Question 1

I'm having this sharp pain in my chest, kind of in the middle but a little to the left, but it really only hits when I move my shoulder forward. Lately, I've also noticed this chest pain and feeling of unease when I'm lying down, though it seems to go away if I start walking or just stand up. I'm getting a bit worried. Could this be related to my heart or lungs?

Accepted Answer

It sounds like you may be experiencing musculoskeletal chest pain, especially since the pain worsens with shoulder movement. However, given your recent chest pain and uneasiness while lying down, it's important to rule out any heart or lung issues. I recommend you take an over-the-counter pain reliever like ibuprofen (e.g., Advil) for the musculoskeletal pain. If the chest pain persists or worsens, or if you experience any other concerning symptoms, please seek medical attention for further evaluation and possible imaging tests like an ECG or chest X-ray.

Question 2

I'm really confused because I keep having chest pain, but my tmt, ecg, and echo are all normal. I've had about 20 ecgs, but everything checks out fine. I'm not sure what to do next. Any ideas or advice would be really appreciated.

Accepted Answer

Thats unusual,visit General Physician for appropriate approach.and maintain balanced diet and healthy lifestyle

Question 3

I'm trying to understand the difference between the results of my echo and my CT scan regarding my heart condition. My echo shows mild concentric LVH with lvpwdd 12.2 and ivs d 12, and my LVEF is at 73. But my CT scan, which was a 128-slice MDCT of the heart, suggests normal LVH and a normal LV cavity with normal thickness, having a zero calcium score. Also, my TMT came out negative for any chest pain-related issues. I'm kind of confused here. Which result should I rely on when it comes to the left ventricular hypertrophy? Which is considered more accurate or should I be concerned about something else here?

Accepted Answer

Both CT angiography and echocardiogram are valuable tools for assessing left ventricular hypertrophy (LVH), but they provide different types of information. In your case, since the CT angiography showed normal left ventricular cavity with normal thickness and normal coronary arteries, and zero calcium score, it indicates a healthy heart without any structural abnormalities or blockages. On the other hand, the echocardiogram reported mild concentric LVH with specific measurements of left ventricular posterior wall thickness (LVPWd) and interventricular septum thickness (IVSd). Given the discrepancy between the two imaging modalities, it is important to consider the clinical context and overall picture. In this scenario, the findings from the CT angiography showing a normal heart structure and function, along with a negative TMT (treadmill test), are more indicative of a healthy heart. Therefore, the CT angiography results are more reliable in this case. To address the chest pain related problem, you can consider taking medications like Amlodipine (5mg) for blood pressure control and Metoprolol (25mg) for heart rate control. Additionally, Nitroglycerin sublingual tablets can be used for chest pain relief as needed. It is also important to follow up with your healthcare provider for further evaluation and management.

tab pantop 40 mg for 5 days 12hrly , and timely eating habits, stop junk food , stop tea coffee and review

More Cardiology Health Queries

I'm really confused because I keep having chest pain, but my tmt, ecg, and echo are all normal. I've had about 20 ecgs, but everything checks out fine. I'm not sure what to do next. Any ideas or advice would be really appreciated.

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