AboutDavid Richardson Expertise Adult heart function and disease. Not very good about children lesss than 12. Hypertension is o.k. Heart rhythm a special interest.
Experience Certified in cardiology by the American Board of Internal Medicine. Was chairman of division of cardiology at the Medical College of Virginia. Am now mostly retired.
Organizations Fellow of American Heart Association and American College of Cardiology and member of American Physiological Society..
Publications Circulation, American Heart Journal, Hypertension.
Education/Credentials M.D. from Harvard Medical School. Residency training at Yale Uhniversity School of Medicine and Medical College of Virginia.
Awards and Honors Gold Heartt Award from American Heart Association in 1995.
Question 62 years old mail generaly in good health . HX of high BP ( 140/90 )and high colestrol controlled with med,.Start having pain May 28th in L)Lateral aspect upper chest - Post Deltoid groups.I do (stair master 30 min)exercise daily does not effet pain or develope SOB. 30 min stair master increased HR 140-145, 5 min cool down decrease 125-128 per min.( as usual last many years)
L chest and Posterior deltoid area Pain is contineus pressure type. Degree of pain is 7/10.
When I resting in supine position seems pain is decrease but standing or sitting positions increased pain ( May effect by gravity ?? Pulling down arm by gravity )
Deep breathing in does not effet pain. ROM in neck are WNL but increase pain with lat rot left lat flection.L) shoulder ROM are WNL with out pain.
I has been take 2 aspirin QD but does not reduce pain at all.
Do I having MI ???
I have major medical insurance only.WHich is not cover for office visit.
Thanks in advance.
Answer Dear Hyung.
The most likely cause of your pain is cramping of muscles in the chest wall. You can prove if this is so if firm pressure on the painful area modifies the pain, makes it better or worse. Chest wall pain is a nuisance, but no threat to life or health. The other possibility is arthritis in your neck, since lateral rotation makes the pain worse. MI is EXTREMELY unlikely. MI pain doesn't last more than a day. Heart disease of any kind is unlikely since stair master doesn't make the pain worse.
Please write back if this note doesn't answer all your questions.
