Does pressure in chest with lightheadedness be a cause for concern?
Patient: 52 woman, Obesse, Once in awhile, resting, driving, I have a build-up feeling in my chest, and know what is coming, skipped heartbeat(s) then rapid beats that catch up. This creates some fear that I might be having a heartattack, but I feel fine afterwards.  Today I had one and felt light headed off and on for two hour now, and have had a headache for about an hour now.  There is a tiny bit of pressure in my chest.  Should I be concerned?  Today is a holiday, should I go to the Dr.'s tomorrow? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Yes, you should definitely consult doctor tomorrow. Your symptoms like chest tightness, heaviness, skipped beats, rapid pulse rate, lightheadedness  etc are more suggestive of heart diseases. You are also approaching menopause. So hormonal changes (low estrogen and progesterone) are likely in your case. And these changes are risky factors for heart disease. So consult doctor and get done 1. Blood pressure monitoring 2. Ecg 3. 2d echo 4. Stress test (trade mill test). Don't worry, you will be alright with appropriate medicines. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.