- female
- 50 Years
- 22/01/2025
My mom, who's 50, has been taking Thyronorm 50 for her thyroid. Her doctor mentioned noticing some changes in her ECG twice during her follow-ups and suggested she should get a TMT and an Echo done. Her 2D Echo looks normal with an LVEF of 65%, but her TMT came back positive for inducible ischemia at a moderate workload level. She's mentioned having shortness of breath sometimes when she's climbing stairs, but other than that, she's fine and doesn't have any chest pain or a history of high blood pressure or diabetes. What would you suggest as the next steps for her?
Answered by 1 Apollo Doctors
A 2D Echo is advised as a diagnostic procedure for heart blocks and other pathology..
Dr. Shubham Suggests...
Consult a Cardiologist
Answered 04/07/2025
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Answered by 1 Apollo Doctors
I've been experiencing some weird sensations when I wake up early in the morning. It feels like something is fluttering in my chest or heart, and I get really uneasy with mild breathlessness and sometimes feel light-headed. My pulse seems to stay between 60 to 80, and my oxygen level is usually at 99, but I find myself swallowing suddenly and taking deep breaths without realizing it. My blood pressure was 9762 the first time I checked and 10869 the second time, with a pulse of 73. I had an ECG, 2D echo, and troponin tests done about a month ago, and they were all normal. I dont have any thyroid issues, and my lipid profile and haemogram were also normal. Even my chest X-ray from a month ago didn't show anything out of the ordinary. Now and then, I have a mild cough, and my lips get really dry when I wake up. I even heard a mild wheezing sound when I laughed. Should I be worried about these symptoms? What could be causing these sensations?
since all your tests are normal, kindly don't worry
Answered by 1 Apollo Doctors
I'm curious about what's happening with my heart. Sometimes my ECG shows these non-specific ST changes, and while my echo was normal, I'm still worried. I often feel chest discomfort and pains in my left arm. Is there something specific these ST changes could indicate, even though my ECG and echo seem alright? Could something be missed?
Non-specific ST changes on an ECG can be caused by various factors, including electrolyte imbalances, medications, anxiety, or even normal variation. Since your echocardiogram was normal, it is less likely to be related to a structural heart problem. However, given your symptoms of chest discomfort and left arm pains, it is important to continue monitoring and investigating further. To address your symptoms, you can try taking a medication like aspirin for chest discomfort (75-325mg once daily) and acetaminophen for pain relief in your left arm (500-1000mg every 4-6 hours as needed). Additionally, you may benefit from a medication like ranitidine for acid reflux if present (150mg twice daily). It is important to follow up with your healthcare provider for further evaluation and management of your symptoms.
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.