- Male
- 42 Years
- 22/01/2025
I'm really concerned about this situation. I recently experienced chest pain and pain in my left hand, so I went to the doctor and had a TMT test done. The results came back positive for exercise-induced myocardial ischemia. What's confusing is that I had a CT Coronary Angiogram back in 2019 and everything was normal then. Could you help me understand what this might mean for my heart health now? I've attached my TMT and Angiogram reports for reference.
Answered by 1 Apollo Doctors
Visit Physician for evaluation and appropriate management
Dr. Kareemulla Suggests...
Consult a Cardiologist
Answered 04/07/2025
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View allI'm really concerned about this recurring middle chest pain I've been experiencing. I had a coronary angiogram done a while back on March 14, 2014, and everything showed normal coronaries, except for this myocardial bridging of the LAD. Can you help me understand what this means? Is this related to my chest pain, and should I be worried about it? Also, is there a validity period for the angiogram results, or is it something I should get checked again after a certain time?
The validity of your coronary angiogram performed on 14.3.14, which showed normal coronary arteries and myocardial bridging of the LAD, can diminish over time due to factors such as the progression of coronary artery disease, changes in symptoms, and continued risk factors like smoking or high blood pressure. Since the angiogram only provides a snapshot in time, it's important to regularly monitor your heart health, especially if you experience new or worsening chest pain. For the most accurate and up-to-date assessment, please consult your cardiologist, who may recommend repeat testing or other diagnostic procedures based on your current condition. Regular follow-ups are crucial to ensure your heart health is effectively managed.
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I'm really worried about the results from my ECG which said something about provocable myocardial ischemia, but I haven't had any cardiac symptoms of IHD. I'm only 48 years old and I'm not sure what this means for my heart health. Should I be concerned or do anything specific to address this?
It sounds like you have a positive exercise tolerance test (ITT) for provocable myocardial ischemia without any cardiac symptoms for ischemic heart disease (IHD) at the age of 48. In this case, you may benefit from starting a medication like Atenolol (50-100mg daily) to help reduce the workload on your heart and prevent further episodes of ischemia. Additionally, adding a medication like Aspirin (75-150mg daily) can help reduce the risk of blood clot formation in your coronary arteries. It is important to follow up with your healthcare provider for further evaluation and management.
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I'm worried about a high troponin level of 22.4. Can this be treated with medication, or does it mean I need to be admitted or go through some kind of procedure?
See a specialist for accurate diagnosis and targeted treatment.
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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.