[27F] With sudden onset chest pain and arm weakness

Patient Description

A 27-year-old female presents with sudden onset chest pain localized to the left side, accompanied by an inability to raise the left arm and a persistent need to clear the throat. The patient denies experiencing shortness of breath. Family history of heart disease or stroke is not provided. Further evaluation is necessary to determine the underlying cause of these symptoms.

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Arora's Assessment

What might be happening

Based on the symptoms you've described—sudden chest pain on the left side, inability to raise your left arm, and constantly clearing your throat—there are a few serious conditions that could be occurring:

  1. Heart Attack (Myocardial Infarction): Sudden chest pain, especially on the left side, can be a sign of a heart attack. This is a medical emergency that requires immediate attention. Other symptoms can include pain radiating to the arm, neck, or jaw, shortness of breath, and nausea.

  2. Stroke: The inability to raise your left arm could indicate a stroke, especially if it is accompanied by other symptoms like facial droop or difficulty speaking. A stroke occurs when the blood supply to part of your brain is interrupted or reduced, preventing brain tissue from getting oxygen and nutrients.

  3. Pulmonary Embolism: This is a blockage in one of the pulmonary arteries in your lungs, which can cause sudden chest pain and difficulty breathing. While you mentioned no shortness of breath, it's still a condition to be aware of.

These conditions are serious and require immediate medical evaluation and treatment. Typical treatments may include medications, surgical interventions, or other emergency procedures.

What you can do

  1. Seek Immediate Medical Attention: It is crucial to get to an emergency room as soon as possible. Call 911 or have someone drive you to the hospital immediately. Do not attempt to drive yourself.

  2. Stay Calm and Rest: While waiting for medical help, try to stay calm and rest. Avoid any physical exertion.

  3. Monitor Symptoms: If you experience any new symptoms such as shortness of breath, increased pain, or changes in consciousness, inform the medical personnel immediately.

Remember, I am not a doctor, and it is important to seek care from real health professionals to receive a formal diagnosis and appropriate treatment. Your health and safety are the top priority.

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7 mo ago

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People Also Ask


What are the common symptoms of a heart attack in women?

Common symptoms of a heart attack in women can include chest pain or discomfort, pain in the neck, jaw, shoulder, upper back or abdomen, shortness of breath, nausea or vomiting, sweating, lightheadedness, and unusual fatigue.


Can a stroke cause symptoms like inability to raise an arm?

Yes, a stroke can cause symptoms such as the inability to raise an arm, especially if it is accompanied by other signs like facial droop, difficulty speaking, or sudden numbness or weakness in the face, arm, or leg, particularly on one side of the body.


What should I do if I suspect someone is having a heart attack or stroke?

If you suspect someone is having a heart attack or stroke, call 911 immediately. Do not wait to see if the symptoms go away. While waiting for emergency services, try to keep the person calm and comfortable, and monitor their symptoms closely.


Is it possible to have a pulmonary embolism without shortness of breath?

Yes, it is possible to have a pulmonary embolism without experiencing shortness of breath. Other symptoms can include sudden chest pain, rapid heart rate, dizziness, or coughing up blood. However, shortness of breath is a common symptom, so its absence can make diagnosis more challenging.


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