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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes On And Off Chest Pain Followed By Fainting Spells?

Hi, for the past 6 months I have been experiencing chest pains, not all of the time, but about 3 times a day, 4 days a week. They are progressively getting worse, and last week I fainted, which is very unusual for me, I wasn t out for long, but had terrible yawning fits just before it happened. I then felt the same yawning/fainting thing at the weekend, but managed to sit down and stop the faint before it happened again.
Thu, 18 Jun 2015
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Cardiologist 's  Response
Hello!

Thank you for your question on HCM!

Your symptoms may be caused by different disorders :
1. A cardiac disorder like arrhythmia can cause similar symptoms
2. Aorta dissection may mimic this clinical scenario
3.Low blood pressure or orthostatic hypotension
4. A neurological condition like epilepsy
5. Anxiety

I recommend you to perform some tests to establish the diagnosis : a routine blood test, kidney and renal function tests, chest xray, ECG, cardiac ultrasound, Head Up tilt test for orthostatic hypotension, ambulatory 24 hours ECG monitoring.

A neurological consultation may be needed.

If all the above mentioned tests result normal, the most probable diagnosis would be anxiety.

Hope to have been helpful!

Greetings! Dr. Iliri
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What Causes On And Off Chest Pain Followed By Fainting Spells?

Hello! Thank you for your question on HCM! Your symptoms may be caused by different disorders : 1. A cardiac disorder like arrhythmia can cause similar symptoms 2. Aorta dissection may mimic this clinical scenario 3.Low blood pressure or orthostatic hypotension 4. A neurological condition like epilepsy 5. Anxiety I recommend you to perform some tests to establish the diagnosis : a routine blood test, kidney and renal function tests, chest xray, ECG, cardiac ultrasound, Head Up tilt test for orthostatic hypotension, ambulatory 24 hours ECG monitoring. A neurological consultation may be needed. If all the above mentioned tests result normal, the most probable diagnosis would be anxiety. Hope to have been helpful! Greetings! Dr. Iliri