Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Sudden Chest Pain And Headache
Question: Left emergency at kaiser several hours ago. Had severe sudden pain in chest, terrible headache with sudden high blood pressue200+, nausia. Life theating issues ruled out, heart, pancreas,liver... had tests including 3x for blood to see if heart attack...X ray etc.
Sent home, no answer...spells of pain closers now and just as severe. Now must lie down or pain, etc return.....
Sent home, no answer...spells of pain closers now and just as severe. Now must lie down or pain, etc return.....
Brief Answer:
I would recommend as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
The tests that you have performed have ruled out possible causes like a heart attack.
But the blood pressure values that you refer are really concerning.
Other possible causes like pulmonary embolism or an aorta dissection have not been excluded. Esophageal spasms could also cause some of your symptoms.
Coming to this point, I would recommend going again to the ER for a physical exam and some other tests:
- a chest angio CT scan to exclude possible pulmonary embolism and examine the aorta
- D-Dimmer levels for possible pulmonary embolism
- a new resting ECG.
If all the above tests result normal, esophageal spasms should be taken into consideration as a possible cause.
Hope to have been helpful!
Kind regards,
DR. Iliri
-
I would recommend as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
The tests that you have performed have ruled out possible causes like a heart attack.
But the blood pressure values that you refer are really concerning.
Other possible causes like pulmonary embolism or an aorta dissection have not been excluded. Esophageal spasms could also cause some of your symptoms.
Coming to this point, I would recommend going again to the ER for a physical exam and some other tests:
- a chest angio CT scan to exclude possible pulmonary embolism and examine the aorta
- D-Dimmer levels for possible pulmonary embolism
- a new resting ECG.
If all the above tests result normal, esophageal spasms should be taken into consideration as a possible cause.
Hope to have been helpful!
Kind regards,
DR. Iliri
-
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
