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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Sore Shoulder And Chest, Dizziness, Heart Thumping For A Diabetic?

Hi Dr. I m a 63year old male with 4 years of type 2 diabetes 84 kg medium hight. BP 145/83, on daily Natrilix and Diabex 1000mg SR x 2. Some retinopathic bleeds and Parietal for GERDS. I am under stress from external business factors and sleeping poorly for weeks, no meds for this. Yesterday during walking (3km a day) I started feeling a sore shoulder and chest, dizzy and heart thumping. Sat down and waited then walked on. Some ache came back half hour later.
Wed, 26 Feb 2014
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Internal Medicine Specialist,  's  Response
Hi there,

Thanks for your query.

The symptoms are those of typical post-exertion angina, which heralds early stage of heart disease as a long-term diabetic complication.

You therefore need to undergo an ECG, ECHO and TMT/Stress Thallium test to confirm coronary artery disease.

Consult your Cardiologist and apprise him of my opinion. I am certain that he will agree with me, order the required tests and will prescribe appropriate treatment, if required.

If you find my response helpful and informative, do not forget an “excellent” (5-star rating) to my answer, to ENCOURAGE ALL doctors- engaged in social service- to render sound advice to the FREE queries.

Take care

Dr. Rakesh Karanwal
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What Causes Sore Shoulder And Chest, Dizziness, Heart Thumping For A Diabetic?

Hi there, Thanks for your query. The symptoms are those of typical post-exertion angina, which heralds early stage of heart disease as a long-term diabetic complication. You therefore need to undergo an ECG, ECHO and TMT/Stress Thallium test to confirm coronary artery disease. Consult your Cardiologist and apprise him of my opinion. I am certain that he will agree with me, order the required tests and will prescribe appropriate treatment, if required. If you find my response helpful and informative, do not forget an “excellent” (5-star rating) to my answer, to ENCOURAGE ALL doctors- engaged in social service- to render sound advice to the FREE queries. Take care Dr. Rakesh Karanwal