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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Upper Abdominal Pressure While Having Plaque Build Up In Abdominal Aorta?

Hello. I am a 38 y/o female. I ve had stents put in my legs due to poor circulation. I know I ve got significant plaque build up in coratic artery & some plaque buildup in abdominal arorta. Well the last 3 weeks or so I ve been feeling discomfort that comes & goes in my upper abdomen (center & under or behind left breast). It s really hard to pinpoint exact location but I feel a lot of pressure there. It usually only lasts few minutes. Today the pain came & lasted about an hour. I was also feeling some pain in my neck & feeling a little shorter breathe than normal. I went home laid down and fell asleep. I felt better after I woke up but I still feel little discomfort every now & then & i feel extremely exhausted. Should this be something to go to ER over? Especially since I feel a little better now?
posted on Sat, 25 Mar 2017
Twitter Tue, 19 Sep 2017 Answered on
Twitter Wed, 20 Sep 2017 Last reviewed on
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Cardiologist 's  Response
Hello!

Welcome and thank you for asking on HCM!

Regarding your concern, I would explain that your symptoms could be indicative of coronary artery disease.

A musculo-skeletal pain can not be excluded either.

Anyway, considering your past medical history, I would recommend going to the ER for a careful physical exam and some tests:

- a resting ECG and cardiac enzymes
- a cardiac ultrasound
- a chest X ray study
- complete blood count, PCR, ESR for inflammation

Further tests to investigate for coronary artery disease could be necessary:

- a Dobutamine stress echo
- a perfusional cardiac stress tests or
- a coronary angio CT scan.

Hope you will find this answer helpful!

Kind regards,

Dr. Iliri
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What Causes Upper Abdominal Pressure While Having Plaque Build Up In Abdominal Aorta?

Hello! Welcome and thank you for asking on HCM! Regarding your concern, I would explain that your symptoms could be indicative of coronary artery disease. A musculo-skeletal pain can not be excluded either. Anyway, considering your past medical history, I would recommend going to the ER for a careful physical exam and some tests: - a resting ECG and cardiac enzymes - a cardiac ultrasound - a chest X ray study - complete blood count, PCR, ESR for inflammation Further tests to investigate for coronary artery disease could be necessary: - a Dobutamine stress echo - a perfusional cardiac stress tests or - a coronary angio CT scan. Hope you will find this answer helpful! Kind regards, Dr. Iliri