- Male
- 21 Years
- 29/01/2025
I'm a footballer and have been experiencing mild pain in my chest and back occasionally. All tests including ECG and echo came back normal when they were done in July, but the pain hasn't really stopped and sticks around for a while. Should I consider repeating these tests? How regularly do they need to be done for someone with my level of physical activity?
Answered by 1 Apollo Doctors
Since you are experiencing mild pain in your chest and back, especially during physical activity as a footballer, it is important to monitor your heart health regularly. Considering your active lifestyle, it is recommended to repeat the ECG and echo tests annually to ensure there are no changes in your heart function. This regular monitoring will help in early detection of any potential issues and ensure your heart is healthy enough to support your extensive training.
Dr. Kareemulla Suggests...
Consult a Cardiologist
Answered 04/07/2025
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View allI'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 family history. My lipid profile reads LDL at 101, triglycerides at 139, HDL at 33, and a total of 157. I'm quite sedentary, and lately, I've noticed pinpoint pain and pressure in my chest, shoulders, and upper abdomen. It flares up intermittently during brisk walking and feels really localized. I've also been dealing with anxiety for the past four years, so I sometimes have breathing difficulties whether I'm resting or active. Is it possible to have CAD at this age without any obvious risk factors, or could this pain just be anxiety? I did have stress echo tests in the past, which were negative, just like a TMT back in 2016. Could you offer some insight?
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.
Answered by 1 Apollo Doctors
I'm really worried about my dad who's 59 and just got told he has a 'Non specific T abnormality' and 'Flat T wave' in his ECG. He's had a 2D echo too, showing a 60 LVEF and no RWMA at rest. Is this something we should be concerned about?
kk
Answered by 1 Apollo Doctors
I'm experiencing some pain on the left side of my chest and shoulder when I walk. My TMT was negative, and everything else like the Echo and ECG came back normal. I don't have a history of illness, nor do I smoke or drink. Is there something I should be worried about?
Left side chest pain and left shoulder pain on walking without any history of illness, smoking, or drinking could be due to musculoskeletal issues or even anxiety. However, it is important to rule out any cardiac issues. I recommend taking a low dose of aspirin (75-100mg) daily to prevent any potential cardiac events. Additionally, you can take acetaminophen (500mg) for pain relief as needed. If the symptoms persist or worsen, further evaluation by a healthcare professional is recommended.
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.