are symptoms cardiac, GI, or anxiety
- 0Dec 12, '10 by SpodeIn a patient with a history of anxiety and GERD, at what point do you push the idea that the patients symptoms just COULD be cardiac in origin.
Symptoms reported included mild substernal ache with occasional "difficulty taking deep breaths", light headedness, tight sensation around the throat area, and occasional "jaw ache". Patients exercises 3-5 times per week for 1-2 hours at high intensity with no symptoms.
Last 12 lead was normal although intermittent monitoring strips have shown unifocal PVC's. Patient is 38 with normal to low bp and no known other health issues.
- 0Dec 22, '10 by ImThatGuyYou need to rule out cardiac in this scenario. Denial has killed a lot of people.
What you mention could be nothing, or it could be everything. I work with a guy whose only symptoms were feeling hot and getting dizzy. This happened twice, and on the third occasion he went to the hospital. Within a week he received a triple bypass.
- 0Dec 25, '10 by CCL RNThe exercise that this pt does is similar to a stress test, so it's good that they have no symptoms.
And the symptoms that they do have sound just like anxiety.
However, many people have had no symptoms and have had heart attacks. A stress test can evaluate the heart a bit better.
My guess is that the physician assessed this patient and thinks it's all anxiety.