How can myocardial ischemia be managed?

Question

Hello doctor,

I am experiencing pain that radiates from my breastbone under my left breast, up to my left shoulder, and down my arm. It is a dull, consistent pain but sometimes becomes sharp. I am a six-time heart attack survivor and have had two minor strokes. I experienced a similar pain three years ago during a massive heart attack. I am currently taking Aspirin 81 mg, Ranitidine 150 mg, Furosemide 40 mg, Paroxetine 20 mg, Clopidogrel 75 mg, Isosorbide mononitrate 120 mg (twice a day), Meclizine 25 mg, Methocarbamol 500 mg, Atorvastatin 40 mg, Ropinirole 5 mg, and a potassium supplement.

Please help.

Answer 1

Hello,

Welcome to icliniq.com.

Your symptoms could be related to myocardial ischemia, and musculoskeletal pain cannot be ruled out either. Given this, I recommend going to the emergency room (ER) for a thorough physical examination and the following tests: resting ECG (electrocardiography) and cardiac enzyme tests, chest X-ray, complete blood count, PCR (polymerase chain reaction), and ESR (erythrocyte sedimentation rate) to assess inflammation. A Dobutamine stress echocardiogram may also be necessary.

Regards.