- Male
- 36 Years
- 22/01/2025
I'm a bit worried after getting some tests done. I had an ECG yesterday due to some mild chest pain, and it showed abnormal inferolateral ischemia. Then I went through a TMT, and it came out borderline positive for inducible myocardial ischemia at 10.1 Mts. Can you help me understand what all of this means? Is it something I need to be really concerned about?
Answered by 1 Apollo Doctors
Based on the findings of infrolateral ischemia on the ECG and borderline positive result on the TMT for myocardial ischemia, I recommend starting treatment with Aspirin 75mg once daily to prevent blood clot formation and reduce the risk of heart attack. Additionally, you can take Atorvastatin 20mg once daily to lower cholesterol levels and reduce the risk of further heart issues. It is important to follow up with a cardiologist for further evaluation and management.
Dr. Dhankecha Suggests...
Consult a Cardiologist
Answered 04/07/2025
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View allI've been dealing with this left side chest pain for more than a year now and it's really worrying me. I've seen a couple of doctors and even a psychiatrist, and they all say my heart is fine. I've had a full body checkup, and apart from low vitamin D and some past hyperthyroid issues, everything looks normal. My thyroid levels are okay now, and the antibody tests came back fine. They say I have panic attack anxiety and hypochondriasis. I mean, all my tests like ECGs, TMT, chest X-ray, ultrasound, and endoscopy are normal, and even my cholesterol levels are fine. Still, I can't shake off this weird feeling, like I'm scared of having a heart attack because of the chest pain. I can run long distances without any problems. Oh, and I should mention that I smoke 2 to 3 cigarettes a day, and I used to drink heavily, but I've quit that. I'm just trying to figure out if this is just anxiety playing tricks on me or if there's something actually wrong with my heart. Any advice?
It sounds like you have been thoroughly evaluated for your left side chest pain and all the tests have come back normal, indicating that there is nothing wrong with your heart. Given your history of panic attacks, anxiety, and hypochondriasis, along with the normal cardiac tests, it is likely that your symptoms are related to anxiety rather than a cardiac issue. To help manage your anxiety and chest pain symptoms, you can consider taking an anxiolytic medication such as lorazepam (Ativan) as needed for acute episodes of anxiety. Additionally, you may benefit from a selective serotonin reuptake inhibitor (SSRI) such as sertraline (Zoloft) or escitalopram (Lexapro) for long-term management of anxiety. It is important to continue practicing healthy habits such as quitting smoking completely, maintaining a balanced diet, exercising regularly, and managing stress through relaxation techniques or therapy. If you continue to experience chest pain or anxiety symptoms, it would be advisable to follow up with a mental health professional for further evaluation and management. Remember, it is essential to prioritize your mental health and well-being in addition to physical health.
Answered by 1 Apollo Doctors
I'm pretty worried right now because my heart rate is 92102 per minute while I'm just laying down. It's making me feel really nervous and even more sick. Plus, my left hand and the left side of my back (not right in the middle) are aching. Could this be some kind of warning sign?
Your symptoms of increased heart rate, nervousness, left hand ache, and left side back pain could be due to anxiety or stress. However, it is important to rule out any underlying heart condition. I recommend you take a tablet of propranolol 10mg to help lower your heart rate and reduce anxiety. You can take it up to three times a day as needed. Additionally, you can take acetaminophen 500mg for the left hand and back pain. Make sure to rest and try some relaxation techniques to help alleviate your symptoms.
Answered by 1 Apollo Doctors
I've been dealing with blood pressure issues for about a year now. Initially, I was on S Numlo, but I had to stop because it caused swelling in my legs. Then, I switched to Eritel 40 mg for a few months, and now I've been taking Eritel 20 mg for the past couple of months. My main concern is that I've been gaining weight since my blood pressure diagnosis, and I'm worried it might be because of the Eritel tablets. Do you think the medication could be causing the weight gain?
Weight gain is a common side effect of certain blood pressure medications, including Eritel (Metoprolol); consider discussing alternative medications or adjusting your dosage with your doctor, and in the meantime, focus on a healthy lifestyle, including a balanced diet, regular exercise (aiming for 150 minutesweek), and stress management techniques to help manage weight and blood pressure.
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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.