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

I'm a 75-year-old man and I'm feeling a bit worried. Back in 1977, I had a T-wave inversion and recently, I developed postural hypotension. My cardiologist checked my ECG, 2D echo, and TMT, and everything seemed normal except for the old T-wave inversion in V4, V5, and V6. He prescribed me to take Deplatt CV once a day, which I've been doing since May 2017. Lately, I've come across some pretty scary stuff about clopidogrel on the internet, and it has me feeling anxious. Could you please let me know if it's really safe for me?

Doctor 1

Answered by 1 Apollo Doctors

Visit Physician for evaluation and appropriate management

Dr. Shubham Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm having some issues with chest pain on my left side, and it's been going on for the last couple of months. The pain comes and goes and often extends from my upper chest to my left arm. I've also experienced some pulling in my left leg and occasional abdominal pain. I've had 5 ECG tests which were normal, and my echo showed an LVEF of 55. Today, we did a TMT. Could you help explain what all this means? Do you think I need any other tests?

It sounds like you may be experiencing symptoms of angina, which is chest pain or discomfort caused by reduced blood flow to your heart muscle. The pain in your upper chest that extends from your shoulder to your left arm, along with left hand pain and abdominal pain, could be related to this. The normal ECG results and an LVEF of 55% from the echo are positive findings. Since you have already undergone a TMT (Treadmill Test), it is good for assessing how your heart responds to exertion. If the TMT results are inconclusive or if your symptoms persist, you may consider getting a coronary angiography to visualize any blockages in the coronary arteries. This test can help determine if there is any significant blockage that may be causing your symptoms. In the meantime, it is important to manage your symptoms. You can take medications like Aspirin to help reduce the risk of blood clots, and medications like Atorvastatin to lower cholesterol levels. Additionally, Nitroglycerin can help relieve chest pain during episodes of angina. It is important to follow up with your healthcare provider for further evaluation and management.

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Doctor 1Doctor 2

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My dad just got a health check-up, and his TMT test came out positive. The doctor suggested we go for an angiogram, and I'm curious if we're on the right path here. Is there a possibility that the angiogram might show no blockages at all? Also, are there any risks we should be aware of when getting an angiogram?

Yes, you're on the right track. A positive TMT (Treadmill Test) suggests that there may be reduced blood flow to the heart, and an angiogram is a standard follow-up to check for any blockages. It is possible that an angiogram might show no significant blockages; sometimes TMT results are positive due to other factors. Angiograms are generally safe, but they do carry minimal risks, such as bleeding, infection, or, rarely, an allergic reaction to the dye used.

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I'm experiencing this weird issue where I sometimes feel short of breath, especially at night when I'm lying down. It doesn't happen often, but it's definitely a bit concerning when it does. I don't have any other symptoms going on. What could be causing this, and should I be worried?

do chest x ray

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