I've been experiencing this really painful, pinching sharp heartache that makes it hard to breathe. It's mostly in the upper part of my left chest and lasts around 2 minutes. It's happened a couple of times even when I was on an empty stomach or just had some warm lemon water. I've had it at night before dinner too. I got some blood tests done, and they said my lymphocytes were high, but sugar was normal. I often feel short of breath while sitting too, and climbing stairs always makes me breathless. This month, its happened like three times. Do you have any ideas about what this could be?

Answered by 1 Apollo Doctors

Dr Kareemulla Shaik

General Practitioner

MBBS
0+ Yrs

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Could be due to a condition called angina. Angina is chest pain or discomfort caused when your heart muscle doesn't get enough oxygen-rich blood. It may feel like pressure or squeezing in your chest. Given your symptoms and the fact that it has occurred multiple times, it is important to consult a healthcare professional for a proper evaluation and diagnosis. However, based on the information provided, you may benefit from taking medications such as Nitroglycerin sublingual tablets for immediate relief during episodes of chest pain. The usual dosage is 0.3 to 0.6 mg sublingually or chewed at the first sign of chest pain. Additionally, you may also be prescribed medications like Aspirin to prevent blood clot formation and reduce the risk of heart attack. The usual dosage is 75-325 mg once daily. It is important to follow up with a healthcare provider for further evaluation and management of your symptoms.

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Answered 04/07/2025

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I'm really worried about my mom who's 62. She recently had some chest pain, and her ECG came out abnormal. We consulted with a cardiologist, and they did a TMT test, which was strongly positive. She's also had an echo test done. Now we've been told she needs to go for a CAG angiogram test. I'm just trying to understand how serious her condition might be. Could there be a severe blockage? What do these tests tell us about her heart health?

Given the information that your mother's TMT (treadmill test) result is strongly positive and she has had chest pain along with an abnormal ECG, it suggests a significant likelihood of coronary artery disease (CAD). An angiogram (CAG - coronary angiography) is the next appropriate step as it will provide a detailed view of the coronary arteries to identify the presence, location, and severity of any blockages. This test is crucial for determining the best treatment plan, which may involve medications, angioplasty, or coronary artery bypass grafting (CABG) depending on the findings. Please follow your cardiologist's recommendations and proceed with the angiogram for a definitive diagnosis and treatment plan.