ADVERTISEMENT

Q. I am getting chest pain and I fear that it would be a heart attack. Please help.

Answered by
Dr. Rishu
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jan 23, 2017 and last reviewed on: Mar 24, 2021

Hi doctor,

I have chest pain for quite a few days and have discomfort on jaws and back. I also have neck pain and arm pain. I have gone through lipid test, ECG twice, echo and TMT. All are normal. My BP remains 115/75 mmHg, my cholesterol is 163, HDL 47 and LDL 98. In TMT, I achieved 13.8 METs maximum; bpm was 181 with BP of 170/100 mmHg on TMT. I have a fear that I may still get a heart attack. I showed to my doctor, and he said that I would not have a heart attack for the next 15years. But, I am not able to get in my.mind. I use to smoke and now have quit smoking. Please help me.

#

Hi,

Welcome to icliniq.com.

I have noted all your details.

  • As your echo and treadmill test are normal with excellent exercise tolerance, the chances of it being a cardiac pain are highly unlikely.
  • Please mention your age and smoking habits. TMT and 2D echo are more than 85% sensitive to rule out coronary artery blockage.
  • However, pain radiating to jaw and back of the neck can be of cervical in origin. However, if you want to be dead sure that it is not cardiac, then go for a stress thallium.
  • It is almost 98% sensitive for the cardiac origin of chest pain, and complete cardiology clearance can be given only after that.

Treatment plan:

Tablet Ultracet (Acetaminophen and Tramadol) twice daily for three days.

Preventive measures:

X-ray AP (anteroposterior) and lateral cervical spine to rule out spondylosis.

Regarding follow up:

For further information consult a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
Due to cervical spondylosis, will I have problem during pregnancy?

For the past one year, I am suffering from heaviness of head and neck stiffness ... I feel it is spinning even at the slightest movement of neck and it is accompanie...   Read full

Is Diovan an effective drug for left ventricular hypertrophy?

.. hypertrophy (LVH) is reversible and is caused by high blood pressure for a long time. When the heart has to exert more against raised BP, it hypertrophies just like an athlete when exercises, his muscles undergo hypertrophy, same is with heart. So...   Read full

Are there chances of my grandmother getting a heart attack in the middle of a stress test?

.. your concern. She is an aged person. She has placed three stents with CABG (coronary artery bypass grafting). She has done stress tests in the past which were not completed due to chest pain and heart attack. I do not prefer doing exercise stress ...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


The New COVID Variant From South Africa (Omicron)
The World Health Organisation has enlisted Omicron to be a variant of concern. Just scroll down the article to know abou...  Read more»
Managing Diabetes During Festive Season
All the festivals are indirectly a danger sign for diabetic patients. Read this article to know more about how to handle...  Read more»
What You Should Eat and Drink for A Healthy Life!!
Food is essential for our survival, and what we eat definitely impacts our health. We can easily reduce the risk of many...  Read more»

Ask your health query to a doctor online?

Ask a Cardiologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.