- male
- 35 Years
- 07/02/2025
I've been dealing with chest pain for the past one and a half months. I've had a chest X-ray, ECG, Echo, and TMT done, and all the reports came back normal. I even went to a cardiologist, and he said it's not related to my heart. The pain started about a week after I found out I have high BP. I'm currently taking Prolomet AM, Pantocid IT, Drise 60k, and Rozavel. The pain feels like muscle pain on the upper side of my chest, on both sides. Sometimes, it feels like a pinch all over my chest. It also extends to my underarms and neck occasionally, and I feel tightness, especially on the upper right side of my chest. I sometimes have itching in my chest and sensations below my chin and jawline. What's strange is that I feel a bit better after some physical activity, like exercising or walking. Could you help me figure out what's going on? What should I do next?
Answered by 1 Apollo Doctors
tab pantop 40 mg for 5 days 12hrly , and timely eating habits, stop junk food , stop tea coffee and review
Dr. Mubarak Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
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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.
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I've recently had this weird thing happen three times in the last couple of weeks where I suddenly started sweating and felt really dizzy. Two of those times, I was driving, which was pretty scary, and another time it happened while I was just watching TV. I'm kind of worried these could be signs of heart attacks or something else serious. Could you tell me what might be going on, and what kind of doctor I should talk to about this?
Episodes of sudden sweating and dizziness can be concerning symptoms. It is important to rule out any serious issues, including heart problems. However, these symptoms can also be caused by other conditions such as low blood sugar, dehydration, or anxiety. I recommend you to consult a Cardiologist for a thorough evaluation. They may suggest tests like an ECG, echocardiogram, or stress test to assess your heart health. In the meantime, make sure to stay hydrated, eat regular meals, and avoid driving if you feel dizzy to ensure your safety.
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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.