I am a 46 year old woman who smokes. Not obese. I went to pcp yesterday and was told he heard afib for a few seconds and then went into normal sinus rhythm. Got sent to er this morning for chest pressure and was told ekg normal and tropnion and other labs normal. I am taking bentyl right now.Every once in awhile I will still get chest pain that radiates to my back. The er gave me bentyl. Could it still be chest angina? Thank you!!!!
Person's Gender: Female
Person's Age: 46
baby asa, zofran and bentyl
Hi, I'm Doctor Robert, a Medical Internist (MD) who deals with diseases of all organ systems. All my education has been completed in the US.Yes, this COULD be angina. A. fib is a rhythm that needs to be treated ,and that you are going into it irregularly needs a thorough investigation.Have a look at this great website for more information about this issue than I can possibly type myself: http://www.mayoclinic.com/health/atrial-fibrillation/DS00291So, this is my plan:1. See your primary care physician immediately.2. he may set you up with 24 hour ambulatory electrocardiogram (EKG) monitoring with a Holter monitor.3. You need an echocardiogram to assess the valves and left atrium. This is almost mandatory for you.4. SMOKING is the most common non-cardiac cause of atrial fibrillation (AF, or a. fib) and needs to be stopped. Immediately. I'm serious.5. Given age over 40 with smoking, this could be Coronary Artery Disease (CAD) and also needs to be investigated.6. Your thyroid needs to be checked with Thyroid Function Tests (TFTs) as this can cause atrial fibrillation (AF, or a. fib) if elevated thyroid function is found. This is a common cause.Realize this please: I am limited to the information that I glean from your posts, as I can't see, talk to, or touch you. I can only give you my approach to the evaluation of your symptoms if you were in my office. That puts me at a disadvantage compared to your doctor who actually sees your body right there in the office. This is just the nature of advising across the internet. A specific diagnosis under these conditions is VERY difficult. So, I cannot give you a definite diagnosis. But you have to have this evaluated. It COULD be chest pain from Coronary Artery Disease (CAD) and if that's the case, this is troubling. If you get chest pain again, feel free to go right back to the ER.That's the straight scoop. See the primary care physician again asap and get this evaluated. It is not in your interest to wait until another episode.Print this out and bring it with you so he can get an idea of what I think.================================== If you find this informative, please click ACCEPT so I can receive credit. FOLLOW UP QUESTIONS CAN ALWAYS BE ASKED BY HITTING 'REPLY'. Please take a moment to leave SOME positive feedback. ============================ A BONUS will be appreciated if you found my answer especially helpful. My responses are for information purposes and are not MEANT to replace a physician or ER visit. Future questions? Ask for CoachRobMD in the question title or save my profile to your browser favorites. Here is the link to my JA profile: http://www.justanswer.com/medical/expert-CoachRobMD/
So with taking acid reflux meds, it does not seem to help.. Er ruled out heart attack. The pain is a grasping squeezing in chest and then releasing. I know woman present differently with cardiac than men. No other symptoms. Seeing cardiologist in late april. Do u think when i get off work tonight If I still aving issues should I go back to er?
Yes, go back immediately if you have chest pain. Do NOT blow this off.See my detailed plan above. atrial fibrillation (AF, or a. fib) is serious and needs to be evaluated. I cannot do that from where I am obviously.Reread my original post and follow it to the letter. Call your primary care physician now and schedule an appointment as soon as possible so he can do the things I suggest at the very least.Reflux medications do not treat Coronary Artery Disease (CAD) or AFib. They're not related.So, pain or SOB, off to the Emergency Room. Leave work.Any other questions I can answer for you today? If you found this information useful, please click ACCEPT (and provide positive feedback which is FREE) in that case so that I may receive payment for assisting you today. Thanks!
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If you have any follow-up questions about the issue we recently discussed on JustAnswer.com, or any NEW items that may have come up as a result of my recommendations, please return to our original thread (see link below) and add a new post at the end. I'll get an email notifying me that you want more assistance. It's best to have the first line of your next post state "FOR COACHROBMD ONLY" so other experts won't become involved. If I don't hear back from you, hopefully everything turned out well. If you recall, your question related to a. fib and chest pains.http://www.justanswer.com/medical/6k2cg-46-year-old-woman-smokes-not-obese-went.html?L=T&r=ems|2012-04-20|15