- 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
0
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View allI recently bought an oximeter and noticed something that puzzled me. When I checked my levels while resting, it showed 95 bpm, 99 SpO2, and 7 PI. But after a little exercise, it went up to 130 bpm, 99 SpO2, and the PI dropped to 2. Ive experienced palpitations and panic attacks before, so my heart rate sometimes spikes to 180 during exercise. I had medical tests done a few months ago, which were all normal. What I'm confused about is why my PI drops so low with higher bpm? Can you shed some light on this?
The Perfusion Index (PI) is a measure of the strength of your pulse and the blood flow to your finger. A low PI% can indicate poor circulation or weak pulse strength. In your case, the decrease in PI% after exercising may be due to increased heart rate and blood flow redistribution to other parts of the body, leading to a weaker pulse signal at the oximeter sensor. This is common during physical activity when the body prioritizes blood flow to muscles and organs. To address this concern, you can try to ensure a good sensor placement on your finger, stay well-hydrated, and avoid excessive movement during oximetry readings. If you continue to have concerns about your PI% readings, it would be advisable to consult with your healthcare provider for further evaluation and guidance
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I'm really worried about my mom. Her heartbeat's been acting up and she's feeling a heavy sensation around her chest. About a month ago, her hemoglobin was really low at 6, and the doctor suggested 7 cycles of iron injections. She's already done five of those. The last four times, it took about 2 to 2.5 hours to finish each cycle, but the nurse did the fifth round in just an hour. Also, they usually fixed the cannula on the back of her hand, but during this last session, they put it on her wrist and told her to hold it. Do you think these changes could be why she's feeling chest heaviness and her heartbeat's speeding up? Can the quick iron injection cause these symptoms?
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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.