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What causes an occasional muscle cramp-like feeling in the chest?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

For the last two to three years, I have had high blood pressure ranging from 145/95 mmHg. This was mainly due to less physical activity and anxiety. I had medicine Telma 40, Telmaxx 25, etc., only one at a time. But, BP and anxiety did not get controlled. Again, the doctor advised me to use Cilacar 5 mg twice or 10 mg once. I found this effective in comparison to earlier medicine. But, for the last two months, I was not feeling comfortable with my left chest. It is not chest pain but an occasional muscle cramp-type feeling. An ECG was taken, and it showed left atrial enlargement.

A cardiac blood test taken, including a lipid profile, was found to be fine. The doctor prescribed me Cilacar and Ecosprin-AV 150, along with vitamins. Now, again, for the last three days, I have not been feeling well. The same muscle cramp-like feeling is felt in the chest (occasionally). I have no issues with my BP. Also, occasional pain in my left hand. Again, I have taken blood tests for cardiac and other. Reports are attached for your reference. Kindly advise me on some of the best medicines and if anything is in the emergency.

I hope this helps.

Please revert so I can assist you further.

Thank you.

Answered by Dr. Muhammad Majid Hanif

Education:

MBBS

Professional Bio:

Dr.Muhammad Majid Hanif is a highly skilled and established physician in the field of Cardiology. He listens to all the patient queries deliberately and is an expert in devising a proper treatment plan.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I have thoroughly gone through your case and reports (attachment removed to protect patient identity) and can well understand your genuine health concerns.

Your lipid profile is fine, and there is no risk to cardiac muscles and blood vessels of the heart due to this cholesterol and its counterparts. The index is safe according to the blood work. Your high-sensitivity C-reactive protein is above normal and falls in the high-risk group for cardiac blood vessel issues like coronary artery syndrome. But this test is not that specific. We usually do repeated tests for C-reactive proteins and compare all of them separately over a considerable amount of time.

If there are no other risk factors for heart disease and there are no signs and symptoms of coronary artery disease, then we assume these raised result levels to be from some non-cardiac cause. In such a case, I preferably suggest you go for an exercise stress test, and if this indicates further investigations, then proceed with angiography for cardiac evaluation and to see if there is some issue related to the coronary arteries. Perhaps you mean that there was left atrial enlargement. It can be due to uncontrolled hypertension, and you need to take medications on time. Your doctor did well by adding Aspirin to the regimen as it reduces the risk of blood clot formation inside the enlarged chamber of the heart. We have to keep your blood pressure within limits, actually. And if that is fine, then no medications are needed unless proven otherwise after cardiac monitoring with time and some advanced tests.

I hope this helps.

Please revert so I can assist you further.

Thank you.

Investigations to be done

Investigations to be done are echocardiography, exercise tolerance test, and angiography.

Treatment plan

Treatment plan can be decided based on further tests done as advised above.

Regarding follow up

Revert back with the investigation reports to a cardiologist.
Answered by
Medically reviewed by Dr. K. Shobana
Published At April 25, 2016
Reviewed At September 26, 2024

Education:

MBBS

Professional Bio:

Dr.Muhammad Majid Hanif is a highly skilled and established physician in the field of Cardiology. He listens to all the patient queries deliberately and is an expert in devising a proper treatment plan.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

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Dr. Muhammad Majid Hanif

Cardiology

Education:

MBBS

Professional Bio:

Dr.Muhammad Majid Hanif is a highly skilled and established physician in the field of Cardiology. He listens to all the patient queries deliberately and is an expert in devising a proper treatment plan.

This doctor is not available for online consultations on the platform anymore.

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