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
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
Chest : Chest pressure after stenting is common during the first 24-48 hours. If your husband is still having chest discomfort he should be seeing by his cardiologist who will probably perform a stress test. He could be having a blockeage on a different artery that was not fixed. Maybe the Aspirin and/or palvix are causing gastric problems that are manifested in the chest. Good luck. ...Read more
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
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
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