Why is there pain from breast bone to shoulder and down the arm?

Question

Hello doctor,

I am having a pain that goes from my breast bone 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 MI patient and have had two light strokes. I had a similar pain three years back during a massive heart attack. I am on Aspirin 81 mg, Ranitidine 150 mg, Furosemide 40 mg, Paroxetine 20 mg, Clopidogrel 75 mg, Isosorb 120 mg (two times a day), Meclizine 25 mg, Robaxin 500 mg, Atorvastatin 40 mg, Ropinirole 5 mg, Klor-Con 20 mg.

Answer 1

Hello,

Welcome to icliniq.com.

Your symptoms could be related to myocardial ischemia. Musculoskeletal pain cannot be excluded either. Coming to this point, I would recommend going to the ER (emergency room) for a careful physical examination and some tests as follows. Do Resting ECG (electrocardiography) and cardiac enzymes, Chest X-ray study, Complete blood count, PCR (polymerase chain reaction), ESR (erythrocyte sedimentation rate) for inflammation. A Dobutamine stress echocardiography may be needed.

Why is there pain from breast bone to shoulder and down the arm?

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