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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Tightness In The Chest With Breathlessness?

hi my boyfriend has been "passing out". it has been 3 times this year. he has complained of chest tightness and unable to breathe sometimes for about 2 1/2 years now. he went to the ER and he was diagnosed with epilespy and he has cardiomegaly. how is that possible? can one cause the other?
posted on Fri, 14 Mar 2014
Twitter Thu, 23 Jun 2016 Answered on
Twitter Thu, 23 Jun 2016 Last reviewed on
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Pulmonologist,  's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
Epilepsy is the disease of brain.
It can not cause cardiomegaly. Similarly, cardiomegaly also can not cause epilepsy.
Both are separate entities and can present simultaneously.
His chest tightness and breathlessness are due to cardiomegaly.
Common causes for cardiomegaly are heart failure, valvular heart disease and cardiomyopathy.
So get done ecg and 2d echo for the diagnosis of heart disease.
He will need diuretics and other cardiac supportive drugs on the basis of these reports.
Don't worry, he will be alright with appropriate treatment.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your boyfriend. Thanks.
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What Causes Tightness In The Chest With Breathlessness?

Thanks for your question on Healthcare Magic. I can understand your concern. Epilepsy is the disease of brain. It can not cause cardiomegaly. Similarly, cardiomegaly also can not cause epilepsy. Both are separate entities and can present simultaneously. His chest tightness and breathlessness are due to cardiomegaly. Common causes for cardiomegaly are heart failure, valvular heart disease and cardiomyopathy. So get done ecg and 2d echo for the diagnosis of heart disease. He will need diuretics and other cardiac supportive drugs on the basis of these reports. Don t worry, he will be alright with appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your boyfriend. Thanks.