apollo
  • Male
  • 48 Years
  • 29/01/2025

I've been having sweating and breathlessness when going up the stairs, and there's some numbness in my palm along with a light pain in my chest. I talked to a cardiologist who's pretty experienced, and after checking out my echo report, they've suggested I get an angiography. I'm really unsure about whether I should go through with it. Could you give me some advice on this? I would really appreciate a quick response.

Doctor 1

Answered by 1 Apollo Doctors

Based on your symptoms and the recommendation of your cardiologist, undergoing angiography would be important to assess the condition of your heart vessels. This procedure can provide detailed information about any blockages or narrowing in the arteries supplying your heart. It will help in determining the best course of treatment for your condition. Please follow your cardiologist's advice and proceed with the angiography as recommended.

Dr. Ranjith Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I've been having this chest pain right in the center for the past 3 years, mostly when I'm exerting myself like lifting heavy stuff, climbing stairs, or riding in a fast-moving vehicle. I've had a coronary angiogram, and it came back normal. My echo is also normal. I've noticed my stomach bloats when this happens. Could this be related to a heart issue or is it more of an anxiety thing? The pain usually goes away when I rest. What could be going on?

It sounds like you may be experiencing symptoms of gastroesophageal reflux disease (GERD), which can sometimes present with chest pain and bloating. I recommend trying over-the-counter antacids like Tums or Rolaids for relief of your symptoms. Additionally, you can try lifestyle modifications such as avoiding trigger foods (spicy, acidic, fatty foods), eating smaller meals, and not lying down right after eating. If your symptoms persist, you may need to see a gastroenterologist for further evaluation and management.

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I'm really worried about my heart, and it's been like this for almost a year now. I've had palpitations around 45 times, and I've done a couple of ECGs, echoes, chest X-rays, and a TMT about 8 months ago, but everything came back normal. I don't have diabetes or thyroid issues, and I don't smoke or drink. There's no family history of heart problems either, but my BP is 140, and my LDL and total cholesterol are high at 140 and 192, respectively. The doctors say I shouldn't worry and just manage my BP and LDL, but I still can't shake off this fear of a heart attack. I often feel like I'm sinking or floating, and I get wobbly and fatigued when walking, sometimes even when I'm just resting. These feelings mostly hit me in the evenings, all the way until I go to sleep. I find myself worrying all the time, and there's just no joy or excitement in my day-to-day lifeit affects my ability to do daily activities. Can you help me figure out what's going on? Do you think I need any more tests, or is there something else I should be doing? What's causing all these issues?

It sounds like you are experiencing anxiety and panic attacks rather than a heart problem, especially since your heart tests have come back normal. Your symptoms of feeling like sinking and floating, wobbling, fatigue, and worry are common in anxiety disorders. It's good that you are focusing on controlling your blood pressure and LDL levels. To address your anxiety symptoms, you can try relaxation techniques, such as deep breathing exercises, meditation, or yoga. Regular physical activity can also help reduce anxiety. In some cases, therapy or counseling may be beneficial. For your elevated blood pressure and LDL levels, your doctors may prescribe medications to help manage them. For high blood pressure, medications like Amlodipine or Losartan can be prescribed. For high LDL levels, medications like Atorvastatin can be used to lower cholesterol levels. It's important to continue following up with your doctors for regular check-ups and to discuss any new or worsening symptoms. If you continue to experience anxiety symptoms, you may benefit from a consultation with a mental health professional for further evaluation and management.

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I'm a bit concerned about my recent stress test result which showed mildly positive for provcable myocardial ischaemia. I'm not fully sure what this means and I'm worried about what it might mean for my heart health. Could you help me understand this a bit better and maybe suggest what preventive or corrective steps I should be looking into? I just want to make sure I'm taking care of myself in the best way possible.

Stress test showing "Mildly Positive for Provicable Myocardial Ischaemia" indicates a potential issue with blood flow to the heart during physical activity. To address this, I recommend starting with lifestyle modifications such as regular exercise, healthy diet, and stress management. Additionally, medication therapy may be necessary. You can consider starting with a low-dose aspirin regimen for blood thinning and a statin medication like Atorvastatin to manage cholesterol levels. It is important to follow up with a cardiologist for further evaluation and management.

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