apollo
  • Male
  • 33 Years
  • 22/01/2025

I'm a 33-year-old guy, and I've just been told I have a myocardiac bridge 1520. Lately, I've had a bit of right chest pain, some tightness, and I'm feeling kind of weak. Can you help me understand what's going on with me? I'm really curious and a bit worried.

Doctor 1

Answered by 1 Apollo Doctors

Myocardial bridge is a condition where a segment of one of the coronary arteries tunnels through the myocardium rather than resting on top of it. This can lead to symptoms such as chest pain, tightness, and weakness. In your case, with a myocardial bridge of 15-20%, it is important to manage your symptoms and monitor for any changes. To help alleviate your symptoms, you can take medications such as Beta-blockers like Metoprolol (25-50mg) to reduce the workload on your heart and relieve chest pain. Additionally, Nitroglycerin sublingual tablets can be used for acute chest pain relief. However, it is important to follow up with your healthcare provider for further evaluation and management of your condition.

Dr. Dr Khaleel Suggests...

Consult a Cardiologist

Answered 04/07/2025

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So, I've been having this chest pain for a few months now, and I went through all the basic heart checks. My ECG was normal, but it showed Sinus tachycardia, and the TMT came back negative. The first time I did a 2D Echo, they mentioned Mild Concentric LVH, but when I repeated it a few days later, they didnt find any LVH. I even went for another 2D Echo at a different place, and again, they said there was no LVH. Is it common for results to differ like this? Could my chest pain still be related to my heart, and have I done enough tests to rule out any cardiac issues? Also, just to add, I dont smoke or drink.

It is possible for there to be discrepancies in medical imaging findings, especially when it comes to conditions like mild concentric LVH. However, since your ECG and TMT results are normal and there is no longer evidence of mild concentric LVH on your recent 2D Echo, it is less likely that your chest pain is cardiac in nature. It is important to consider other potential causes for your chest pain, such as musculoskeletal issues, gastrointestinal problems, or even anxiety. To further evaluate your chest pain and rule out any other cardiac issues, you may consider discussing with your healthcare provider about other tests such as a stress echocardiogram, coronary CT angiography, or cardiac MRI. Additionally, lifestyle modifications, stress management techniques, and regular follow-ups with your doctor are important for your overall health and well-being.

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