How can myocardial ischemia be managed?

Question

Hello doctor,

I am experiencing pain that radiates from my breastbone under my left breast, up to my left shoulder, and down my arm. It is a dull, consistent pain, but sometimes becomes sharp. I am a six-time heart attack survivor and have had two minor strokes.

I experienced a similar pain three years ago during a massive heart attack. I am currently taking Aspirin 81 mg, Ranitidine 150 mg, Furosemide 40 mg, Paroxetine 20 mg, Clopidogrel 75 mg, Isosorbide mononitrate 120 mg (twice a day), Meclizine 25 mg, Methocarbamol 500 mg, Atorvastatin 40 mg, Ropinirole 5 mg, and a potassium supplement.

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

Your symptoms could be related to myocardial ischemia, and musculoskeletal pain cannot be ruled out either.

Given this, I recommend going to the emergency room (ER) for a thorough physical examination and the following tests:

Resting ECG (electrocardiography).
Cardiac enzyme tests.
Chest X-ray.
Complete blood count.
PCR (polymerase chain reaction).
ESR (erythrocyte sedimentation rate) to assess inflammation.
A Dobutamine stress echocardiogram may also be necessary.

I hope it helps.

Thank you.