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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chest Pain, Increased Heart Beat, Difficulty Breathing, Lump In Throat. What Could It Be?

My son had been having aches in his chest , heart beating hard/fast, had an ekg & xray which came back fine had a halter monitor on for 24hr getting results soon and feels like he can t breath like a lump is in his throat too..it comes and goes but he has been more tired than usual it s been the weeks with the symptoms..hardening of the arteries runs in the family and under developed valve & tachycardia ..today he went too the school Nurse and at resting his bp was 110/50 what do you think it could be? It happens aft different times of the day..(he is active in martial arts and gymnastics)
posted on Fri, 26 Oct 2012
Twitter Sat, 27 Oct 2012 Answered on
Twitter Mon, 29 Oct 2012 Last reviewed on
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Pediatrician,  's  Response
Hi,

Thank you for your query.

You mention that your son's investigation of X-ray and EKG are normal and the holter report is awaited. That there is a family history of hardening of arteries, under developed valve and tachycardia. If he has tachycardia (increased heart beat) then the EKG report should have mentioned it. I will suggest that you get an echocardiography done too which is going to give us an indication of the valves. Kindly also get his blood biochemistry work-up done to know the lipid profile in view of the family history of hardening of arteries.

Apart from doing a cardiology workup, respiratory cause should be ruled out. If these turn out to be normal then a workup to rule out endocrinological causes like hyperthyroidism need to be done.

I hope I have answered your query to your satisfaction.

Regards,

RKK

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Chest Pain, Increased Heart Beat, Difficulty Breathing, Lump In Throat. What Could It Be?

Hi, Thank you for your query. You mention that your son s investigation of X-ray and EKG are normal and the holter report is awaited. That there is a family history of hardening of arteries, under developed valve and tachycardia. If he has tachycardia (increased heart beat) then the EKG report should have mentioned it. I will suggest that you get an echocardiography done too which is going to give us an indication of the valves. Kindly also get his blood biochemistry work-up done to know the lipid profile in view of the family history of hardening of arteries. Apart from doing a cardiology workup, respiratory cause should be ruled out. If these turn out to be normal then a workup to rule out endocrinological causes like hyperthyroidism need to be done. I hope I have answered your query to your satisfaction. Regards, RKK