PINCHING-PULSATING PAIN AND PALPITATION IN THE HEART

MY FATHER IS GETTING PINCHING-PULSATING PAIN IN THE HEART,HIS FACE BECOMES VERY PALE,HE FEELS GIDDINESS AND PALPITATION IN HEART.HE HAD A BYPASS IN 2000.

THE FOLLOWING ARE DADDY'S REPORTS.
AGE: 59 (MALE)KNOWN HYPERTENSIVE AND DIABETIC FOR THE PAST 10 YEARS ON TREATMENT.
UNDERWENT CABG ON 1999 FOR COMPLAINTS OF CHEST PAIN WITH ANGINA WITH 3 VESSEL BLOCK.UNDERWENT ANGIOPLASTY WITH STENT FOR LAD VESSEL PRIOR TO CABG .

CABG - 2 VEIN GRAFTS USED , SVG TO D1 AND SVG TO RCA .LEFT RADIAL ARTERY GRAFT USED FOR LAD VESSEL.PATIENT WAS ASYMPTOMATIC SINCE 1999.ON 2006 HE HAD HYPER TENSION (210/100) AND ADMITTED

2007 ROUTINE CARDIAC EVALUATION WAS DONE
DATE: FEB/2007
(TREAD MILL TEST (TMT) NORMAL WITH 11MIN EXERCISE TOLERANCE
2D ECHO NORMAL STUDY
HOLTER - NORMAL STUDY)

CT ANGIOGRAM STUDY (29/MARCH/2007) SHOWED PATENT RADIAL ARTERY - LAD GRAFT DIFFUSED DISEASE SEEN AT LEFT CIRCUMFLEX ARTERY , COMPLETELY OCCLUDED BOTH VEIN GRAFTS (SVG - D1, SVG - RCA)
RCA AND AM BRANCH SHOW NORMAL CALIBER OF LUMEN
PSEUDO ANEURYSM SEEN AT ASCENDING AORTA 3 CM ABOVE THE AORTIC VALVE , SIZE OF THE ANEURYSM 3.7 * 2 CM , CROSS SECTIONAL DIAMETER OF THE AORTA AT THE LEVEL OF ANEURYSM - 5.3 * 3.7 CM
PSEUDO ANEURYSM WAS FOUND INCIDENTAL PATIENT HAD NO SYMPTOMS .

TO CONFIRM DIAGNOSIS TRANS ESOPHAGEAL ECHO CARDIOGRAM WAS DONE ON 30/MARCH/2007  WITH FINDINGS OF SMALL ANTERIOR AORTIC ANEURYSM MEASURING 2.7 * 2 CM,(AORTA MEASURES 5.1 CM AT THE SITE OF ANEURYSM). MARKED ATHEROMA IN ARCH GRADE- IV NO MOBILE ELEMENTS .GRADE III ATHEROMA IN DESCENDING AORTA. NORMAL LV SIZE AND FUNCTION. NO INTRA CARDIAC THROMBI .

PRESENTLY PATIENT IS ASYMPTOMATIC WITH CONTROLLED LEVELS OF BLOOD PRESSURE AND DIABETES ON TREATMENT.

OPINION NEEDED REGARDING THE INCIDENTAL FINDINGS OF THE PSEUDO ANEURYSM OF ASCENDING AORTA AND GRADE - IV ATHEROMA IN ARCH OF AORTA.AS THE PATIENT IS ASYMPTOMATIC.

[pammie7]

I have a pinching feeling in my chest on the left side. I have been diaignoised with Venticular Tachycarida...is this something to be concerned with?