracranial lesion.

Hope to have been helpful!

Feel free to ask any other questions, whenever you need!

Greetings!

Dr. Iliri
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What Causes Dizziness And Tightness In The Chest?

Hello! Thank you for asking on HCM! I understand your concern and would explain that his symptoms don t seem to be cardiac related. I would recommend consulting with a neurologist for a careful physical examination, some lab blood tests (complete blood count, PCR, sedimentation rate, thyroid hormone levels, fasting glucose, kidney and liver function tests, blood electrolytes,etc.). A brain EEG is needed to rule in/out possible partial seizures, which could mimic this symptomatology. (Although the duration of the symptoms is not very typical for seizures). If the EEG results normal, it should be followed by a brain CT scan or MRI, to exclude a possible intracranial lesion. Hope to have been helpful! Feel free to ask any other questions, whenever you need! Greetings! Dr. Iliri