Chest pain accompanied by shortness of breath is worrisome for blood clots in the lungs and very concerning.
Pain between the shoulder blades radiating to the front could represent an aortic dissection, a potentially fatal tear in the aorta.
These three presentations should prompt one to seek emergency care at once.
All chest pain requires a physician evaluation.
Other causes of chest pain that should be investigated including esophageal inflammation or spasm; musculoskeletal discomfort; and pulmonary disease.
There may be benign causes such as a kidney stone or bladder inflammation or prostate infection or more worrisome conditions such as cancer of the urinary tract that can lead to blood in the urine.
If the patient is on blood thinners, it may be more likely that lesions such as cancers of the bladder start to bleed.
Blood in the urine,especially in men, must always be fully investigated.
Bypass grafts do however accumulate plaque over time and can eventually fail. Arterial grafts remain patent for considerably longer than venous grafts. It’s imperative that patients continue to see their cardiologist after surgery to delay the recurrence of blockages and to prevent major adverse cardiovascular events in the future.