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Re: Chest Pains & Pressure

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sun, 14 May 2000 19:12:13 -0500 (CDT)


At Sun, 14 May 2000, Cheryl wrote: >
>I have recently been diagnoised with high blood pressure.(family history
>- mom and brother) Chest Pains, pressure and rapid heartbeat sent me to
>my pcp, who in return sent me to a cardiologist for evaluation. I am
>currently taking Tenormin (.25mg 1x), baby aspirin (slight stoke last
>year) and nitro for the chest pain and discomfort. The cardiologist
>also recommended that I discontinue Premarin for two weeks to see if the
>symptoms would calm down (they did not) and then switch to Climara
>.025mg patch (TVH/BSO '99), which I did. I had a stress-echo, which was
>basically normal. She did state that the septum was not as
>hyper-dynamic as she would like to see it, but was not concerned, but
>that I definitely had a blood pressure problem. Because the symptoms
>persisted, I had a heart cath last week. Fortunately, no blockage, etc.
>I am to continue the Tenormin and use the nitro as needed for the angina
>with the hope that things will calm down in a few weeks. Several
>friends have asked if tests have been run for thyroid,gall bladder
>problems or diabeties. If the pains persist, is this the next course of
>action, or are there other heart related problems that could be causing
>the pain? (FYI, stress has already been ruled out as a potential
>cause.)Would I be having other symptoms associated with the thyroid,
>etc.? I would appreciate any and all comments for those who would care
>to share.

Once cardiac primary has been ruled out for the cause of chest pain/pressure, your internist needs to take over and define the actual cause - gastrointestinal being most common after cardiac.

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private emails cannot be entertained due to time constraints, consequently no private emails will receive a response.

**Thank you for your understanding ;-)




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