apollo
  • female
  • 20 Years
  • 29/01/2025

I'm 20 and recently had two echocardiograms, one showing RVSP at 37 mmHg and the other at 29 mmHg. Both mentioned normal pulmonary artery and veins, and there's MVP with mild eccentric regurgitation. I'm worried about the possibility of pulmonary artery hypertension and whether it could be idiopathic. Could you help me understand what's going on?

Doctor 1

Answered by 1 Apollo Doctors

Visit your Physician for appropriate management

Dr. Chandra Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I've been experiencing some discomfort and I'm really concerned. I'm a 23-year-old male and since January, I've had some pain in my right and left chest, as well as below my ribs. I tried taking medication for acidity at first. I noticed my heart rate is around 65 bpm while sitting but jumps to 90-100 bpm when I stand. This got me worried so I went to the hospital where my BP was 11090. The ECG came back normal, but the doctor suggested a 2D echo test. I've attached the results. I was on esomacD 40mg and etizola beta 0.25mg until the end of February, which seemed to help reduce the chest pain and occasional racing heartbeats. Today though, while resting, I felt a brief pain for about 3 seconds in the middle of my ribs on the left bottom side. My pulse was normal then. Could this be a sign of a heart attack or is there any risk involved?

Based on the information provided, it is unlikely that the symptoms you are experiencing are indicative of a heart attack. The normal ECG results and the improvement in chest pains and heart rate with the medications you were prescribed suggest that your symptoms may be related to other factors such as acid reflux or anxiety. Since you have already undergone medical evaluation including an ECG and 2D echo test, it is important to continue following up with your healthcare provider for further assessment and management. To address the occasional racing heart rate, you can consider taking Metoprolol 25mg once daily as prescribed by your doctor. Additionally, for acid reflux symptoms, you can continue using Esomac-D 40mg once daily before breakfast. If you experience any new or worsening symptoms, especially chest pain that radiates to your arm, jaw, or back, along with shortness of breath, dizziness, or nausea, seek immediate medical attention. Regular follow-up with your healthcare provider is essential to monitor your condition and adjust your treatment plan as needed.

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I'm feeling a bit confused and worried because I recently had some tests done. My TMT came back mildly positive, but my CT angiography, ECG, and echocardiogram all showed normal results. What could be the main reason for the TMT result? Could there be other factors affecting it? I'd really appreciate some clarity on this.

TMT (Treadmill Test) showing mildly positive results could indicate a possibility of coronary artery disease. However, since the CT angiography, ECG, and echocardiogram are all normal, other factors could be contributing to the mildly positive TMT result. These factors may include false-positive results, underlying medical conditions such as hypertension, or medication interference. To address the mildly positive TMT result and rule out any potential issues, your doctor may recommend lifestyle modifications, such as regular exercise, a healthy diet, and stress management. In some cases, medication like aspirin or statins may be prescribed to manage the risk factors for heart disease. Regular follow-up with your healthcare provider is important to monitor your heart health.

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