I've got a situation with my aunty that's worrying me a bit. She's been having chest pain and even though the doctor said her ECG and 2D echo are normal, the TMT showed some changes. She's 46, and I'm just wondering what this could mean? Should we be concerned about the TMT results despite the other normal tests? Any insight you could give would be really appreciated.

Hello, based on the information provided, it seems like your aunt is experiencing chest pain despite normal ECG and 2D echo results. In this case, the doctor may consider prescribing anti-anginal medications to help with the chest pain. One common medication that can be prescribed is "Nitroglycerin" sublingual tablets, to be taken as needed for chest pain. The usual dosage is 0.3 to 0.6 mg sublingually every 5 minutes as necessary, up to 3 doses. Additionally, the doctor may also consider prescribing medications like "Beta-blockers" such as Metoprolol, starting at a low dose of 25 mg once daily and titrating up as needed. These medications can help manage chest pain and improve symptoms.