[26F] With sharp, fluttery chest pain and associated symptoms

What might be happening

Based on the information you’ve provided, there are several serious conditions that could be causing your symptoms:

1. Heart Attack (Myocardial Infarction): Given your sharp, fluttery chest pain that radiates to both arms and your left shoulder blade, along with shortness of breath, palpitations, hot and cold flashes, and dizziness, a heart attack is a serious possibility. Heart attacks can present with these symptoms and require immediate medical attention.

2. Pulmonary Embolism: This is a condition where a blood clot travels to the lungs, causing chest pain, shortness of breath, and sometimes dizziness. The pain can worsen with deep breaths or physical activity.

3. Pericarditis: This is an inflammation of the lining around the heart, which can cause sharp chest pain that may radiate to the shoulder and neck. The pain often worsens with lying down or taking deep breaths.

4. Aortic Dissection: This is a serious condition where there is a tear in the wall of the major artery carrying blood out of the heart (aorta). It can cause severe chest pain that radiates to the back and is often described as tearing or ripping.

5. Migraine with Aura: While migraines themselves are not typically life-threatening, the combination of a severe migraine, vomiting, and subsequent chest pain could indicate a more complex neurological or cardiovascular issue that needs urgent evaluation.

What you can do

Given the severity and combination of your symptoms, it is crucial that you seek immediate medical attention. Here are the steps you should take:

1. Call 911: Given the potential for a heart attack or other serious conditions, you should call 911 immediately. Do not attempt to drive yourself to the hospital.

2. Emergency Room: If for any reason you cannot call 911, have someone else drive you to the nearest emergency room as quickly as possible.

3. Stay Calm: Try to stay as calm as possible while waiting for medical help. Sit or lie down in a comfortable position and avoid any physical exertion.

4. Inform Medical Staff: When you arrive at the hospital, inform the medical staff about all your symptoms, including the chest pain, shortness of breath, palpitations, dizziness, and your family history of heart disease.

Remember, I am not a doctor, and this advice is based on the information you have provided. It is essential to get a formal diagnosis and treatment from a healthcare professional as soon as possible. Your health and safety are the top priority.