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Old 08-13-2003, 07:33 AM   #1
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crabbycdn HB User
Post Continuing Chest Pressure

I am continuing to have worsening chest pressure. I asked for anxiety medicine even though I am not by nature an anxious person. I am tachy most of the time.

Last edited by crabbycdn; 01-04-2004 at 05:37 PM.

 
Old 08-13-2003, 10:15 AM   #2
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projapoti HB User
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Have you had an EKG done of your heart? How about an echo to see how your heart is pumping?

Can you describe the pain in the following categories:

Onset - what makes it come on

Quality - what is the pain like? sharp? dull? nagging? crushing?

Radiation - does the pain radiate anywhere other than your chest?

Symptoms - anything like fainting, sweating, or other symptoms you get with the chest pain?

Timing - when is the pain the worst?

Worse or Better - is there anything that makes the pain worse or makes it better?

 
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Old 08-13-2003, 07:37 PM   #3
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crabbycdn HB User
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Have you had an EKG done of your heart?
Positive Stress Test...2.2 downsloping ST depression

How about an echo to see how your heart is pumping?
Never had one

Can you describe the pain in the following categories:

Onset - what makes it come on
Used to be activity, then minimal activity. Now it is a constant presence, with times getting almost unbearable....like a suffocating crush.

Quality - what is the pain like? sharp? dull? nagging? crushing?
Pain is usually pressure or tightness worsening to crushing. Pain in lower back is sharp

Radiation - does the pain radiate anywhere other than your chest?
Radiates sometimes to between shoulder blades or left arm...sometimes left arm goes numb

Symptoms - anything like fainting, sweating, or other symptoms you get with the chest pain?
Have had fainting and sweating spells...also severe lightheadedness, fatigue, shortness of breath...waking up feeling like I am suffocating

Timing - when is the pain the worst?
No difference any more

Worse or Better - is there anything that makes the pain worse or makes it better?
Used to get worse with rest, nitro...nothing seems to work anymore

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Old 08-14-2003, 05:47 AM   #4
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JeanE716 HB User
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This sounds like what I went through for 10 months beginning about a month after my MI. I have a range of 20 to 40% narrowing of the arteries with some loss of heart tissue. I have had 4 stress tests since then, 4 more catherizations, and a stent. I also had echocardiograms which have shown a small amount of problems and my EKG's all show the same thing. I was put on antianxiety meds and they did not help me. I had a growing pressure in my chest and back and get the pain in the shoulder but it never felt the same as the MI pain. I have had increasing shortness of breath this whole time and have been reduced to crawling up my stairs to get into my apartment at times. I changed cardiologists during this 10 months because the first one did not help me. My GP insisted it was my heart and anxiety. After a while he added depression to his reason for it.

I just made a second change of cardiologists and he reviewed the records and examined me. I have stage II COPD along with the CAD. He sent me to a pulmonary doctor for full Pulmonary Function Testing. My O2 level is ok (94) when I sit but as soon as I stand it drops to 89 and when I walked around a little bit it dropped another 7. In addition to this my carbon dioxide diffussion is very low. The little spirography done in the doctor's office does not show enough to find the problem. These two things go hand in hand a lot of times I am told.

See a pulmonary doctor to rule it out. Also ask about a sleep study as apnea also could be a problem which adds to how the CAD makes you feel. In my case, I have both COPD and sleep problems adding to the CAD problems. And when you feel like this all the time, it does get you down and takes its toll on your body.

[This message has been edited by JeanE716 (edited 08-14-2003).]

 
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