Have coronary artery spasms high blood pressure and asthma. how do i know when to go to er for chest pain if dr office is closed?

Asthma & chest pain: Asthma rarely, if ever, causes chest pains; although some triggers for asthma such as viral infections can cause 'pleurisy' (chest pains that occur with deep breathing). Other common causes for chest pains include gastric reflux (esophageal spasms) which can also triggger asthma. Chest pains that occur with a changing pattern of frequency or intensity, and with exercise should be investigated.

Chest pain: With your history, it'd be better to visit the er for chest pain one time more than one time less.

For Prolonged Pain: I assume you have had a work up if you know you have coronary artery spasms. Any spasm should respond quickly to sublingual nitroglycerin. We traditionally say to use one every 5 minutes for a total of three and if there is relief to call 911. These days of acute angioplasty, it is probably better to call 911 if the first nitroglycerin does not work in 5 minutes.