- Male
- 30 Years
- 29/01/2025
I've done all the tests like an ECG, echo, and TMT, and they all came back normal, but I've been having this pain on my left side of the chest for a month now. I'm worried because it feels like it might be leading up to a heart attack. Could it still be something heart-related even if the tests were okay?
Answered by 1 Apollo Doctors
Since your ECG, echo, and TMT results are normal, your chest pain may not be related to a heart attack. However, it is important to further evaluate the cause of your chest pain. You can try taking a pain reliever like acetaminophen (Tylenol) 500mg as needed for the chest pain. If the pain persists or worsens, you may consider taking an antacid like omeprazole (Prilosec) 20mg once a day to see if it helps with the pain. Additionally, practicing relaxation techniques and stress management may also be beneficial.
Dr. Dr Khaleel Suggests...
Consult a Cardiologist
Answered 04/07/2025
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Answered by 1 Apollo Doctors
I've recently come across my TMT results, which show a mildly positive reaction with horizontal ST depression up to 2mm in some leads, but it normalizes quickly in recovery. My echo came out normal, and I don't smoke, drink, or have any early CAD family history. My lipid profile reads LDL at 101, triglycerides at 139, HDL at 33, and a total of 157. I'm quite sedentary, and lately, I've noticed pinpoint pain and pressure in my chest, shoulders, and upper abdomen. It flares up intermittently during brisk walking and feels really localized. I've also been dealing with anxiety for the past four years, so I sometimes have breathing difficulties whether I'm resting or active. Is it possible to have CAD at this age without any obvious risk factors, or could this pain just be anxiety? I did have stress echo tests in the past, which were negative, just like a TMT back in 2016. Could you offer some insight?
Given your history of chest painpressure, especially with brisk walking, and the findings on your recent TMT showing mildly positive results with horizontal ST depression, it is important to consider the possibility of coronary artery disease (CAD) even in the absence of traditional risk factors. The fact that the ST depression normalizes within 15 seconds of recovery is somewhat reassuring, but further evaluation is warranted. Considering your symptoms and history of anxiety, it is also possible that the chest pain you are experiencing could be related to anxiety. However, it is crucial not to dismiss the possibility of CAD, especially with the new onset of localized chest pain and your TMT results. Given your overall profile and symptoms, I would recommend further evaluation by a cardiologist. They may consider additional tests such as a coronary angiogram to assess the extent of any possible blockages. In the meantime, it is important to continue monitoring your symptoms and seek medical attention if they worsen or become more frequent. In terms of medication, based on your lipid profile, a statin medication such as Atorvastatin (10-20mg) may be considered to help lower your LDL cholesterol levels and reduce the risk of CAD progression. Additionally, medications to manage anxiety such as Escitalopram (10mg) may be prescribed to help alleviate your symptoms. It is important to address both the cardiac and psychological aspects of your symptoms to ensure a comprehensive treatment approach.
Answered by 1 Apollo Doctors
I'm a bit worried about my heart rate and blood pressure. When I'm sleeping, my heart rate is around 58 bpm, but when I wake up, it's suddenly at 7275 bpm, and while I'm moving, it's about 90 bpm. Also, I checked my blood pressure on a digital machine at home, and it showed readings of 12586 and 12789. Is this normal, or should I be concerned? I'm feeling a little anxious about all this.
A heart rate of 58 bpm while sleeping, 72-75 bpm upon waking, and 90 bpm when moving is within normal ranges. - Your blood pressure readings of 12586 and 12789 are also within normal limits. - There is no need to be anxious about these values as they fall within the normal range for heart rate and blood pressure. - However, if you have persistent concerns or symptoms, it is always advisable to consult with a healthcare professional for further evaluation and guidance.
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.