Andrew is yet to seek medical attention as concerns the chest pains which he say began three days ago. Andrew says that he has been enjoying his good health and working normally at work until three days ago when the chest pains began. It was around six in the evening while…
The pain slowly moved from the parasternal area towards his neck. This was the first time he experienced such pain and describes his day as a normal day at the office with no strains. He felt tired at this time as the pain continued to radiate upwards. The pain subsided a little when he got home but he felt a discomfort that was accompanied by a shortness of breath. At this time, he was not nauseated or sweating. The pain seemed to disappear immediately he arrived home and rested.
Two days ago the pain returned again and this time a little severe than the first episode and lasted close to five minutes. The pain seemed to emanate from the same place as the previous episode. He experienced this twice during the day in the morning and in the evening. In both instances he was not strained but simply walking around in the office. He went home and took a rest again and the pain seemed to disappear completely until today when the pain episode manifested. All this time he was contemplating of seeking medical attention but did not. He never used any pain relievers or any other drug that could ease the pain. The reason for this he says is that the pain seemed to last for a short period of time and would disappear itself or would end immediately he went to rest. This made him think that the pain was as a result of work.
The patient says that he did not experience any other symptom apart from the shortness of breath during the pain episodes. There was no dizziness or palpitations. He also says that there was no other exertional dyspnea, orthopnea or paroxysmal nocturnal dyspnea. Interestingly the pain did not alter during movements or during food intake. There was also no palpable pain. He has never been informed of having heart problems. He has never had a problem with his chest before and neither has he ever experienced chest pains in his life. He does not have claudication. However, Andrew was diagnosed with hypertension about 2 years ago.
Andrew is not a smoker and ...
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