Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Causes Pain In Chest, Between Shoulder Blades And Jaw In A GERD Patient?
Posted on
Mon, 23 May 2016
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Mon, 23 May 2016
Answered on
Tue, 28 Jun 2016
Last reviewed on
Question : Helllo
In may 2014 i was watching a film in the cinema when i felt a lightning bolt pain in my chest which then zapped all the way down the inside of my left arm into my middle finger
Then my chest felt uncomfortable so i went to the emergency room
My ecg was ok (but i have had ecgs with changes before however the doctor was not worried) but my troponin level was .44
I was admitted and 6 hours later my blood work was normal i was told they couldnt explain it and sent me home
It has ruined my life
I am tachycardic running at roughly 100 bpm without beta blockers and around 77 with them
I have put on five stone in two years because im scared of exercise
Im so frightened if my heart rate goes to high itll be too much strain
Your heart does not release tropinins for no reason and something is cardiacly wrong but every dr i have seen says no heart attacl but we cant explain it just carry on
I still get pain in my chest and between my shoulder blades and my jaw again ive been to the gp and they say no its not your heart youre too young
I smoke and my bmi went from 28 to 41 in two years because i am scared to excercise
I need an explaination really, to help understand. I dont have kidney disease or arthritis. I do have gerd and costochondiritis
In may 2014 i was watching a film in the cinema when i felt a lightning bolt pain in my chest which then zapped all the way down the inside of my left arm into my middle finger
Then my chest felt uncomfortable so i went to the emergency room
My ecg was ok (but i have had ecgs with changes before however the doctor was not worried) but my troponin level was .44
I was admitted and 6 hours later my blood work was normal i was told they couldnt explain it and sent me home
It has ruined my life
I am tachycardic running at roughly 100 bpm without beta blockers and around 77 with them
I have put on five stone in two years because im scared of exercise
Im so frightened if my heart rate goes to high itll be too much strain
Your heart does not release tropinins for no reason and something is cardiacly wrong but every dr i have seen says no heart attacl but we cant explain it just carry on
I still get pain in my chest and between my shoulder blades and my jaw again ive been to the gp and they say no its not your heart youre too young
I smoke and my bmi went from 28 to 41 in two years because i am scared to excercise
I need an explaination really, to help understand. I dont have kidney disease or arthritis. I do have gerd and costochondiritis
Brief Answer:
I would recommend as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I carefully passed through your question and would explain that regarding troponin levels it is important to perform a comprehensive differential diagnosis of different causes that may increase its levels, even in cases of borderline levels (other extracardiac causes include acute pulmonary infection, aortic syndromes, pericarditis, pancreatitis, etc.).
As you have cardio-vascular risk factors (smoking, obesity, sedentary life and probably hyperlipidemia), I would recommend performing one of the following cardiac tests:
- an exercise cardiac stress test
- dobutamine cardiac echo
- coronary angio CT scan
to investigate for possible coronary artery disease.
If your clinical presumably cardiac symptomatology (chest pain) is not produced and other clinical findings (suggestive of cardiac ischemia) are not found, then you shouldn't be worried about cardiac issues any more, but instead I would encourage you to discuss with your doctor for another explainable alternative.
I would also recommend performing some additional tests to investigate for other extra-cardiac causes:
- thyroid hormone levels (thyroid dysfunction could lead to persistent tachycardia)
- a cervical column X ray study followed by CT scan of this region to exclude a possible bacbone disorder which can cause radicular nerve pain in this region.
You should not be afraid of exercising as the cardiac beneficial effects derived by physical exertion are much greater than its potential risks.
It will help you maintain a normal body weight, physical fitness, relieve anxiety, improve your blood circulation and maintain a healthy heart.
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!
I carefully passed through your question and would explain that regarding troponin levels it is important to perform a comprehensive differential diagnosis of different causes that may increase its levels, even in cases of borderline levels (other extracardiac causes include acute pulmonary infection, aortic syndromes, pericarditis, pancreatitis, etc.).
As you have cardio-vascular risk factors (smoking, obesity, sedentary life and probably hyperlipidemia), I would recommend performing one of the following cardiac tests:
- an exercise cardiac stress test
- dobutamine cardiac echo
- coronary angio CT scan
to investigate for possible coronary artery disease.
If your clinical presumably cardiac symptomatology (chest pain) is not produced and other clinical findings (suggestive of cardiac ischemia) are not found, then you shouldn't be worried about cardiac issues any more, but instead I would encourage you to discuss with your doctor for another explainable alternative.
I would also recommend performing some additional tests to investigate for other extra-cardiac causes:
- thyroid hormone levels (thyroid dysfunction could lead to persistent tachycardia)
- a cervical column X ray study followed by CT scan of this region to exclude a possible bacbone disorder which can cause radicular nerve pain in this region.
You should not be afraid of exercising as the cardiac beneficial effects derived by physical exertion are much greater than its potential risks.
It will help you maintain a normal body weight, physical fitness, relieve anxiety, improve your blood circulation and maintain a healthy heart.
Hope to have been helpful!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
