[42F] Experiencing severe chest pain and difficulty breathing

Patient Description

A 42-year-old female is experiencing a constant and severe pressure-like chest pain over the heart area rated 8/10 in severity, worsening with upper body movement and breathing, lasting for approximately 45 minutes. The patient also reports difficulty breathing, rated 4/10 in severity, accompanied by lightheadedness, and pain in the upper back and shoulder area. The patient has a history of asthma and is currently using Albuterol. Known drug allergies include Morphine, Toradol, Tramadol, Nubaine, Zosyn, and Neurontin. No other symptoms such as nausea, vomiting, sweating, or jaw pain were reported. No other medications are being taken, and there are no other known pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the information you've provided, your symptoms could be due to a few different conditions:

  • Heart conditions: Given your symptoms of severe chest pain, difficulty breathing, and pain in your upper back and shoulder, you could be experiencing a heart-related issue such as angina or a heart attack. These conditions occur when the blood supply to the heart is reduced, causing chest pain and other symptoms.

  • Pulmonary conditions: Your symptoms could also be due to a lung condition, such as a pulmonary embolism (a blood clot in the lungs) or a severe asthma attack.

  • Musculoskeletal conditions: Conditions affecting the muscles, bones, and joints in your chest and upper body can also cause chest pain and difficulty breathing.

What you can do

Given the severity of your symptoms and the potential for serious conditions like a heart attack or pulmonary embolism, it's important to seek medical attention immediately.

  • Call 911 or go to the nearest emergency department right away.
  • Do not attempt to drive yourself to the hospital.
  • Try to stay calm and take slow, deep breaths while you wait for help to arrive.

What you should look out for

While waiting for medical help, monitor your symptoms closely. If you experience any of the following, it could indicate a worsening condition:

  • Increased chest pain or difficulty breathing
  • Sweating, nausea, or vomiting
  • Pain that spreads to your arm, neck, jaw, or back
  • Fainting or severe lightheadedness
  • A rapid or irregular heartbeat

Remember, I'm an AI and not a doctor. While I strive to provide accurate information based on the symptoms you've described, it's crucial to seek immediate medical attention given the severity of your symptoms.

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11 mo ago

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, which may feel like pressure, squeezing, fullness, or pain. Other symptoms can include pain in the arms, back, neck, jaw, or stomach, shortness of breath, nausea, lightheadedness, or cold sweats.


How can asthma affect chest pain and breathing difficulties?

Asthma can cause chest tightness, shortness of breath, wheezing, and coughing. During an asthma attack, the airways become inflamed and narrowed, making it difficult to breathe and potentially causing chest pain.


What is a pulmonary embolism and what are its symptoms?

A pulmonary embolism is a blockage in one of the pulmonary arteries in the lungs, usually caused by blood clots that travel to the lungs from the legs or other parts of the body. Symptoms can include sudden shortness of breath, chest pain that may become worse when breathing deeply, coughing, or bending, and a rapid or irregular heartbeat.


What should I do if I experience severe chest pain and difficulty breathing?

If you experience severe chest pain and difficulty breathing, it is important to seek medical attention immediately. Call 911 or go to the nearest emergency department. Do not drive yourself to the hospital. Try to stay calm and take slow, deep breaths while waiting for help to arrive.


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