| Dear, |
Thanks for your query at DoctorSpring.com
I have gone your case history, but analysing it I would like to have some more information like
Why was Toprol XL given to you and what was need to give through intravenous route ,
Are you suffering from hypertension ,
I would like to review EKG and Echocardiogram,
Is there any tenderness or pain at the site you are having pain
Is there any history of angina
Have you have any history of smoking .
Have your checked your thyroid profile
I would like with the above reports.
Patient replied :
Hi Doctor, I really do not know why I was given a toprol xl or toradol it was not documented in the military facility. "The emergency room". The nurse also did not explain why she was giving the medication and she also got mad on why I am asking what medication it was for. Angina was my main reason why I went to the U.S. Navy emergency room. They also told me that I was acting for having a slurred speech, corticating gestures and increased heart rate like 140. The military has beeng giving me wrong diagnosis. I do not smoke but we do restoration work at the ships. I usually worked on destroying tiles on the ship which was so toxic for us because it went thru our respirators. It was covered with rust, metal chips and paint chips. We were also exposed from primer paints without using respirator because we need to get the job done. I do not have my ecg no more but I do have an arryhtmia from my previous ecg records which the Navy loss. I do not know if I am suffereing from Angina, because I normally have a 110/60 bp but every appointments, my vital signs would rise up to 140/86. This is the time where I've experienced intense chest pains like a sharp stabbing pain on my left lateral sternum going inferior from my nipple line. ANd severe back pains. There is no tenderness but completely constant pain on those areas I've mentioned. My doctor in the military does not want any check ups for me such as thyroid profile, or cbc after I reported that I have been reexposed to paint without a respirator. Also at this time I've experienced headache everytime I deep breathe. I needed a doctor to recommend him to do some diagnostic exams on me in order to give the right diagnosis. I am very tired of these pains Doctor. Are you able to write me a reccomendation to show my doctor in the military?
Going through your history, it doesn't look typical of angina but in view of 2 episodes of chest pain , definitely angina has to be ruled out and for which you require echocardiogram and stress test to rule out .
For high rate , if documented by symptoms like palpitations or in EKG having high heart rate thyroid profile definitely should be done and if it's normal then depending upon your symptoms you may require Holter monitoring to rule out or to identify the cause of arrhythmia.