Doctor insights on:
What Should I Do If A Patient Has Chest Pain
What would you do if a patient walks into your clinic complaining of chest pain & you immediately suspect mi?
It depends: A low risk patient with chest pain could have many possibilities for a diagnosis, so the decision of testing depends on what the most likely causes are for that particular patient. If it's suspicious for a pulmonary embolus, then a test is absolutely necessary. On the other hand, if it sounds like acid reflux causing the pain then a test isn't necessary. ...Read more
You need be checked: Unfortunately, with a known cardiomyopathy, you need further evaluation to see if this is related at all. You may have chest pain from straining your back. You may get chest pain from acid reflux. You make a chest pain from a bad cold. For you the answer is go see your cardiologist. ...Read more
What is the first thing to do for an adult cardiac patient with severe chest pain and hypotension?
Can you tell me if a patient presented to the ER with chest pain and a ventricular pacemaker, what they will do?
Usual: Usually starts with history taking and physical examination, chest x-ray, ekg. Depending on findings and clinical impression, further testing may be done. ...Read more
As a lupus patient who has a lot of chest pain, how do I tell the difference between pericarditis and costochondritis ?
My husband had a stent with medication put in on sept 19, he is still haveing pressure, it was put in the circumflex. Why my husband is a cardiac patient and has been for about 20 years. He was having chest pain and kept having it after three trips to the
?: What is your question?Get a more detailed answer ›
Not definitive: Ecg can be completely normal unless you had a previous infarct or are currently having an acute coronary syndrome. There are signs suggesting ischemic heart disease but they re not definitive. A stress test is the next line of testing followed by cardiac catheterization which is truly definitive. ...Read moreSee 1 more doctor answer
Sickle cell patient just came home from the hospital and she is still having chest pain, how long does the chest pain last and what do you suggest?
If you had a 56y/o patient call for appt stating he had crushing chest pain & sweating last night (gone this am), would you see him or send him to ER ?
ER: Definitely er, if he would insist i would still see him, but in office cardiac evaluation is limited and consequences of missing a heart attack, or not treating it in time can be grave, so hopefully my patient would have enough common sense and wouldn't risk his life and would trust his doctor judgment, because if you don't trust your doctor than you definitely need to find the one you will trust. ...Read moreSee 2 more doctor answers
Is it an endoscopy side effect to have mild chest pain and an increase of heartburn after this procedure ? I have never been GERD patient.
Is it possible to distinguish long lasting (several 30 minutes periods in 3 days while resting) mild chest pain over the heart for anxiety patients?
I am a medical student and i want to ask why would a patient have one side chest pain in the pulmonary embolism ( physiology) ?
Chronic chest pain. Card thinks pericarditis since SLE patient. She has ordered nuclear stress test. Can that show evidence of pericarditis?
i am 38 yo Cardiac patient 70% small vessel 40% LAD heavy chest pain every time i eat that last 2-3 mins. last stress echo 9mons. ago is Fine.
Chest pain : Hi Mohammed, I was thinking about your progress after our last discussion. Also I would suggest taking an antacid an hr before a meal twice daily to relieve these symptoms, it is most likely d/t either oesophageal spasm or esophagitis. It is also desirable for you to see a gastroenterologist for motility study and/or Upper GI endoscopy. Wishing you the best of health as always! ...Read moreSee 2 more doctor answers
What could be causes of stabbing chest pain with deep breaths? Patient is 86, with MDS, emphysema, & osteoporosis. started after vertebrate surgery.
Chest pains: Stabbing or shooting chest pains with deep breaths are often caused by pinched intercostal nerves which run between 2 ribs. They can also occur with rib fractures or bruises, pleurisy, pulmonary blood clots or pneumonia. A spot xray or bone scan would spot a rib fracture which could occur in this patient with osteoporosis and COPD. ...Read more
Patient came into ER because of tachypnea, tachycardia, profuse sweating, and chest pain. Which is subjectiv?
No objective data?: No objective documentation of these symptoms? ... Would consider ecg, checking for intermittent cardiac arrhythmias via holter, hyperthyroidism with blood test, and pheochromocytoma with 24hr urine test ... If all negative, could be anxiety attacks? ...Read moreSee 1 more doctor answer
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