A member asked:

Chest pain, back pain and shortness of breath, went to er bp 123/93 hr 93, ekg normal today , heart ultra sound normal few month ago. 27 yo no smoking. was this anxiety attack? doctors found nothing wrong with my heart. chronic high blood pressure?

3 doctors weighed in across 2 answers
Dr. Sue Ferranti answered

Specializes in Internal Medicine

It appears that your heart is not the etiology of your symptoms. But, the pulmonary system as the etiology of your symptoms has not been ruled out. I would see a pulmonologist and get a full work up-you may need a chest CT scan to rule out blood clot, pulmonary function testing, etc. It cannot be labeled as panic attack until all other possibilities have been ruled out. See a lung doctor ASAP.

Answered 2/21/2023

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Dr. Silviu Pasniciuc answered

Specializes in Internal Medicine

Further work up will be needed and best coordinated under the care of a primary care doc in the community. Lung, vascular, esophageal and musculoskeletal pathology will have to be considered based on details of the exam. Anxiety is always accompanying symptoms, high blood pressure will have to be addressed.

Answered 2/22/2023

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