I'm a bit worried about my heart because I was told I have left bundle branch block and that I had a silent heart attack, even though I'm not diabetic. I had an angiography done before my knee surgery, and it showed no major blockages, just a 20% one in my right coronary artery. I've also been dealing with hypertension. Can you help me understand what might be causing the LBBB?

Answered by 1 Apollo Doctors

Dr Dhankecha Dineshbhai

General Practitioner

MBBS
6+ Yrs

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Possible causes for left bundle branch block (LBBB) include underlying heart conditions such as coronary artery disease, hypertension, cardiomyopathy, and heart valve disease. Since you mentioned that you are suffering from hypertension, it could be a contributing factor to your LBBB. It is important to manage your hypertension effectively to reduce the risk of further heart complications. In terms of medication, you may benefit from taking an ACE inhibitor like Lisinopril to help control your blood pressure and protect your heart. The typical dosage for Lisinopril is 10-40mg once daily. Additionally, a beta-blocker such as Metoprolol can also be prescribed to help regulate your heart rate and blood pressure. The usual dosage for Metoprolol is 25-100mg once or twice daily. It is essential to follow up with your healthcare provider regularly to monitor your heart health and adjust your treatment plan as needed.

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Answered 04/07/2025

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I've been having this brief but really intense pain right in the middle of my chest, and it only lasts for a second. It kind of feels like something's bursting in there, and it happens when I'm just resting. It's pretty scary and I'm not sure what I should do. Any thoughts?

It sounds like you may be experiencing a condition known as angina, which is chest pain or discomfort caused by reduced blood flow to your heart muscle. It is important to seek medical attention immediately to rule out any serious underlying heart conditions. I recommend taking a low dose of aspirin (75-150mg) immediately, as it can help reduce the risk of heart attack. Additionally, you should take a sublingual nitroglycerin tablet to help relieve the chest pain. It is important to rest and avoid any strenuous activity until you can see a healthcare professional for further evaluation and treatment.

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I'm really worried about my mom. She's 55 and during her recent health check-up, the TMT showed she's mildly positive for inducible ischemia. Her report mentioned that she exercised for 8 minutes, reaching a maximum METS of 10, and her heart rate went from a resting 70 bpm to a max of 164 bpm, which is 99% of her predicted maximum for her age. Plus, her resting BP was 12078 mmHg and it went up to 15090 mmHg. Can you help me understand what all this means and how serious it might be?

tmt report is normal.

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I'm a bit confused about the results of my TMT test. I didn't feel any chest pain during the test, and it said negative for inducible Ischaemia. But then my doctor mentioned the test was mildly positive. Does this mean I need to consider getting an angiogram?

yes as a prognostic tool you may undergo angiogram as advised.

Answered by 1 Apollo Doctors

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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.