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Doctor insights on: What Should I Do If A Patient Has Chest Pain

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What should I do if a patient has chest pain?

What should I do if a patient has chest pain?

CP! Yes: Chest pain can be due to- heart attacks, aneurysm, pericarditis, pleurisy, pneumonia, acid reflux, 'gas', esophagitis, pulmonary embolism, gall bladder disease, costochondritis, rib fractures, cancers etc. Get evaluated. ...Read more

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Dr. Gutti Rao
3,128 doctors shared insights

Chest Pain (Definition)

The chest resides between the neck & abdomen. Chest pain refers to ...Read more


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Is it essential to do diagnostic test to low risk patient with chest pain?

Is it essential to do diagnostic test to low risk patient with chest pain?

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

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Cardiomyopathy patient having light chest pain on the left over my heart?

Cardiomyopathy patient having light chest pain on the left over my heart?

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

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A patient presented to the ER with chest pain and has a ventricular pacemaker. Probable causes?

Heart disease: The pacemaker is likely not the cause or contributor to the chest pain--it is likely heart disease (which the pacemaker is a marker of). ...Read more

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Can you tell me if a patient presented to the ER with chest pain and a ventricular pacemaker, what they will do?

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

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As a lupus patient who has a lot of chest pain, how do I tell the difference between pericarditis and costochondritis ?

As a lupus patient who has a lot of chest pain, how do I tell the difference between pericarditis and costochondritis ?

Inflamation: Pericarditis is inflamation of the sack around the heart. Pushing on your chest will not reproduce the pain. Some changes in position will. Costochondritis is inflamation in the chest wall. Applying pressure will cause the pain to increase. ...Read more

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Is an EKG a definitive test for vascular damage for a patient with chest pain?

Is an EKG a definitive test for vascular damage for a patient with chest pain?

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 more

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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?

Call your doctor: Persistent chest pain is not normal. Please call your doctor or the doctor who treated the patient in the hospital. This is not an issue for self treatment. ...Read more

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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 ?

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 more

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Patient came into ER because of tachypnea, tachycardia, and chest pain. Which is diagnosis?

Need more info: Could be pulmonary embolus, myocardial infarct, pneumonia. Obviously one can't provide a diagnosis on that information alone. ...Read more

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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?

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?

Yes: Yes but it will require seeing a doctor for tests. The likely hood that chest pain in a 29 yr old is a result of blockages of arteries in the heart is pretty small. The possible causes include more than anxiety and need more than 400 characters to figure out. Go see your doctor. ...Read more

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I am a medical student and i want to ask why would a patient have one side chest pain in the pulmonary embolism ( physiology) ?

PE: Pe cause pain as it causes infarction of the affected part. If there is involvement of the pleural then pleurisy would be one of the symptoms as well. ...Read more

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Chronic chest pain. Card thinks pericarditis since SLE patient. She has ordered nuclear stress test. Can that show evidence of pericarditis?

Chronic chest pain. Card thinks pericarditis since SLE patient. She has ordered nuclear stress test. Can that show evidence of pericarditis?

No: Pericarditis can be diagnosed based on history, physical exam and EKG or echocardiogram. I believe your cardiologist is ordering the nuclear stress test to rule out cardiac ischemia as the source of your chest pain. ...Read more

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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.

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 more

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What could be causes of stabbing chest pain with deep breaths? Patient is 86, with MDS, emphysema, & osteoporosis. started after vertebrate surgery.

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

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Patient came into ER because of tachypnea, tachycardia, profuse sweating, and chest pain. Which is subjectiv?

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 more

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