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Re: Chest Pains & PressureFrom: 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
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