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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Heaviness In Chest And Shortness Of Breath?

I am a 40 yr old "healthy" woman (as far as I know). 5'1 .. 145lbs. Normal blood pressure. slightly overweight. currently on Birth Control. On Thursday evening, experienced horrible headache, sharp uncomfortable pain in left side of back of neck and shoulder blade, pain in left arm, numbness, shortness of breath. It woke me up. Only lasted hour or so after taking some Aleve. ?? I didn't pay much attention. However, I continue to have severe headache, fatigue, nausea, shortness of breath or heavy chest ?? Everyone panics with "chest pain" mentioned ... not me. But is this something to be concerned about? In general, I feel terrible and can't seem to catch my breath or get rid of this headache and hot/cold feeling. No flu. No fever. No cough...
posted on Fri, 14 Mar 2014
Twitter Thu, 12 Jan 2017 Answered on
Twitter Fri, 13 Jan 2017 Last reviewed on
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General & Family Physician,  's  Response
Hi,

According to history as you are having left sided chest pain and pain in shoulder as well as in arm. Hence ischemic heart disease like angina or myocardial infarction has to be ruled out first although your blood pressure is normal For that work up done as follow:

-Auscultation
- EKG
- Echocardiography
- Tread mill
- x ray and spirometry only done If respiratory cause is suspected after examination

According to cause specific treatment plan is decided. Stress induce panic attack can lead to chest pain. But usually doesn't lead to referred arm pain. Avoid stress. Consult physician or pulmonologoist for examination and further work up accordingly.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Parth Goswami
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What Causes Heaviness In Chest And Shortness Of Breath?

Hi, According to history as you are having left sided chest pain and pain in shoulder as well as in arm. Hence ischemic heart disease like angina or myocardial infarction has to be ruled out first although your blood pressure is normal For that work up done as follow: -Auscultation - EKG - Echocardiography - Tread mill - x ray and spirometry only done If respiratory cause is suspected after examination According to cause specific treatment plan is decided. Stress induce panic attack can lead to chest pain. But usually doesn t lead to referred arm pain. Avoid stress. Consult physician or pulmonologoist for examination and further work up accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parth Goswami