[33F] Experiencing sharp chest pains with dizziness and blurry vision

Patient Description

A 33-year-old female has been experiencing sharp chest pains located in the upper right and center of her chest for a couple of days, described as a deep muscle spasm-like pain with a severity of 7 out of 10. The pain is exacerbated by stress and relieved by calming down. Accompanying symptoms include dizziness, fatigue, and intermittent blurry vision, which sometimes presents as a water wave effect. The patient has a history of heart murmur, PCOS, high blood pressure, pleurisy, spinal cyst, and degenerative disc disease, all diagnosed at the age of 19, and a neurosurgery in 2013 to remove spinal cord cysts. No current medications or known drug allergies are reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions might be causing your symptoms:

  • Panic Disorder or Anxiety: Stress seems to exacerbate your symptoms, and calming down alleviates them. Panic attacks can cause chest pain, shortness of breath, palpitations, dizziness, and blurry vision. They can occur suddenly and peak within minutes.

    • Treatment often involves psychotherapy and medication.
  • Cardiovascular Conditions: Given your history of heart murmur and high blood pressure, conditions such as angina or heart disease could be causing your chest pain. These conditions can cause chest pain, shortness of breath, and fatigue.

    • Treatment typically involves lifestyle changes, medication, and in some cases, surgery.
  • Respiratory Conditions: Conditions such as pleurisy or pulmonary embolism could cause chest pain and shortness of breath. However, these conditions often cause pain that worsens with breathing or coughing, which you did not report.

    • Treatment depends on the underlying cause but may include medication or surgery.

Please note that these are possibilities based on the information provided and not a definitive diagnosis. It's important to consult with a healthcare provider for a formal evaluation.

What you can do

  1. Seek immediate medical attention: Given the severity of your chest pain and the sudden onset, it's important to rule out serious conditions such as heart disease.

  2. Monitor your symptoms: Keep track of when your symptoms occur, their severity, and any potential triggers. This information can be helpful for your healthcare provider.

  3. Practice stress management: If stress exacerbates your symptoms, techniques such as deep breathing, meditation, and yoga may be beneficial.

What you should look out for

Seek immediate medical attention if you experience:

  • Chest pain that spreads to your jaw, left arm, or back
  • Shortness of breath or difficulty breathing
  • Fainting or severe dizziness
  • A rapid or irregular heartbeat

Remember, I'm an AI and not a doctor. Always consult with a healthcare provider for a formal diagnosis and treatment.

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1 yr ago

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People Also Ask


What are the common symptoms of a panic attack?

Common symptoms of a panic attack include sudden onset of intense fear or discomfort, chest pain, palpitations, shortness of breath, dizziness, and blurry vision. These symptoms typically peak within minutes.


How can high blood pressure contribute to chest pain?

High blood pressure can lead to chest pain by causing the heart to work harder, potentially leading to conditions like angina or heart disease. It can also damage arteries, reducing blood flow to the heart.


What lifestyle changes can help manage cardiovascular conditions?

Lifestyle changes that can help manage cardiovascular conditions include maintaining a healthy diet, regular exercise, quitting smoking, reducing alcohol intake, managing stress, and maintaining a healthy weight.


What are the warning signs that chest pain might be related to a heart condition?

Warning signs that chest pain might be related to a heart condition include pain that spreads to the jaw, left arm, or back, shortness of breath, fainting, severe dizziness, and a rapid or irregular heartbeat. Immediate medical attention is advised if these symptoms occur.


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