- 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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I'm really worried about my health. Every year I get a check-up done, and back in November 2019 at Narayana Hrudyalaya Bangalore, everything was fine my ECG, Echo, and cholesterol were all normal. But I recently did another cholesterol test, and the results are making me anxious: Total cholesterol is 180, Triglycerides 130, HDL 15, Direct LDL 137, and Non-HDL 165. Lately, I've been feeling this discomfort in my arms and sometimes around my neck, which only lasts a few seconds, but it's got me really concerned about a possible heart attack. My blood pressure is at 12880, and I've been on BP meds for four years now. Back in 2017, both the Holter and Ambulatory tests were normal too, just like the Echo and ECG from November 2019. I'm questioning if there's something serious happening. Should I get another Echo? Is an angiogram necessary? I'm pretty scared and would appreciate any advice.
Given your normal results from previous ECG, Echo, and Holter tests, as well as your relatively controlled blood pressure and current cholesterol levels, it's reassuring to some extent. However, the discomfort in your arms and neck, although lasting only a few seconds, deserves attention, especially given your fear of a heart attack. It would be wise to discuss these new symptoms with your cardiologist. They may recommend repeating some tests, such as an ECG or an Echo, to ensure no changes have occurred since your last evaluation. Depending on their assessment, they may also consider a stress test or a coronary angiogram to rule out any significant coronary artery disease. It's important to address these concerns promptly to alleviate your fears and ensure your heart health is appropriately managed.
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I'm really worried about some health stuff. I recently took a test that showed mild PAH, and I'm wondering if that's something I need to be concerned about. Ever since I moved to India from Australia, my anxiety has gotten really bad. I've had a pulse of 134 a few times, especially during the lockdown and just yesterday because I was so tense. I'm 33, 4 ft 8 in, and weigh 44 kilos. I eat really healthily, avoiding processed foods and carbs. Should I be worried about these things or am I overthinking it?
Mild pulmonary arterial hypertension (PAH) can be a cause for concern, but its impact varies depending on the underlying cause and overall health. Elevated heart rates during periods of tension and anxiety are not uncommon and can exacerbate feelings of discomfort. Given your history of anxiety, its important to manage stress effectively and monitor your heart health. Since you have a history of mild PAH and experience significant anxiety, it would be beneficial to discuss this with your cardiologist and possibly a mental health professional. They can help monitor your condition and provide strategies to manage anxiety, which can, in turn, help stabilize your heart rate. Techniques such as mindfulness, cognitive-behavioral therapy (CBT), or medication might be recommended.
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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.