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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Sudden Onset Of Chest Discomfort,profuse Sweating And Blurred Vision?

Hi,I am 58Yrs healthy male normal BP, blood sugar GTT normal.In last one month I get few attacks of sudden onset of chest discomfort, followed by profuse sweating and sudden blurring of vision. This last for around 30 seconds and than every thin is back to normal except for sweating which remains for 5mnts. ECG was done few minutes later was normal and blood sugar at this time was 94, Plaese advise for further investigations.
Fri, 17 Apr 2015
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Diabetologist,  's  Response
Hi,
After going through your father's case,
I want to know about
1) Current medication going on if any.
2) Habits like smoking, alcohol.
3) Any recent illness like loose motions, vomiting, excessive sweating, high grade fever.
4) Any ear problem (pain, decreased hearing, tinnitus- abnormal sound in ear), throat problem.
6) Are symptoms increases after sudden neck movements.

I would like to suggest following test for your father-
1) ECG electrocardiogram preferably during episode.
2) Holter's monitoring, electrophysiological study of heart.
3) 2DEcho (echocardiography)
4) Complete blood count, hemoglobin, kidney function test, thyroid function test.
5) Blood pressure check in supine position and In standing position to know postural hypotension.
6) If all these tests are normal then there may be need of MRI brain with angiography and carotid artery doppler.

In yourcase there may be possibility of
1) Cardiac arrhythmia (abnormal electrical activity of heart) - it may be a caused by decreased blood supply to heart (vessel blockage) or metabolic abnormalities (abnormalities of kidney or liver function)
2) Postural hypotension.
3) Problems related to blood supply of brain.
Possibility of hypoglycemia is not there as blood sugar level of 94 is normal.

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What Causes Sudden Onset Of Chest Discomfort,profuse Sweating And Blurred Vision?

Hi, After going through your father s case, I want to know about 1) Current medication going on if any. 2) Habits like smoking, alcohol. 3) Any recent illness like loose motions, vomiting, excessive sweating, high grade fever. 4) Any ear problem (pain, decreased hearing, tinnitus- abnormal sound in ear), throat problem. 6) Are symptoms increases after sudden neck movements. I would like to suggest following test for your father- 1) ECG electrocardiogram preferably during episode. 2) Holter s monitoring, electrophysiological study of heart. 3) 2DEcho (echocardiography) 4) Complete blood count, hemoglobin, kidney function test, thyroid function test. 5) Blood pressure check in supine position and In standing position to know postural hypotension. 6) If all these tests are normal then there may be need of MRI brain with angiography and carotid artery doppler. In yourcase there may be possibility of 1) Cardiac arrhythmia (abnormal electrical activity of heart) - it may be a caused by decreased blood supply to heart (vessel blockage) or metabolic abnormalities (abnormalities of kidney or liver function) 2) Postural hypotension. 3) Problems related to blood supply of brain. Possibility of hypoglycemia is not there as blood sugar level of 94 is normal.