Question 1

I'm feeling some chest and back pain that seems to move around my upper body, and it's been going on for about 4-5 months now. I've done a bunch of tests like an endoscopy, throat scope, and both ECG and a 2D echo, and they all came back normal. I'm just curious, could this be related to something like variant angina? And do painkillers even help with angina pain?

Accepted Answer

based on your symptoms and normal test results, it is possible that you may be experiencing variant angina, also known as Prinzmetal's angina. Variant angina is a type of chest pain caused by coronary artery spasm, which can lead to temporary narrowing or constriction of the coronary arteries. For variant angina, painkillers like nitroglycerin can help relieve the chest pain by relaxing and dilating the coronary arteries, improving blood flow to the heart muscle. Nitroglycerin is commonly prescribed for angina and is available in various forms such as sublingual tablets or spray. The usual dosage is 0.3 to 0.6 mg sublingually as needed for chest pain. It is important to follow up with a cardiologist for further evaluation and management of your symptoms.

Question 2

I've been feeling a bit uneasy since lunch yesterday and decided to see a doctor around 5:30 because I was anxious. He suggested an ECG, and my report mentioned a moderate T wave abnormality and an anterior ischemia with 0.1 mV T wave in V3V4, calling it an abnormal ECG. Do you think I should see a cardiologist about this? Is there something serious I need to be concerned about?

Accepted Answer

the probable diagnosis is asthma,chronic ronchitis, bronchopneumonia etc, pulmonologist opinion is advised.

Question 3

I recently had a 2D echo and ECG done on the 5th of Jan and they came out normal. Now I'm having neck and shoulder pain and I'm worried. Could this be a sign of a stroke? I'm a patient who had an ASD device closure.

Accepted Answer

Neck and shoulder pain can have various causes and may not necessarily be a sign of a stroke. However, given your medical history as an ASD device closure patient, it is important to monitor any new symptoms closely. To address your neck and shoulder pain, you can take over-the-counter pain relievers such as acetaminophen (e.g. Tylenol) at a dose of 500mg to 1000mg every 4 to 6 hours as needed for pain. Additionally, you can apply a warm compress to the affected area and practice gentle neck and shoulder stretches. If the pain persists or worsens, it is advisable to follow up with your cardiologist or healthcare provider for further evaluation and management.

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More Cardiology Health Queries

I recently had a 2D echo and ECG done on the 5th of Jan and they came out normal. Now I'm having neck and shoulder pain and I'm worried. Could this be a sign of a stroke? I'm a patient who had an ASD device closure.

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