Committed to PEOPLE'S RIGHT TO KNOW
Vol. 5 Num 649 Sun. March 26, 2006  
   
Star Health


Your Doctor
Dear doctor,
I am a 43 years old man suffering from chest pain for the last couple of months. The pain increases with increased work load. It is noticeable that I am also hypertensive, but I don’t take any medicine for the hypertension.
Please give me advice on my health issue.
Thanks and best regards
Selim Milon, gmilon@hotmail.com

Answer:
There are varying causes of chest pain. The specific cause of chest pain is often difficult to interpret. Causes of chest pain can vary from minor problems, such as indigestion or stress, to serious medical emergencies, such as a heart attack or pulmonary embolism.

As you are hypertensive and the pain increases with increased work load, it is most likely to be of cardiac origin.

So you need to consult a cardiologist to find the specific treatment option.

If there is no contraindication, s/he may suggest you some stress test like exercise tolerance test (ETT). The test will guide the further treatment pathway.

Moreover you need to avoid the modifiable risk factors for cardiac diseases like smoking, sedentary lifestyle etc.

You also need to check your cholesterol level and some other biochemical profiles as well.

It is not recommended to tell you the name of medicine without exploring the history and other clinical features. But it is important to continue some anti-hypertensive drugs and specific drug for your chest pain. So you must see a cardiologist for the clinical evaluation.

Thank you.

On coming issue "Your Doctor" will respond to problems on dentristry. Send your questions to starhealth@thedailystar.net
Picture
Dr Afzalur Rahman
Associate Professor,
National Institute of
Cardiovascular
Diseases (NICVD)