Should You See a Cardiologist for Chest Pain and Breathing Issues?

Should a cardiology examination be conducted?

Hello.
For the past six months, I have been experiencing a sensation in the left side of my chest where it feels like blood is not flowing properly while I am breathing.
It is accompanied by a sharp pain that lasts for about five to six minutes, sometimes longer.
I also feel short of breath when I take deep breaths or when I am very tired.
Occasionally, I feel like I can't get enough air.
I haven't had a cardiac evaluation yet.
How should I explain this to my doctor, and what tests might be necessary?

Juan Jie, 20~29 year old female. Ask Date: 2016/03/12

Dr. Li Han reply Cardiology

Hello, Sister Juan.
Based on your description, many of the symptoms are not typical manifestations of angina; however, this does not rule out the possibility or risk of coronary artery disease.
If these symptoms continue to trouble you, it may be worthwhile to consult with your trusted family physician or a cardiologist.
The Changhua Hospital of the Ministry of Health and Welfare is here to support you.

Reply Date: 2016/03/12

More Info

If you are experiencing chest pain and breathing difficulties, especially if these symptoms have persisted for an extended period, it is crucial to seek medical attention promptly. Your symptoms, which include a sharp pain on the left side of your chest and a sensation of blood not flowing properly, could be indicative of various underlying conditions, some of which may require urgent evaluation.

When you visit a cardiologist, it is important to communicate your symptoms clearly and thoroughly. Here are some key points to consider when discussing your condition with your doctor:
1. Describe Your Symptoms: Be specific about the nature of your chest pain. Is it sharp, dull, or pressure-like? Does it radiate to other areas, such as your arm, neck, or back? Mention how long the pain lasts and any triggers you have noticed, such as physical exertion or stress.

2. Breathing Difficulties: Explain the sensation of not being able to breathe deeply or feeling like you are not getting enough air. Note if this occurs at rest or during activity and whether it is accompanied by any other symptoms, such as dizziness, sweating, or palpitations.

3. Medical History: Provide your doctor with a comprehensive medical history, including any previous heart issues, family history of cardiovascular disease, and any other relevant health conditions (e.g., anxiety, respiratory issues).

4. Lifestyle Factors: Discuss your lifestyle, including exercise habits, diet, smoking history, and alcohol consumption. These factors can significantly influence heart health and may help your doctor in diagnosing your condition.

5. Previous Tests: If you have undergone any tests (like EKGs, echocardiograms, or chest X-rays), bring those results with you. This information can help your cardiologist understand your situation better.

As for the tests that may be recommended, a cardiologist might suggest the following:
- Electrocardiogram (EKG): This test measures the electrical activity of your heart and can help identify any irregularities in heart rhythm or signs of previous heart attacks.

- Echocardiogram: An ultrasound of the heart that provides images of the heart's structure and function, helping to identify issues with heart valves or the heart muscle.

- Stress Test: This test evaluates how your heart performs under physical stress, which can help identify problems that may not be apparent at rest.

- Chest X-ray: This imaging test can help visualize the heart and lungs, ruling out other potential causes of your symptoms, such as lung conditions.

- Blood Tests: These can check for markers of heart damage, cholesterol levels, and other relevant factors.

Given your symptoms, it is essential to act quickly. Chest pain and difficulty breathing can be signs of serious conditions such as angina, heart attack, or other cardiovascular issues. Even if previous tests have shown normal results, your symptoms warrant further investigation.
In conclusion, do not hesitate to seek medical help. A cardiologist is well-equipped to evaluate your symptoms, perform necessary tests, and provide a diagnosis. Early intervention can be critical in managing potential heart conditions effectively. Remember, it is always better to err on the side of caution when it comes to heart health.

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