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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Weakness, Dizziness, Nausea, Chest Pains,shortness Of Breath And Headaches?

i have had 7 abnormal ekg's and failed my stress test. I suffer from weakness, dizziness, nausea, chest pains,shortness of breath and headaches. Swollen feet and ankles. My blood pressure is 95 over 55 on a good day and 83 over 41 on bad days. Nitro didn't help with the chest pains and Morphine helped me walk about with almost no problems. However there is no diagnosis. Im still in pain and no answers what do you think?
Thu, 29 Dec 2016
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Cardiologist,  's  Response
Hi
this is most likely congestive cardiac failre
advice
NT-pro bnp test
Serum electrolytes
Stress thallium test to rule out cardiac functions , if stress thallium not available go for a 2 d echo As soon as possible .
2d echo will reflect the functions of the heart , the left ventricle ejection fraction .
after that copronary angiogram would be planned.
most likely you are in congestiver cardiac failure due to blockage of coronary vessels.
urgently contact a catdiologist
he would start you on diuretics , nitrates, beta blockers and calium channel blockers.
you low blood pressure is most likely because your lvef is low , so go for a echo asap.

sorry but if you will neglect this , you can have a cardiac arrest soon
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What Causes Weakness, Dizziness, Nausea, Chest Pains,shortness Of Breath And Headaches?

Hi this is most likely congestive cardiac failre advice NT-pro bnp test Serum electrolytes Stress thallium test to rule out cardiac functions , if stress thallium not available go for a 2 d echo As soon as possible . 2d echo will reflect the functions of the heart , the left ventricle ejection fraction . after that copronary angiogram would be planned. most likely you are in congestiver cardiac failure due to blockage of coronary vessels. urgently contact a catdiologist he would start you on diuretics , nitrates, beta blockers and calium channel blockers. you low blood pressure is most likely because your lvef is low , so go for a echo asap. sorry but if you will neglect this , you can have a cardiac arrest soon