Question 1

How do I know if my chest pain is serious?

Accepted Answer

Any chest pain needs physical examination by a doctor and tests to know the cause. On a general note, if chest pain is associated with heart burn, abdominal bloating, belching then it may be due to gastritis which may be managed at home. If chest pain is sudden, radiating to left arm/ shoulder and is associated with sweating, breathing issue then it may be due to a cardiac condition which needs immediate hospital visit. Sometimes, atypical presentation like a person who had mild chest pain with vomiting was tested and found to be having a heart attack on ECG. Hence, every chest pain need a doctor's consultation.

Question 2

I'm really confused and a bit anxious about this chest tightness that happens whenever I lie down flat or stretch my left hand. It's been going on for about three months. I went to an orthopedic doctor who said it's probably due to poor posture and muscle spasm. Then I saw a cardiologist, had all the tests like ECG, echocardiogram, TMT, and even checked my cholesterol and BP. Everything was normal except for my cholesterol which was a bit high at 196, and LDL at 121.8. The cardiologist said I don't have heart issues and just need to change my lifestyle and lose some weight. But I wanted a second opinion, so I visited another cardiologist and even without any new tests, he said the same thing that everything's normal. Still, I feel this tightness at night and sometimes it makes me sweat and I get really scared thinking it might be a heart attack. When I went back to the cardiologist, he reassured me again. So, should I keep doing ECGs every time I feel this tightness or maybe see a pulmonologist? Why does this keep happening if everything's supposed to be normal?

Accepted Answer

since your age is not too much i suggest reduce your anxiety related to heart attack. try doing some exercise

Question 3

Hey, I'm really concerned about my mother-in-law. She had a heart attack yesterday and she's in the hospital being watched by the doctors. They've done an ECG but haven't done angiography or an Echo yet. Is angiography absolutely necessary after a heart attack? If it is, why might the doctors be taking so long to do it? I'm not sure how urgent this procedure isshouldn't it be done quickly after the heart attack?

She's stable for now, she can talk, but she's experiencing some pain in her back. I tried asking one of the doctors about the angiography and ended up getting yelled at, which has left me feeling frustrated and worried about what's happening. Is delaying angiography risky? Should we consider moving her to a different hospital?

Accepted Answer

It is important to understand the reasons behind the delay in performing angiography in your mother-in-law's case. Angiography is typically recommended to assess the extent of blockages in the coronary arteries following a heart attack. While it is an important diagnostic tool, the timing of angiography depends on various factors such as the patient's stability, overall condition, and the presence of any complications. In cases where the patient is stable and there are no urgent indications for immediate angiography, doctors may opt for a conservative approach to allow for stabilization and further assessment. The decision to delay angiography may also be influenced by the availability of resources, the presence of other medical conditions, and the overall clinical judgment of the healthcare team. It is essential to trust the expertise of the medical team caring for your mother-in-law and to have open communication with them regarding any concerns or questions you may have. If you are unsure about the reasons for the delay or if you have specific concerns about the timing of angiography, it is important to discuss these issues with the treating physicians in a respectful and collaborative manner. As for the risk of delaying angiography, while prompt intervention is generally recommended in cases of acute coronary syndrome, a short delay in stable patients may not necessarily lead to adverse outcomes. However, it is crucial to follow the guidance of the medical team and to ensure that appropriate monitoring and management are in place during this period. Moving the patient to another hospital should be considered only after careful evaluation of the reasons for the delay, the expertise of the current healthcare team, and the resources available at the alternative facility. It is important to weigh the potential benefits and risks of transferring the patient and to make an informed decision in consultation with the treating physicians. Overall, it is essential to trust the medical team's judgment, maintain open communication, and work together towards the best possible care for your mother-in-law during this critical time.

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