- male
- 60 Years
- 22/01/2025
My dad recently had an ECG which turned out normal, but his TMT results showed positive for exercise-induced ischemia. I'm quite worried because his hemoglobin level is really low at 8.8. Do you think he needs an angiogram? I'm not sure what the best next steps are, and would appreciate your guidance.
Answered by 1 Apollo Doctors
Correct anemia first then can think to do stress echocardiography....to confirm..but If there are any risk facters like diabetes and hypertension or smoking or obesity or family history & inactive lifestyle...& symptoms of chest pain or breathing difficulty, angiography should be done Anyways need insight on all these & need to see the TMT strips to suggest the next best step.
Dr. Chandra Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
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View allSir, I'm 27 and have no bad habits like drinking or smoking, but my weight is 80 kg. For the past year, I've experienced daily pain in my left chest. Throughout this time, I've had 20 ECGs, 2 echocardiograms, and a TMT that was negative. My troponin levels are normal, along with a normal chest X-ray, random blood sugar, renal function tests, and thyroid function tests. My blood pressure is high at 16298, so I'm on Telma 20 tablets. Six months ago, my lipid profile was normal too. Why do I keep getting this pain in my left chest? It's causing me a lot of anxiety, and I worry about dying. I even got an ECG yesterday and attached the pic. Is there any other test I should consider for this pain?
The tests you have done so far indicate that your heart and other vital organs are functioning normally. Since your chest pain has been persisting for a year and you have already undergone multiple tests, it is important to consider other possible causes for your symptoms. One potential reason for your chest pain could be related to musculoskeletal issues or anxiety. I recommend trying over-the-counter pain relief medication like acetaminophen for your chest pain. Additionally, practicing relaxation techniques such as deep breathing exercises or yoga may help alleviate any anxiety-related chest discomfort. If your symptoms persist or worsen, you may consider consulting with a specialist such as a cardiologist or a gastroenterologist for further evaluation. They may suggest additional tests or imaging studies based on their clinical assessment. Remember to maintain a healthy lifestyle, including regular exercise and a balanced diet, to support your overall well-being. If you have any concerns or new symptoms, do not hesitate to seek medical advice promptly.
Answered by 1 Apollo Doctors
I'm trying to understand what's included in an angiogram report. I received a printed report, but later found out there should also be a CD provided as evidence. When I asked the hospital about it, they gave me one, but only after charging me. I'm worried why they didn't give it to me initially. Is there something fishy going on? Shouldn't they provide the CD in case I need to get a second opinion from another doctor?
In an angiogram report, the findings typically include details about the blood vessels in the heart, any blockages or narrowing, and the overall condition of the heart. The report may also mention the presence of any plaques or clots. As for the CD with images, it usually contains visual images of the angiogram procedure for further reference or consultation with other healthcare providers. It is not uncommon for hospitals to charge for providing a CD of medical images, as there may be costs associated with creating and providing this additional documentation. While it is ideal for hospitals to provide all necessary information upfront, sometimes there may be administrative reasons for not including the CD initially. If you have concerns about the process or the completeness of the information provided, it is best to directly discuss this with the hospital or healthcare provider who conducted the angiogram. They should be able to address any questions or issues you may have regarding the report and CD.
Answered by 1 Apollo Doctors
I'm really concerned because I've been experiencing this chest pain in the lower zones on both sides for about 8 months now. I got an X-ray done, and I have the report. There haven't been any other symptoms like fever, cough, or breathing problems, but I'm still worried. What could this be and what should I do next?
Tab Azithromycin 500mg,orally.once daily for 5 days is advised,tab pan ,orally,once daily and tab paracetamol 500mg sos for fever is advised to the patient.
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.