apollo
  • female
  • 45 Years
  • 07/02/2025

I had a TMT test in February 2019 and an Echo in April 2020, and both were normal, but I'm still experiencing a lot of symptoms. I've been having chest discomfort that moves to my throat and arm for over two years now. I get ECGs done twice every month since 2019, and they only show sinus tachycardia. How long should I trust the normal TMT results? Since it's not COVID causing this, I keep wondering if I should repeat the TMT and Echo. What do you think?

Doctor 1

Answered by 1 Apollo Doctors

That could be due to anxiety visit Psychiatrist for evaluation and appropriate management

Dr. Shubham Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I've noticed my heart rate is pretty high, around 110 bpm, even though all my tests like blood work, TMT, and the ECG are normal, with just sinus tachycardia showing up. I don't have any issues when I'm running, but the high heart rate still worries me. I'm really anxious about my heart, and even my blood pressure is normal. Could anxiety be causing this, or is there something else I should consider?

You may be experiencing anxiety-related tachycardia. In such cases, it is important to address the underlying anxiety to help reduce the heart rate. You can try taking propranolol (brand name: Inderal) as needed to help lower your heart rate and reduce anxiety symptoms. Additionally, practicing relaxation techniques such as deep breathing exercises or mindfulness meditation may also be beneficial in managing your anxiety and heart rate.

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Hey, I've been having this left chest pain for a year now. I've done a TMT test and it came back negative. In the past year, I've had a 2D echo done 3 times and about 40 ECGs, all normal, but the pain is still there on the left side of my chest. Even though the TMT was negative, the pain persists, and I'm really worried about heart issues. My cholesterol levels are fine, sugar levels are normal, but my BP is 16090. My liver, kidney, and urine tests are also normal. I'm really anxious, especially with all the scary news I see on TV and social media. I've attached the most recent ECG can you please check if there's anything wrong? What should be my next step?

Since your TMT test was negative and your ECGs have been normal, it's good to hear that your cholesterol, sugar levels, blood pressure, liver function, urine test, and renal test are all normal. Given your concerns and persistent symptoms, the next step would be to consider a stress echocardiogram to further evaluate your heart's function under stress conditions. This test can provide more detailed information compared to a standard 2D echo. Additionally, considering your fear and anxiety, it may be helpful to consult with a cardiologist for a more comprehensive evaluation and to address your worries. It's important to address both the physical and emotional aspects of your health.

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.