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HomeHealth QueryCardiologyMy grandfather, who's around 75, has been experien...
  • male
  • 75 Years
  • 07/02/2025

My grandfather, who's around 75, has been experiencing some discomfort in the upper left side of his chest just above his heart. He thinks it's probably related to acidity. The pain started just a few hours ago, and he's not on any regular medication. Should we be worried about this being something more serious? What would you recommend we do next?

Doctor 1

Answered by 1 Apollo Doctors

Dr. Dr Dhankecha Dineshbhai

Dr Dhankecha Dineshbhai

General Practitioner

  • MBBS
  • 6+ Yrs
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tab pantop 40 mg for 3 days

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Answered 04/07/2025

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I'm 32 and just got my TMT test results back. It mentions VPC during exercise and after, and a positive chronotropic response. There's also a 1mm downsloping ST depression at peak exercise but it's normal at 3 min recovery. Should I be worried about any of this? Do I need to take any medication? I'd really appreciate some guidance.

TMT report suggests a negative TMT with VPC seen during exercise and at recovery of the test, along with a positive chronotropic response. The 1mm downsloping ST depression at the peak of exercise, which normalizes at 3 minutes of recovery, is also noted. Based on this report, there is no significant worrying problem identified. However, considering the findings, it would be advisable to start medication to manage the VPC and ST depression. You can take Metoprolol (brand name: Lopressor) 25mg once daily to help regulate your heart rate and reduce the occurrence of VPCs. Additionally, you can take Aspirin 75mg once daily to prevent any potential clot formation due to the ST depression observed during exercise. It is important to follow up with your healthcare provider for further evaluation and management.

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