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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Installed Pacemaker. Have Chest Pain Which Goes To Arms And Lower Jaw. Taking Nitro Pills

About two and a half years ago, my blood pressure was really high but I had no chest pain. It was determined that I had a really slow heartbeat and that a pacemaker was needed. Almost immediately after the installation, I started having pretty severe chest pains that sometimes went to the left arm and the lower jaw. Sometimes to the right arm also. Nitro pills under the tongue worked the best for eleviating the pain. After a number of tests and a heart cath, no determination was made as to why I had these attacks. On a good day I may take 3 nitro pills a day. On a bad day, maybe 9. Also, certain foods such as sugar or onions will trigger attacks. Tests for Gerd didn t show anything either. As I said, I had no pains until after this pacemaker was installed.
posted on Mon, 25 Nov 2013
Twitter Tue, 26 Nov 2013 Answered on
Twitter Tue, 26 Nov 2013 Last reviewed on
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Cardiologist,  's  Response
Dear Sir
Thanks for writing to us.
Almost nothing came out of investigations for GERD and coronary artery disease including cardiac cath. You get relief by nitrates. Moreover you get attacks precipitated by sugar and onion. These things may point to esophageal spasm as the mechanism. I would recommend consulting a gastroenterologist or internist and use PPI for 2-3 weeks on his prescription. Avoid those foods which cause you trouble.
Sincerely
Sukhvinder
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Installed Pacemaker. Have Chest Pain Which Goes To Arms And Lower Jaw. Taking Nitro Pills

Dear Sir Thanks for writing to us. Almost nothing came out of investigations for GERD and coronary artery disease including cardiac cath. You get relief by nitrates. Moreover you get attacks precipitated by sugar and onion. These things may point to esophageal spasm as the mechanism. I would recommend consulting a gastroenterologist or internist and use PPI for 2-3 weeks on his prescription. Avoid those foods which cause you trouble. Sincerely Sukhvinder