Question 1

So, I've been having this chest pain for a few months now, and I went through all the basic heart checks. My ECG was normal, but it showed Sinus tachycardia, and the TMT came back negative. The first time I did a 2D Echo, they mentioned Mild Concentric LVH, but when I repeated it a few days later, they didnt find any LVH. I even went for another 2D Echo at a different place, and again, they said there was no LVH. Is it common for results to differ like this? Could my chest pain still be related to my heart, and have I done enough tests to rule out any cardiac issues? Also, just to add, I dont smoke or drink.

Accepted Answer

It is possible for there to be discrepancies in medical imaging findings, especially when it comes to conditions like mild concentric LVH. However, since your ECG and TMT results are normal and there is no longer evidence of mild concentric LVH on your recent 2D Echo, it is less likely that your chest pain is cardiac in nature. It is important to consider other potential causes for your chest pain, such as musculoskeletal issues, gastrointestinal problems, or even anxiety. To further evaluate your chest pain and rule out any other cardiac issues, you may consider discussing with your healthcare provider about other tests such as a stress echocardiogram, coronary CT angiography, or cardiac MRI. Additionally, lifestyle modifications, stress management techniques, and regular follow-ups with your doctor are important for your overall health and well-being.

Question 2

I'm a bit confused and concerned after my angiography. It didn't show any blockages, but they did notice some areas of narrowing. Now, they've recommended a thallium stress test. What kind of results can I expect from that? Also, why exactly is it needed when I've just had an angiography? How is it different from angiography?

Accepted Answer

The thallium stress test is used to evaluate blood flow to the heart muscle. It can help determine if there are any areas of the heart that are not receiving enough blood supply, which may indicate coronary artery disease. This test is especially useful when angiography shows no blockages but some narrowness in the arteries. During the thallium stress test, a small amount of radioactive thallium is injected into the bloodstream, and a special camera is used to take images of the heart at rest and after exercise. This helps to identify areas of the heart that may not be receiving enough blood flow, even if there are no significant blockages. The thallium stress test provides complementary information to angiography by focusing on blood flow to the heart muscle rather than just the anatomy of the coronary arteries. It can help to detect areas of reduced blood flow that may not be apparent on angiography alone. In summary, the thallium stress test can provide valuable information about blood flow to the heart muscle, especially in cases where angiography shows narrowness but no blockages.

Question 3

I'm really worried about my mom. She's been having chest pain for a while and thought it might be due to gastric issues, but yesterday it got really bad and lasted more than half an hour. Now she's noticing that when she turns her head to the right, the pain in her chest gets worse. Since yesterday, she's also been feeling some uneasiness in her chest. What could be going on? Should we be worried about something serious?

Accepted Answer

Visit Physician for evaluation and appropriate management

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