Posted By Charlotte on December 09, 1998 at 15:13:58:
I am a 55 y/o female with a strong family history of diabetes but am unaffected at this time. I also have hypothyroidism treated with .15 Synthroid with a TSH of 2.09. I was evaluated for atypical chest pain and have had an echo showing R and L atrial enlargement and L ventricular hypertrophy. Recently I have had an increase in episodes of atypical chest pain which usually starts in my R jaw and may or may not proceed to my mid-chest. I become diaphoretic, my BP generally goes above 170/90 (my normal is about 135/80) and my EKG shows no ectopy. Nitro helped during this last episode which lasted more than 20 minutes. Usually I just stop what I'm doing and ride it out knowing it will eventually subside. When I was first diagnosed with hypothyroidism (Hashimoto's thyroiditis) I was having these pains at least once a month preceded by a week or so of increasing fluid build-up where I felt SOB. An echo at that time showed MVP but once I was medicated appropriately the episodes decreased to no more than once or twice a year. My echo no longer shows prolapse and a thallium exercise treadmill was essentially normal. I still precede these episodes with the build-up of fluid, feeling more and more SOB until the chest pain occurs. I have diuresed heavily afterwards with no diuretics. My Internal Medicine doctor is at a loss and told me to try some research on my own. My labs are essentially normal except for an LDH of 1250 and an AST of 49 which is a change. Chest X-ray is WNL except for a linear density in the left base which is unchanged. I told my doctor I'm just low on naturietic (?sp). He just laughed. He offered me a return visit to the cardiologist and if that evaluation is normal then a work-up with an EGD, etc. I have a mildly progressive decreased exercise tolerance in the last year or so but am otherwise essentially healthy, working daily at my nursing job and maintaining my home. I would appreciate any other suggestions you might have for follow-up.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.