[44M] Experiencing elevated heart rate and chest pressure with jaw pain

Patient Description

A 44-year-old male presents with symptoms of elevated heart rate, chest pressure, jaw pain, and shortness of breath. The shortness of breath occurs with light activity, such as walking short distances, and is relieved by taking a break. The jaw pain is described as dull and located on both sides towards the back, worsening with yawning. The patient reports that chest pressure prompts the need to clear the throat. The elevated heart rate is noted during physical activity. The patient has a family history of heart disease or stroke but has not been diagnosed with high blood pressure or high cholesterol. He has a history of vitiligo diagnosed 10 years ago. The patient does not use tobacco or other substances, has no known allergies, and is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the symptoms you've described—elevated heart rate, chest pressure, jaw pain, and shortness of breath—there is a possibility that you could be experiencing a cardiac event, such as angina or even a heart attack. These symptoms are concerning, especially since they occur with light activity and include chest pressure and jaw pain, which are classic signs of heart-related issues.

Angina is chest pain caused by reduced blood flow to the heart muscles, often triggered by physical activity or stress. A heart attack occurs when the blood flow to a part of the heart is blocked for a long enough time that part of the heart muscle is damaged or dies. Both conditions require immediate medical attention.

What you can do

It is crucial that you seek medical attention immediately. Please call 911 or have someone drive you to the nearest emergency room. Do not attempt to drive yourself. Time is of the essence in these situations, and prompt medical evaluation and treatment can be life-saving.

While waiting for medical help, try to remain calm and rest in a comfortable position. Avoid any physical exertion. If you have aspirin available and are not allergic, you may chew one regular-strength tablet (325 mg) as it can help thin the blood and improve blood flow to the heart. However, do not delay seeking emergency care to take aspirin.

Remember, it is always better to err on the side of caution with symptoms like these. Please prioritize your health and safety by getting evaluated by a healthcare professional as soon as possible.

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16 d ago


People Also Ask


What are the common symptoms of a heart attack?

Common symptoms of a heart attack include chest pain or discomfort, pain in the jaw, neck, or back, shortness of breath, nausea, lightheadedness, or cold sweats. These symptoms can vary between individuals.


How does angina differ from a heart attack?

Angina is chest pain caused by reduced blood flow to the heart, often triggered by physical activity or stress, and is usually relieved by rest. A heart attack occurs when blood flow to a part of the heart is blocked, causing damage to the heart muscle.


What should I do if I experience symptoms of a heart attack?

If you experience symptoms of a heart attack, seek medical attention immediately by calling 911 or going to the nearest emergency room. Do not drive yourself. While waiting for help, rest in a comfortable position and, if not allergic, chew a regular-strength aspirin to help thin the blood.


Can family history of heart disease increase my risk of cardiac events?

Yes, a family history of heart disease can increase your risk of cardiac events. It's important to discuss your family history with your healthcare provider to assess your risk and consider preventive measures.

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