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Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 48738
Experience:  Board Certified Physician
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Hey, these last few months every time I exerted myself I would

Customer Question

Hey, these last few months every time I exerted myself I would become breathless and burning pain in my chest, (since August of 2014, I have suffered from hypertension and currently on medication for it) when I sit down and after several minutes it would go away, but a couple of weeks I got severe chest pain that radiated to my jaw and my arm, I called emergency services and got taken to the hospital. The cardiologist advised that it wasn't a heart attack, based on blood tests and ecg. They also tested my pulse on my ankles, my right one wasn't as strong as my left, they also did notice a heart murmur and once again my blood pressure was sky high. They ordered a ultrasound and ct scan which I am still currently waiting on the appointments coming by post.
Ever since that episode I have become more breathless and started to get more tired
Getting more palpitations and heart racing.
Just to make you aware of my family history, my grandfather had sudden death of a heart attack, but he had heart failure, heart enlargement, mitral valve regurgitation, my grandfather was 75
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. David replied 2 years ago.
This is Dr. David

it does sound like you have a history of heart disease in your family, but your family members were older when they had heart issues.

heart issues are super rare in younger patients in their 30s.

you have had blood test and EKG testing at the ER already which showed no heart muscle damage and no heart attack

your chest pain and breathless symptoms could very well be from excessive anxiety or a panic attack

panic attacks can cause real chest pain and shortness of breath and chest pressure and lump in the throat sensations and other symptoms.

also bad acid reflux can cause chest pain.

sometimes asthma attacks can cause chest pains and shortness of breath

asthma is diagnosed with a pulmonary function breathing test of your lungs to see if they improve with bronchodilators

excessive anxiety and panic attacks can also cause racing heart rate as well

have you ever been treated for excessive anxiety? do you have anxiety or panic feelings?
Customer: replied 2 years ago.
Nope I don't have history of anxiety doctor, what I forgot to mention is that a couple of days later after that episode I got woken up from my chest pain, this time I went to my GP and the only explanation he had was it could be angina either stable or unstable, I am also have a BMI of 35
Expert:  Dr. David replied 2 years ago.
I see

then you need more heart testing

you might need a holter monitor to check for abnormal heart rhythms

you need thyroid hormone level testing to check for hyperthyroidism.

you might even need blood and urine testing to check for catecholamines to check for rare adrenal masses which can make too much adrenal hormones and cause some of the symptoms you are feeling

I'm sure your doctors will get to the bottom of this

let me know if you have other questions.

if done for now, please leave positive rating below the chat box so I can get credit for helping you today

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you can always reach me with "a question for Dr. David" if you have any other questions

here is my website if you need to reach me again:

Thanks for using
Expert:  Dr. David replied 2 years ago.
do you have any other questions?