apollo
  • male
  • 35 Years
  • 07/02/2025

I've been having this quick, sharp pain on the left side of my chest whenever I put pressure on my left hand or lift something heavy. It's really strange because the pain just pops up out of nowhere, lasts only a few seconds, and then it's gone. Its been happening now and then for about 4 or 5 months, but it seems to be more frequent lately. Any idea what could be causing this? What should I do about it?

Doctor 1

Answered by 1 Apollo Doctors

This type of chest pain that is triggered by certain movements or activities could be musculoskeletal in nature, such as costochondritis. It is an inflammation of the cartilage that connects a rib to the breastbone. To help relieve the pain and inflammation, you can take over-the-counter pain relievers such as ibuprofen (e.g., Advil) at a dose of 400mg to 800mg every 6 hours as needed with food. Additionally, applying a warm compress to the area may also provide some relief. However, it is important to consult with a healthcare professional for a proper evaluation and diagnosis.

Dr. Mubarak Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm a bit concerned because I've been having chest pain for the past week. I got an echo done and it came out normal, but my TMT results showed mild positive for inducible ischemia. My cholesterol numbers are also worrying me - HDL is 34, triglycerides are at 195, and total cholesterol is 209. I don't smoke and I'm trying to follow the diet and lifestyle changes my cardiologist suggested but I'm still feeling worried. I'm 31 years old and my blood pressure is at 14080. Do you think I might need an angiogram?

Based on your symptoms and test results, it's important to continue following the advice of your cardiologist regarding diet changes and lifestyle activities. In addition, considering your age and the mild positive TMT result, an angiogram may be recommended to further evaluate any potential blockages in your coronary arteries. To help manage your cholesterol levels, you can consider taking Atorvastatin 20mg once daily to lower your total cholesterol and triglycerides. It's important to continue monitoring your blood pressure and cholesterol levels regularly.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

Sure, here's a rephrased version of the user's query: I've been having chest pains off and on for a couple of days and got an ECG done. Here's what the results say: Vent rate is 73 bpm, PR interval is 114 ms, QRS duration is 94 ms, QTQTc is 388427 ms, and the PRT axes are 64, 52, and 25. I'm really not sure if these numbers are normal. Should I be taking any special precautions, especially since the pain keeps showing up in different parts of my body at different times?

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I'm experiencing shortness of breath when I run, and my ECG and Echo reports both came back normal. I'm trying to figure out what's going on. Should I consider getting a CT angiography? Oh, and I've noticed my Echo report lists an ejection fraction of 60, but the stroke volume and EDV fields are blankhow was the EF calculated? I've attached the report too.

Shortness of breath during exercise despite normal ECG and Echo reports could be due to other factors such as asthma, anemia, or even deconditioning. Since your Echo report shows a normal ejection fraction of 60%, the calculation is typically done using the formula EF = (SVEDV) x 100. However, since the SV and EDV values are missing in your report, it may be challenging to accurately calculate the EF. Considering your symptoms and the inconclusive nature of the Echo report, it may be advisable to consult with a cardiologist to determine the need for further testing such as a CT angiography to rule out any coronary artery disease.

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