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

I'm a bit confused because I recently got a stress test done, and the results said it's negative for inducible ischemia during the TMT test. What does this really mean? Should I be worried or is this a good sign?

Doctor 1

Answered by 1 Apollo Doctors

normal

Dr. Kareemulla Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm having chest pain on the left side and it's been going on for quite a while now. I've had some tests done and it turns out there's a blockage in my heart. Do you think I should see a surgeon about this?

Based on your symptoms and test results showing blockage in your heart, you may need to start taking medications to manage your condition. One common medication prescribed for this is Aspirin, which helps to prevent blood clots and reduce the risk of heart attack. The usual dosage for Aspirin in this case is 75mg to 325mg per day. Additionally, a statin medication like Atorvastatin may be prescribed to lower cholesterol levels and reduce the risk of further blockages. The typical starting dose for Atorvastatin is 10mg to 20mg once daily. It is important to follow up with a cardiologist for further evaluation and management of your heart condition.

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I'm a 56-year-old guy, weighing 83 kg, and after 10 months of taking rosuvastatin, my LDL cholesterol is now 68 mgdL. I'm also dealing with hypertension and diabetes, taking metformin 500 mg and Ramipril 2.5 mg, as well as aspirin and metoprolol succinate 25 mg. I haven't done an angiography yet. Given that I'm on all these medications, what should my next steps be to improve my health?

Based on your medical history and current medications, it is important to address your mildly positive TMT (Treadmill Test) result and the fact that you have not undergone angiography yet. To further improve your cardiovascular health and assess the status of your coronary arteries, it would be advisable to consult with a cardiologist for a more detailed evaluation. The cardiologist may recommend undergoing a coronary angiography to visualize any blockages in your coronary arteries and determine the best course of action. In the meantime, continue with your current medications: - Rosuvastatin for cholesterol management - Aspirin for antiplatelet effects - Metoprolol succinate for blood pressure control - Ramipril for blood pressure control - Metformin for diabetes management Ensure that you are following a healthy lifestyle with regular exercise, a balanced diet, and weight management. It is also essential to monitor your blood pressure, blood sugar levels, and cholesterol levels regularly. If you experience any chest pain, shortness of breath, or other concerning symptoms, seek immediate medical attention. Regular follow-ups with your healthcare provider are crucial for ongoing management and monitoring of your conditions.

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I've been noticing this tingling sensation on the left side below my chest and sometimes at my back. It's not constant but usually happens when I'm lying down and occasionally when I'm sitting. I checked my blood pressure, which was 12381, and when I'm relaxed my pulse rate is around 60, but sometimes it drops to 55. Do you think this is something to be concerned about?

Tingling sensation on the left side below the chest and at the back could be due to nerve compression or irritation. Since your blood pressure and pulse rate are within normal limits, it is less likely to be related to a cardiovascular issue. However, it is important to rule out any musculoskeletal or neurological causes. I recommend taking a muscle relaxant like Flexeril (cyclobenzaprine) 5mg to help with any muscle tension that may be contributing to the tingling sensation. Additionally, you can take an anti-inflammatory medication like ibuprofen 400mg to reduce any inflammation that may be affecting the nerves. If the symptoms persist or worsen, it is advisable to consult a healthcare professional for further evaluation and management."

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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.