What causes chest pain?
Patient: I was resently told that my ANA was positive again after 12 years, I went to the ER today with chest pains normal BP is 90/60 was 140/80 heart rate going from 66 to 110 when my chest pains were happing the only blood work that was abnormal was my ALT was 65.  Gave me Xanax, Morphine and still having chest pains just not as sharp Home now still having chest pains taking lortab and Xanax ...What is wrong Doctor: Hi thanks for asking question.Elevated ALA here can be because of heart problem.Do you have done ECG?You have positive ANA ..so you could have SLE like multisystem disorder ..Rule out it by antids DNA or other suitable method.SLE can lead to endocarditis and so chest pain can occur.Do your ECG to rule out cardiac condition.If still pain increasing and respiratory symptoms present with fever chest x ray done to rule out infection.If you have long term viral infection then also chest pain can occur as constitutional symptom.Wish you good health...Take care...