Question 1

I'm feeling really concerned about some symptoms I've been having lately. There's this persistent pain on the left side of my chest and in my left arm, and it's been going on for about four months now. I did a TMT test three months ago and it came back negative, but I'm still worried. I got my ECG and Echo done a few days ago and was told it's anxiety. Could you take a look at the results I've attached and let me know what you think?

Accepted Answer

"Based on your symptoms and previous tests, it seems like you may be experiencing musculoskeletal pain or nerve-related pain rather than a cardiac issue. You can try taking over-the-counter pain relievers like acetaminophen (Tylenol) for the chest and arm pain. Additionally, you can apply a topical pain relief cream like diclofenac gel to the affected areas. Make sure to follow the recommended dosage instructions on the packaging. If the pain persists, you should follow up with your doctor for further evaluation and management."

Question 2

I've checked my lipid profile and noticed that my serum triglycerides are at 234. I'm wondering how many Ecosprin AV150 tablets I should be taking for this. Can you help clarify?

Accepted Answer

Thats unusual,visit General Physician for appropriate approach.and maintain balanced diet and healthy lifestyle

Question 3

I'm really worried because my homocysteine level is 93. Is that really dangerous? I also have MVP with moderate MR. I'm relieved that my white and red blood cells are at normal levels. Should I be concerned about the high homocysteine given my condition?

Accepted Answer

Hi, based on your homocysteine level of 93, it is considered high. Elevated homocysteine levels are associated with an increased risk of cardiovascular diseases. To lower your homocysteine levels, you can take folic acid, vitamin B6, and vitamin B12 supplements. I recommend taking a combination of medications such as Foltx (folic acid 1 mg, vitamin B6 25 mg, vitamin B12 1 mg) once daily. It is important to consult with your healthcare provider for proper monitoring and management.

Question 4

I've recently come across my TMT results, which show a mildly positive reaction with horizontal ST depression up to 2mm in some leads, but it normalizes quickly in recovery. My echo came out normal, and I don't smoke, drink, or have any early CAD fam...

Accepted Answer

Given your history of chest painpressure, especially with brisk walking, and the findings on your recent TMT showing mildly positive results with horizontal ST depression, it is important to consider the possibility of coronary artery disease (CAD) even in the absence of traditional risk factors. The fact that the ST depression normalizes within 15 seconds of recovery is somewhat reassuring, but further evaluation is warranted. Considering your symptoms and history of anxiety, it is also possible that the chest pain you are experiencing could be related to anxiety. However, it is crucial not to dismiss the possibility of CAD, especially with the new onset of localized chest pain and your TMT results. Given your overall profile and symptoms, I would recommend further evaluation by a cardiologist. They may consider additional tests such as a coronary angiogram to assess the extent of any possible blockages. In the meantime, it is important to continue monitoring your symptoms and seek medical attention if they worsen or become more frequent. In terms of medication, based on your lipid profile, a statin medication such as Atorvastatin (10-20mg) may be considered to help lower your LDL cholesterol levels and reduce the risk of CAD progression. Additionally, medications to manage anxiety such as Escitalopram (10mg) may be prescribed to help alleviate your symptoms. It is important to address both the cardiac and psychological aspects of your symptoms to ensure a comprehensive treatment approach.

Question 5

I'm experiencing chest pain every morning, and it goes away when I lie down. I can breathe just fine, but it feels like there's something in my chest. What could be causing this?

Accepted Answer

An ecg and cardiac markers are advised.

Question 6

I'm dealing with depression and recently had some heart tests done - my TMT came back negative, and both my ECG and echo were normal. However, my doctor prescribed me macsart 40 for blood pressure. I'm confused and a bit worried. Why would they presc...

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Last updated on 07 Feb 2025

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Related Questions

I've checked my lipid profile and noticed that my serum triglycerides are at 234. I'm wondering how many Ecosprin AV150 tablets I should be taking for this. Can you help clarify?

I'm really worried because my homocysteine level is 93. Is that really dangerous? I also have MVP with moderate MR. I'm relieved that my white and red blood cells are at normal levels. Should I be concerned about the high homocysteine given my condition?

I've recently come across my TMT results, which show a mildly positive reaction with horizontal ST depression up to 2mm in some leads, but it normalizes quickly in recovery. My echo came out normal, and I don't smoke, drink, or have any early CAD fam...

I'm experiencing chest pain every morning, and it goes away when I lie down. I can breathe just fine, but it feels like there's something in my chest. What could be causing this?

I'm dealing with depression and recently had some heart tests done - my TMT came back negative, and both my ECG and echo were normal. However, my doctor prescribed me macsart 40 for blood pressure. I'm confused and a bit worried. Why would they presc...

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