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What Does Persistent Ache On The Back Indicate?

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Posted on Tue, 22 Nov 2016
Question: I am having a constant ache in the center of my back. is this a sign of an impending heart attack?

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Answered by Dr. Ilir Sharka (1 hour later)
Brief Answer:
My answer as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

Regarding your concern, I would explain that your symptoms are not typical of any cardiac disorder (including coronary artery disease).


A musculo-skeletal pain (including backbone disorder or inflammation) could be the cause of your symptoms.

A lung disorder, gastro-esophageal reflux or an aortic aneurysm can not be excluded either.

If the pain persists, I would recommend consulting with your attending physician for a careful physical exam and some tests:

- a resting ECG
- a chest X ray study
- a cervico-thoracic spine X ray study
- inflammation tests (PCR, sedimentation rate).

If taking ibuprofen relieves your symptoms, it would be more indicative of a musculo-skeletal issue.

A chest CT scan may be needed.

Hope you will find this answer helpful!

Kind regards,

Dr. Iliri

Note: For further follow-up it is advisable to consult an emergency medicine specialist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9541 Questions

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What Does Persistent Ache On The Back Indicate?

Brief Answer: My answer as follows: Detailed Answer: Hello! Welcome and thank you for asking on HCM! Regarding your concern, I would explain that your symptoms are not typical of any cardiac disorder (including coronary artery disease). A musculo-skeletal pain (including backbone disorder or inflammation) could be the cause of your symptoms. A lung disorder, gastro-esophageal reflux or an aortic aneurysm can not be excluded either. If the pain persists, I would recommend consulting with your attending physician for a careful physical exam and some tests: - a resting ECG - a chest X ray study - a cervico-thoracic spine X ray study - inflammation tests (PCR, sedimentation rate). If taking ibuprofen relieves your symptoms, it would be more indicative of a musculo-skeletal issue. A chest CT scan may be needed. Hope you will find this answer helpful! Kind regards, Dr. Iliri