- 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.
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'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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I've recently had a stress echo and it came back negative. Ten years ago, in 2011, I had an angiogram and it looked fine then too. In 2015, I went through a nuclear test, treadmill test, and some other checks, and they all turned out normal. Lately, Ive been having this dull pain in my neck that sometimes reaches up to my ear and jaw, and it also bothers my shoulder. My neck and upper back always feel stiff. My physiotherapist says my posture is pretty poor, mentions scoliosis, and thinks that might be causing this pain. I don't have issues when I'm walking and I can climb up to 12 floors without a problem but the neck and back pain, especially on the left side, really gets to me. Occasionally, I feel a sharp pain on the left side of my chest, but it fades away quickly. My chest is tender, and some spots are really sore to touch. Do you think it's safe to rule out any cardiac causes? Is there any other test I should consider doing?
Based on your history of negative stress echo, normal angio in 2011, and normal nuclear test and TMT in 2015, it is less likely that your current symptoms are related to cardiac issues. However, it is important to consider other potential causes for your neck, ear, jaw, shoulder, and chest pain. Given your description of neck stiffness and pain, along with the presence of scoliosis affecting your posture, it is possible that your symptoms are musculoskeletal in nature. To address your current symptoms, you may benefit from a muscle relaxant such as **Cyclobenzaprine** 10mg to help with the neck and back stiffness. Additionally, you can consider taking **Ibuprofen** 400mg for pain relief. Since you mentioned tenderness in your chest and certain points, it may be helpful to rule out any musculoskeletal chest wall pain. However, considering your history and current symptoms, further cardiac testing may not be necessary at this point. To improve your posture and alleviate the neck and back pain, regular physiotherapy sessions focusing on postural correction and strengthening exercises may be beneficial. It is important to continue working with your physiotherapist to address the underlying cause of your symptoms. If your symptoms persist or worsen, it is advisable to follow up with your healthcare provider for further evaluation and management.
Answered by 1 Apollo Doctors
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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.