apollo
  • male
  • 50 Years
  • 07/02/2025

I'm a bit puzzled because my ECG is coming back normal, but I'm still feeling pain in my left arm and shoulder. Last Tuesday, my blood pressure was at 160, and now it's around 11064. Can you help me figure out what's going on?

Doctor 1

Answered by 1 Apollo Doctors

it should be normal

Dr. Dhankecha Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm really concerned about this recurring middle chest pain I've been experiencing. I had a coronary angiogram done a while back on March 14, 2014, and everything showed normal coronaries, except for this myocardial bridging of the LAD. Can you help me understand what this means? Is this related to my chest pain, and should I be worried about it? Also, is there a validity period for the angiogram results, or is it something I should get checked again after a certain time?

The validity of your coronary angiogram performed on 14.3.14, which showed normal coronary arteries and myocardial bridging of the LAD, can diminish over time due to factors such as the progression of coronary artery disease, changes in symptoms, and continued risk factors like smoking or high blood pressure. Since the angiogram only provides a snapshot in time, it's important to regularly monitor your heart health, especially if you experience new or worsening chest pain. For the most accurate and up-to-date assessment, please consult your cardiologist, who may recommend repeat testing or other diagnostic procedures based on your current condition. Regular follow-ups are crucial to ensure your heart health is effectively managed.

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Doctor 1Doctor 2

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Today I was feeling really breathless, so I decided to see a cardiologist. They had me do an ECG, and after looking it over, the doctor recommended getting another one in 23 days. Should I be worried about what my ECG showed? I'm also on antidepressants, and I've heard they can sometimes cause long QT syndrome. Could that be what's going on with my QTc interval? I've attached my ECG, and I'm just hoping you can let me know if there's anything abnormal.

The QTc interval on your ECG appears to be prolonged, which can be a concern as it may lead to arrhythmias. Since you are on antidepressant medication, it is important to monitor this closely as some antidepressants can indeed prolong the QT interval. I recommend discussing this with your cardiologist and considering a change in medication if necessary. In the meantime, you may benefit from taking a medication like Escitalopram at a lower dose to reduce the risk of QT prolongation.

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Doctor 1Doctor 2

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I'm having this recurring pain in my left hand that comes and goes. I got an ECG, and it came out normal. I had a full body check-up at the end of September, and everything seemed fine, except they said I had a vitamin D and B12 deficiency and low hemoglobin. I'm also feeling this tightness on my left side of the chest, kind of near the shoulder. I've been dealing with acidity since May till August. With all these symptoms, I'm wondering if this could be related to acidity, or should I be worried about a heart problem? I'm currently taking Ambulax and Serlift once a day. What do you think might be going on here?

It sounds like you may be experiencing musculoskeletal pain or nerve-related pain in your left hand, possibly related to the tightness in your chest near the shoulder. Since your ECG is normal and you have a history of acidity, it is less likely to be a heart problem. The pain could be related to the vitamin deficiencies and low hemoglobin levels. To help with the pain and tightness, you can try taking a pain reliever like Tylenol (acetaminophen) as needed. Additionally, you can apply a topical pain relief cream like Volini gel on the affected area. For your acidity, continue taking Ambulax as prescribed. However, if the symptoms persist or worsen, it is advisable to consult with a doctor for further evaluation and management.

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