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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chest Pain, Fatigue, Dizziness And Panic Attacks?

I am a 69 yr. old female who went to the hospital with light headedness, weakness, rapid deep breathing, a hollow feeling in my chest, and very mild chest pain. I have experienced this pain off and on for least 50 yrs. and it can usually be relieved with deep breathing exercises. My EKG was normal, but three hour after arrival my troponin levels became elevated. (.66) My heart rate was mildly elevated but stable (97) and my systolic pressure was normal, (125) but diastolic pressure was a bit high. (92) They did an angiogram the next day, which came back as having clear arteries. So what happened? Could I have had a panic attack that was bad enough to elevate the troponin? My primary think it was probably a panic attack as I have been quite stress the last few months.
posted on Tue, 20 Dec 2016
Twitter Wed, 18 Jan 2017 Answered on
Twitter Thu, 19 Jan 2017 Last reviewed on
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General & Family Physician,  's  Response
Hi,

As per your history is concerned please follow my advise below:

1) Correct iron and Vitamin -B-12 by injectable medications weekly 2 injections up to one month then once a month

2) Check your ECG and ECHO and stress test if done check what was the finding?

3) Check your chest X-ray?

4) Right heart catheterization to measure pulmonary artery pressure?

5) CBC with differential? Cross Check results of following tests as per your report troponin was high.

I hope I was able to address your query. If you have any further questions, please do not hesitate to write to me. Wishing you all the best.

Thanks,
Dr. Uday Nath Sahoo
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What Causes Chest Pain, Fatigue, Dizziness And Panic Attacks?

Hi, As per your history is concerned please follow my advise below: 1) Correct iron and Vitamin -B-12 by injectable medications weekly 2 injections up to one month then once a month 2) Check your ECG and ECHO and stress test if done check what was the finding? 3) Check your chest X-ray? 4) Right heart catheterization to measure pulmonary artery pressure? 5) CBC with differential? Cross Check results of following tests as per your report troponin was high. I hope I was able to address your query. If you have any further questions, please do not hesitate to write to me. Wishing you all the best. Thanks, Dr. Uday Nath Sahoo