apollo
  • 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.

Doctor 1

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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I'm having some pain that I'm worried about. It's mostly on my left elbow, both upper and sometimes the inner part, and I also feel pain just below my left ear on the jaw. Besides that, I get this discomfort below my left chest and it usually happens when Ive got gas. I've had an ECG done back in August and everything came out normal, but I'm still concerned. The pain kind of comes and goes without any chest pressure or breathing issues. Could this be heart-related? Sometimes the pain hits my back too. My blood pressure is 127 over 79 and my total cholesterol level is 264. Do these symptoms sound like I should be worried about my heart?

Based on the symptoms you have described, such as pain in the left elbow, left jaw, below the left chest, and sometimes in the back, which worsen when you have gas, along with normal ECG results and absence of chest pressure or breathing problems, it is less likely to be cardiac-related. The pain you are experiencing may be musculoskeletal or related to gastrointestinal issues. For the pain in your left elbow and jaw, you can take over-the-counter pain relievers like acetaminophen. For gas relief, you can try simethicone-based antacids. Additionally, for high cholesterol levels, you may consider starting a statin medication like atorvastatin at a low dose. It is important to follow up with your healthcare provider for further evaluation and management of your symptoms. Remember to maintain a healthy lifestyle with regular exercise and a balanced diet to help manage your cholesterol levels.

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Is there a way to manage mild TR or keep it stable over my lifetime? I'm 30 now and I'm really wondering how I can handle this situation.

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