- Female
- 45 Years
- 22/01/2025
I'm really worried about some recent health reports I've got. My TSH levels were high at 10.3, so my doctor increased my thyroid medication from 100mg to 125mg. Then after about 25 days, my TSH dropped to 0.70, and I was advised to cut down the medication to 75mg. I'm also confused because my TMT test came back positive for inducible myocardial ischemia, but my ECG and echocardiography were normal. The doctor is now suggesting I go for an angiogram. I'm really anxious about whether these thyroid level changes could be affecting my TMT results. Should I be rushing into getting the angiogram, and is there a real chance of having heart issues even though the ECG and echo were normal? Any advice would be really appreciated.
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View allI've been having a heavy feeling and some pain on the left side of my chest, close to my heart, since this morning. I'm really concerned that it could be something related to my heart, even though I'm only 28. Should I be worried about this, or could it be something else?
yes an ECG along with cardiac markers are advised to the patient
Answered by 1 Apollo Doctors
I'm really worried about this situation where someone feels tired and uneasy in their chest after walking a short distance. Even though all the medical tests like the blood sugar, ECG, and X-ray came back normal, they still need to rest before they can keep going. What could be causing this, and what should we do next?
It sounds like your symptoms could be related to angina, which is chest pain or discomfort that occurs when the heart muscle doesn't get enough oxygen-rich blood. Since your check-up results were normal, it's important to continue monitoring your symptoms and follow up with your doctor if they persist or worsen. In the meantime, you can try taking a medication like **Aspirin** 75mg once daily to help improve blood flow to the heart and reduce the risk of blood clots. Additionally, **Nitroglycerin** sublingual tablets can be taken as needed for chest pain relief (0.4mg every 5 minutes, up to 3 doses). Remember to always carry your nitroglycerin with you in case of emergency. If your symptoms continue, further evaluation by a cardiologist may be necessary.
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I'm noticing my heart rate hits around 100 to 120 during the day but drops to 80 to 90 while I'm asleep. I had an ECG done, and it showed sinus tachycardia, but the echo and thyroid results came back normal. What should I do next?
Given your heart rate of 100-120 during the day and 80-90 at night, along with an ECG showing sinus tachycardia and normal echo and thyroid reports, its important to explore other potential causes. The next steps could include: 1. Holter Monitor: Wearing a Holter monitor for 24-48 hours can provide detailed information on your heart rate and rhythm throughout the day and night. 2. Electrolyte Levels: Blood tests to check for electrolyte imbalances that may affect heart rate. 3. Lifestyle Factors: Evaluate and address lifestyle factors such as caffeine intake, stress, anxiety, and physical activity levels, which can all influence heart rate. 4. Autonomic Function Tests: Assess autonomic nervous system function to rule out conditions like POTS (postural orthostatic tachycardia syndrome). Consult with your healthcare provider to discuss these options and determine the appropriate next steps for further evaluation and management.
Answered by 1 Apollo Doctors
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.






