I'm feeling a bit worried because all my tests like ECG, echocardiography, TMT, and CT coronary angiogram came back normal, but I'm still having symptoms every day. Could it be microvascular angina or maybe spasms in my arteries, or is it something else entirely?

Answered by 1 Apollo Doctors

Dr Kareemulla Shaik

General Practitioner

MBBS
0+ Yrs

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Based on your normal test results and everyday symptoms, it is possible that you may be experiencing microvascular angina or spasms in the arteries. In such cases, medications like Nitroglycerin sublingual tablets can be helpful in relieving symptoms. The usual dosage is 0.3 to 0.6 mg sublingually as needed. Additionally, medications like Calcium channel blockers such as Amlodipine can also be prescribed to help with vasospasms. The typical dosage for Amlodipine is 5 to 10 mg once daily. It is important to follow up with your healthcare provider for further evaluation and management.

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Answered 04/07/2025

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I'm feeling really concerned because for the last 23 days I've been having this chest pain on the left side. It spreads to my left hand and even down to my wrist. It feels like my chest is being squeezed, and at times it's like someone's poking me with a pin. The pain sometimes goes to my back too. About six months ago, I had this pain that felt like a mild heart attack. Do you think this could be something serious?

Chest pain, especially when radiating to the arm and back, could be a sign of a heart issue. Given your past experience, I strongly recommend that you seek immediate medical evaluation to rule out any serious heart conditions.

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I'm wondering if you can help me understand what's going on with my blood pressure. It's been fluctuating a lot, sometimes shooting up to 180 over 110, and my pulse rate gets really high too. My heart and sugar levels are fine, but this blood pressure issue is worrying me. Do you have any advice or medication suggestions to help stabilize it?

Visit your Physician for evaluation and appropriate management

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I'm a bit concerned about what my recent echo showed. It mentioned something called Grade I diastolic dysfunction. Is this something normal that I shouldn't worry about or do I need to consider any treatment? Would really appreciate some guidance.

See a specialist for accurate diagnosis and targeted treatment.

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