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Can blood clot in carotid artery cause chest pain?

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Can blood clot in carotid artery cause chest pain? I've had tingling pain in chest and arm and shoulder and neck for a week. 37 year old female. P.s. Have done MRI in head and chest. Ct on head and chest. MRI reveals low blood flow to right side of brain with lesions. Blood tests show positive d dimer test and blood in urine 4 times.thank u for reading.

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replied April 17th, 2011
Chest Pain Answer A22030
Hello and thank you for your post on e health forum.

From the history provided it seems that you might be having symptoms due to carotid artery occlusion (Cause - probably arterial thrombosis, or atherosclerosis)

Usually any occlusion in the carotid artery does not cause chest discomfort. It mainly presents with symptoms due to reduced brain perfusion. Typical symptoms are contralateral weakness or sensory disturbance, ipsilateral blindness, and (if the dominant hemisphere is involved) dysphasia, aphasia or speech apraxia.

Presence of associated symptoms of pain in chest, shoulder, and the arm, could be due to associated conditions like coronary artery disease, pulmonary embolism (PE), etc.

Since blood tests have already revealed evidence of thrombosis (Positive D dimer), the main cause could be a systemic thrombotic disorder.

You might benefit by visiting the ER and getting a Spiral (helical) CT scan to rule out PE and other tests to rule out CAD.

In addition blood coagulation panel can be done to determine the need for prophylactic treatment with anticoagulants.

I hope this helps.

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