Chest pain after small movements

[Foman]

My wife (43) is complaining about severe chest pains after she is out in our yard walking around. She came in and rested and the pains returned. We went to the hospital and all tests (blood, ekg, x-rays) came back fine. She is in so much pain that she has trouble walking from the car back into the house. After she lies down the pain goes away. Her chest feels heavy, she has a history pulminary hypertension (she was a phen fen user), but has had few problems. She sleeps with a c-pap machine. The pains started two days ago. She has a pain in both her arms, but it doesnt radiate, and is usually in the muscles or forarm muscles.

[Foman]

Thank you for your information. I took my wife to the instant care facility, that my insurance covered, they ran a number of tests and found nothing, she was discharged. The following morning, my wife was in more pain, with numbness on her arms. I took her to the nearest hospital. She was having a heart attack. They put a "shunt"? in her and after two days she is home and feeling much better. I am upset at the first care facility, I called them and they are looking into the matter.

[National Jewish]

Persistent severe chest pain demands further evaluation.  It is a medical emergency.  The cause of this pain might not be serious.  However it could be a consequence of a number of very serious conditions.

Pulmonary hypertension, even when severe, seldom causes pain of this severity.

You must immediately arrange for your wife to be reevaluated by a cardiologist.  Almost certainly a thorough evaluation would include a CT scan of the chest.

Please give us a follow-up.