- Female
- 28 Years
- 22/01/2025
I'm feeling worried because I've been having arm pain alongside chest pain. I've already had an EKG, some blood work, and an X-ray, and all the results were normal except the EKG, which showed some abnormalities. What might be causing this?
Answered by 1 Apollo Doctors
Given your symptoms of arm and chest pain, and abnormal EKG results despite normal blood work and X-ray, possible causes could include: musculoskeletal strain, costochondritis, pericarditis, or gastroesophageal reflux disease (GERD); however, the abnormal EKG result warrants further evaluation, so consider consulting a cardiologist to rule out underlying cardiac conditions, such as myocardial bridging, coronary artery spasms, or cardiac syndrome X.
Dr. Dr Khaleel Suggests...
Consult a Cardiologist
Answered 04/07/2025
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View allI'm wondering if taking a beta blocker before getting an ECG might hide any signs of a heart attack. Could it affect the results or mask any important signals that might indicate a problem?
Taking a beta blocker before an ECG can indeed affect the results by potentially masking or hiding signals of a heart attack. Beta blockers can lower heart rate and blood pressure, which may impact the ECG readings. It is generally recommended to avoid taking beta blockers before an ECG if there is suspicion of a heart attack. If you are scheduled for an ECG and are taking beta blockers, it is advisable to consult with your healthcare provider about whether to temporarily stop the medication before the test.
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I'm curious about what's happening with my heart. Sometimes my ECG shows these non-specific ST changes, and while my echo was normal, I'm still worried. I often feel chest discomfort and pains in my left arm. Is there something specific these ST changes could indicate, even though my ECG and echo seem alright? Could something be missed?
Non-specific ST changes on an ECG can be caused by various factors, including electrolyte imbalances, medications, anxiety, or even normal variation. Since your echocardiogram was normal, it is less likely to be related to a structural heart problem. However, given your symptoms of chest discomfort and left arm pains, it is important to continue monitoring and investigating further. To address your symptoms, you can try taking a medication like aspirin for chest discomfort (75-325mg once daily) and acetaminophen for pain relief in your left arm (500-1000mg every 4-6 hours as needed). Additionally, you may benefit from a medication like ranitidine for acid reflux if present (150mg twice daily). It is important to follow up with your healthcare provider for further evaluation and management of your symptoms.
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I'm looking at my 2D echo report and trying to understand a couple of things. It mentions there's no regional wall motion abnormality and that my LV systolic function is good with a normal filling pattern. I'm relieved that there's no MR, AR, or precardial effusion, and no clots were found, but it says there's trivial TR and mild PAH. Could you help me understand what mild PAH means? From what you see in my report, how should I feel about these results overall?
That not a matter of concern just consume healthy diet and maintain regular physical activity follow your doctors advice
Answered by 1 Apollo Doctors
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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.