apollo
  • female
  • 35 Years
  • 22/01/2025

I've been having some weird symptoms lately. A few days ago, I woke up with this chest pain and it kinda hurt when I breathed. My inhaler helped a bit, but then yesterday, my blood pressure reading at the dentist was 15074, which is way higher than my usual 120-127 for the systolic part. I'm trying to figure out if I should just make an appointment with my GP or if it's serious enough to hit up urgent care or the ER. What do you think?

Doctor 1

Answered by 1 Apollo Doctors

sometimes blood pressure increases because of pain also. repeat your blood pressure,and monitor it

Dr. Shubham Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm really worried because a couple of months ago, I had some chest pain and when they did an ECG, it showed slight ST elevation in V3 and V4. The cardiologist I saw said it wasnt heart-related, but just to be sure, he had me do a TMT, and that turned out negative. Now, I had chest pain again and went to the hospital. They did another ECG that showed sinus rhythm with sinus arrhythmia and ST elevation, possibly early repolarization with normally inflected T wave, and called it a borderline ECG. Should I be concerned about something serious going on here?

"Based on your description, it seems like you are experiencing chest pain with some concerning ECG findings. The ST elevation in V3 and V4 from the previous ECG, along with the ST elevation and early repolarization in the recent ECG, can be worrisome. However, since your cardiologist has already ruled out any significant heart issues with a negative TMT, it is less likely to be related to your heart. The presence of sinus rhythm with sinus arrhythmia indicates normal heart rhythm variation, which is usually not concerning. Early repolarization with borderline ECG findings can sometimes be a normal variant in young, healthy individuals. To address your chest pain and ECG findings, your doctor may consider monitoring your symptoms, lifestyle modifications, and possibly medication. In case of persistent or worsening symptoms, further evaluation or consultation with a cardiologist may be necessary. For symptomatic relief of chest pain, you can consider taking over-the-counter pain relievers like acetaminophen. However, it is important to follow up with your healthcare provider for a proper evaluation and management plan."

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I'm a bit confused about something in my recent medical results. My ECHO came back showing normal pulmonary arteries, but I've been told I might have mild PHT. How is it possible to have mild pulmonary hypertension if the echo indicates the arteries are fine? What should I make of this?

Yes, it is possible to have mild pulmonary hypertension (PHT) even when the ECHO shows that the pulmonary arteries are normal. In such cases, treatment may involve medications such as sildenafil (Revatio) or tadalafil (Adcirca) to help manage the symptoms and improve quality of life. The dosage and duration of treatment would depend on the severity of the condition and should be determined by a healthcare professional.

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I'm a bit worried because my cardiologist just switched my medication from clopidogrel 75mg and aspirin 75mg to clopitab cv 20mg. I took the old meds this morning. Is it okay to start with the new one tonight? If I wait until tomorrow, itll be over 24 hours between doses. What should I do?

If your cardiologist has advised you to switch from clopidogrel 75mg and aspirin 75mg to Clopitab CV 20mg (which combines clopidogrel and a lower dose of aspirin), you can start taking the new medication tonight. This will ensure continuous antiplatelet protection without a significant gap. However, to be absolutely certain and to avoid any potential interaction or complications, it is best to confirm this plan with your healthcare provider or pharmacist.

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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.